● Active Type 2 · Organization
Pocatello Podiatry Associates PA
Podiatrist·Pocatello, ID· NPI 1912194085
·
Enumerated 2007 · 18 years on NPI
Pocatello Podiatry Associates PA is 1 of 67 podiatrist organizations in Idaho.
NPI age
18 years
Enumerated 2007-10-02
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Godfrey
Credentialing
Last NPPES update
2021-03-18
Source: monthly bulk 2026-05
How this organization compares
Across 67 active podiatrist providers in Idaho.
NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1555 E Clark St
Pocatello, ID 832014133
📞 2082334355fax 2082337198
Mailing address
1555 E Clark St
Pocatello, ID 832014133
📞 2082334355fax 2082337198
Authorized official
Koree Godfrey
Credentialing
📞 2082334355
Individual providers at this organization
4 individual providers on file at this primary practice address.
Identifiers
| Type | Value | Notes |
| 05 (ID) |
004400900 |
|
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Ambulatory Foot and Ankle Clinic
Type code 3
recorded 2021-03-18
-
Ambulatory Foot and Ankle Clinic
Type code 5
recorded 2021-03-18
-
Ambulatory Foot and Ankle Clinic
Type code 5
recorded 2008-05-22
Practice context
Multi-provider organization.
4 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.