NPI age
14 years
Enumerated 2012-05-14
● Active Type 2 · Organization
Advanced Podiatry Of Southern Idaho, Llc
Advanced Podiatry Of Southern Idaho, Llc is 1 of 2 podiatrist organizations in Idaho.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goulding
Administrator
Last NPPES update
2012-07-06
Source: monthly bulk 2026-05
How this organization compares
Across 2 active podiatrist providers in Idaho.
NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-05Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
476 Cheney Drive West
Twin Falls, ID 83301
Mailing address
6028 S Ridgeline Drive, Suite 101
Ogden, UT 84405
Authorized official
Tawna H Goulding
Administrator
📞 8014755239
Specialties
-
Podiatrist PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Advanced Foot & Ankle
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.