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CRESWELL FOOT & ANKLE SURGERY
NPI 1699508929
Podiatrist in Wallace, ID

Active since August 22, 2024
610 CEDAR ST, WALLACE, ID 83873(208) 784-8777(208) 784-3533 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2026, Aug 22, 2024 (2 updates tracked since 2024).

About Creswell Foot & Ankle Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESWELL FOOT & ANKLE SURGERY (NPI 1699508929) is a healthcare organization registered as a podiatrist in Wallace, Idaho and active in the NPI registry since August 2024. The organization lists Jimmy Price, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1699508929
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCRESWELL FOOT & ANKLE SURGERY
Location Address610 CEDAR STWallace, ID 83873-2233
Mailing AddressPo Box 483Smelterville, ID 83868-0483 · (801) 550-4051 · Fax (208) 784-8777
Phone(208) 784-8777
Fax(208) 784-3533
Organization SubpartNo
Authorized OfficialJimmy PriceCredentialing Coordinator · (832) 277-6870
Enumeration DateAugust 22, 2024
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1699508929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

610 CEDAR ST, Wallace, ID 83873
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH ALEXANDER CRESWELL DPM
Podiatrist
610 CEDAR ST
WALLACE, ID 83873
Shoshone County (208) 784-8777

Frequently Asked Questions

What is CRESWELL FOOT & ANKLE SURGERY's NPI number?

The NPI number assigned to this healthcare provider is 1699508929, enumerated as an "organization" on August 22, 2024.

Where is the provider located?

The provider is located at 610 CEDAR ST WALLACE, ID 83873 and the phone number is (208) 784-8777.

What is the provider's specialty?

Podiatrist with taxonomy code 213E00000X.