Provider Demographics
NPI:1407078652
Name:PODIATRY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PODIATRY ASSOCIATES, INC.
Other - Org Name:CASTLE PINES FOOT AND ANKLE CLINIC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OASE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:303-805-5156
Mailing Address - Street 1:7505 VILLAGE SQUARE DR
Mailing Address - Street 2:STE 101
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3692
Mailing Address - Country:US
Mailing Address - Phone:303-805-5156
Mailing Address - Fax:303-805-5157
Practice Address - Street 1:7505 VILLAGE SQUARE DR
Practice Address - Street 2:STE 101
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3692
Practice Address - Country:US
Practice Address - Phone:303-805-5156
Practice Address - Fax:303-805-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CJ7944OtherRAILROAD MEDICARE
COPO641803OtherBLUE CROSS BLUE SHIELD
CJ7944OtherRAILROAD MEDICARE
COPO641803OtherBLUE CROSS BLUE SHIELD