Provider Demographics
NPI:1184383804
Name:BUNION SURGERY SPECIALISTS LLC
Entity type:Organization
Organization Name:BUNION SURGERY SPECIALISTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:515-639-3775
Mailing Address - Street 1:5713 NE SHERMAN CT
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-1225
Mailing Address - Country:US
Mailing Address - Phone:515-574-9989
Mailing Address - Fax:
Practice Address - Street 1:1200 NW 36TH ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023
Practice Address - Country:US
Practice Address - Phone:515-639-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty