Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Crest Foot and Ankle PA

Organization Podiatrist · NPI 1932191996

Mountain Crest Foot and Ankle PA is a Podiatrist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3652 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone: (208) 528-8700
Fax: (208) 528-2802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence P-169 (ID)

Record details

NPI number1932191996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Black — Owner/Physician · (208) 528-8700
NPI enumeratedAugust 16, 2005
Last updated in NPPESDecember 6, 2010
Mailing address3652 Washington Pkwy, Idaho Falls, ID 83404-7573

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