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

Pocatello Podiatry Associates PA

Organization Foot & Ankle Surgery Podiatrist · NPI 1912194085

Pocatello Podiatry Associates PA is a Foot & Ankle Surgery Podiatrist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

1555 E Clark St
Pocatello, ID 83201-4133
Phone: (208) 233-4355
Fax: (208) 233-7198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence P-82 (ID)

Record details

NPI number1912194085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koree Godfrey — Credentialing · (208) 233-4355
Other names Ambulatory Foot And Ankle Clinic; Ambulatory Foot And Ankle Clinic; Ambulatory Foot And Ankle Clinic
NPI enumeratedOctober 2, 2007
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address1555 E Clark St, Pocatello, ID 83201-4133

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