Provider Demographics
NPI:1487935060
Name:STEP AHEAD FOOT & ANKLE CLINIC PC
Entity type:Organization
Organization Name:STEP AHEAD FOOT & ANKLE CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:406-755-2818
Mailing Address - Street 1:175 COMMONS LOOP
Mailing Address - Street 2:SUITE 400
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-1904
Mailing Address - Country:US
Mailing Address - Phone:406-755-2818
Mailing Address - Fax:406-755-2991
Practice Address - Street 1:175 COMMONS LOOP
Practice Address - Street 2:SUITE 400
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1904
Practice Address - Country:US
Practice Address - Phone:406-755-2818
Practice Address - Fax:406-755-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT173332B00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTM011001478OtherMEDICARE PTAN
MT6633040001Medicare NSC