MEDICARE: PODIATRY ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	213E00000X	Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CJ7944	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PO641803	OTHER	CO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1407078652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRY ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	7505 VILLAGE SQUARE DR
Second Line	:	STE 101
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-3692
Country	:	US
Telephone Number	:	303-805-5156
Fax Number	:	303-805-5157

Provider Business Practice Location Address
First Line	:	7505 VILLAGE SQUARE DR
Second Line	:	STE 101
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-3692
Country	:	US
Telephone Number	:	303-805-5156
Fax Number	:	303-805-5157

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	BRIAN MICHAEL OASE
Credential	:	DPM
Telephone Number	:	303-805-5156

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	10/11/2023

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Directions to “PODIATRY ASSOCIATES, INC. ” Practice Location

Language	Start Address	Practice Location

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