CLEMENT HOLDINGS (NPI# 1013374388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013374388 |
| Entity Type | Organization |
| Organization Name | CLEMENT HOLDINGS |
| Practice Address |
1515 E Florence Blvd Suite 105 Casa Grande AZ 85122-5334 |
| Practice Telephone | 5208362962 |
| Practice Fax Number | 5208368343 |
| Mailing Telephone | 5208362962 |
| Mailing Fax Number | 5208368343 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | DR. DEAN B CLEMENT (OWNER) |
| Authorized Official Telephone | 5208362962 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
593 | AZ | Podiatric Medicine & Surgery Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CLEMENT HOLDINGS AND MANAGEMENT LLC | 458 Clement Avenue, Elmont, Ny 11003 |
| New York State Corporations | CLEMENT HOLDINGS INC. | 2732 Winona Road, Baldwin, New York 11510-3831 |
| Colorado Business Entities | Clement Holdings LLC | 1942 Broadway St., Ste 314c, Boulder, CO 80302 |
| Street Address |
1515 E FLORENCE BLVD SUITE 105 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-5334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655817 | Peter Modest Myskiw | Podiatrist | 1515 E Florence Blvd, Suite 105, Casa Grande, AZ 85122-5334 | 2005-08-09 |
| 1447227251 | Dean B Clement | Podiatrist | 1515 E Florence Blvd, Ste 105, Casa Grande, AZ 85122-5334 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528211364 | Laureen Cota, Dpm, Pllc | Podiatrist | 1821 N. Trekell Rd Suite 2, Casa Grande, AZ 85122 | 2008-10-24 |
| 1891982914 | Casa Grande Foot & Ankle Spec | Podiatrist | 675 E Cottonwood Ln, Casa Grande, AZ 85222-2023 | 2007-10-02 |
| 1487655817 | Peter Modest Myskiw | Podiatrist | 1515 E Florence Blvd, Suite 105, Casa Grande, AZ 85122-5334 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152452 | Arcadia Foot & Ankle PC | Podiatrist | 9421 W Bell Rd Ste 105, Sun City, AZ 85351-1361 | 2020-10-21 |
| 1093314072 | Arcadia Foot & Ankle PC | Podiatrist | 10900 N Scottsdale Rd Ste 101, Scottsdale, AZ 85254-5222 | 2020-10-21 |
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1285254813 | Foot & Ankle Specialists of Arizona | Podiatrist | 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 | 2020-04-23 |
| 1407418395 | Jupiter Medical Services LLC | Podiatrist | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-07-01 |
| 1629535273 | Saguaro Foot and Ankle | Podiatrist | 2128 E Maplewood St, Gilbert, AZ 85297-1140 | 2019-03-01 |
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1912439324 | Bogdan Baragau | Podiatrist | 14418 W Meeker Blvd Ste 205, Sun City West, AZ 85375-5291 | 2017-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on CLEMENT HOLDINGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.