BRETT ROEDER (NPI# 1134116700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134116700 |
| Entity Type | Individual |
| Full Name | BRETT ROEDER |
| Credential | DPM |
| Practice Address |
1501 N Gilbert Rd Ste 120 Gilbert AZ 85234-2393 |
| Practice Telephone | 4805077560 |
| Practice Fax Number | 4805077509 |
| Mailing Telephone | 4805077560 |
| Mailing Fax Number | 4805077509 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0497 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 919110 | 05 | |
| AZ | BLUE CROSS BLUE SHIELD | AZ0195600 | 01 |
| AZ | 1231210001 | 05 |
| Street Address |
1501 N GILBERT RD STE 120 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407031016 | Phoenix Foot Surgeon Inc | Podiatrist | 1501 N Gilbert Rd Ste 120, Gilbert, AZ 85234-2393 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840273 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 2680 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1674 | 2020-04-18 |
| 1740245596 | Gilbert Podiatry Associates Inc | Podiatrist | Rte 209, Gilbert Medical Center, Suite D, Gilbert, PA 18331-0125 | 2006-04-17 |
| 1740254036 | Bradley L Newswander | Podiatrist | 5656 S Power Rd Ste 124, Gilbert, AZ 85295-8489 | 2006-02-14 |
| 1659364073 | Barbara A Davis | Podiatrist | Route 209, Suite D, Gilbert, PA 18331 | 2005-08-31 |
| 1740661313 | Katy Melissa Statler | Podiatrist | 4915 E Baseline Rd Ste 121, Gilbert, AZ 85234-2969 | 2015-06-09 |
| 1013261684 | Andrew Goodeill | Podiatrist | 4915 E Baseline Rd, Ste 121, Gilbert, AZ 85234-2969 | 2012-11-05 |
| 1932360336 | Fai Wong | Podiatrist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2008-06-19 |
| 1225074206 | Aprajita Nakra Dpm PC | Podiatrist | 2915 E Baseline Rd, Suite 103, Gilbert, AZ 85234-2425 | 2006-06-20 |
| 1134109168 | Mary K Benjamin-swonger | Podiatrist | 4915 E Baseline Rd, Gilbert, AZ 85234-2965 | 2006-01-17 |
| 1235129107 | Aprajita Nakra | Podiatrist | 2915 E Baseline Rd, 103, Gilbert, AZ 85234-2425 | 2005-10-24 |
| Find all providers in GILBERT | ||||
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| 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.