PODIATRIC PHYSICIANS OF ARIZONA, INC. (NPI# 1194944728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194944728 |
| Entity Type | Organization |
| Organization Name | PODIATRIC PHYSICIANS OF ARIZONA, INC. |
| Other Organization Name | ARIZONA INSTITUTE OF FOOTCARE PHYSICIANS |
| Practice Address |
1620 S Stapley Dr 132 Mesa AZ 85204-6634 |
| Mailing Address |
Po Box 847818 Dallas TX 75284-7818 |
| Practice Telephone | 4808348804 |
| Practice Fax Number | 4804648287 |
| Mailing Telephone | 4808348804 |
| Mailing Fax Number | 4804648287 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | ASHLEY KOCH (CFO) |
| Authorized Official Telephone | 6175627070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 500144 | 05 | |
| AZ | PALMETTO GBA, RAILROAD MEDICARE | CD4380 | 01 |
| Other Name | Type Code |
|---|---|
| Arizona Institute of Footcare Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| Street Address |
1620 S STAPLEY DR 132 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538139449 | Kimberly A Leach | Podiatrist | 1620 S Stapley Dr, #132, Mesa, AZ 85204 | 2006-01-24 |
| 1184885659 | Shahram Askari | Podiatrist | 1620 S Stapley Dr, Suite 132, Mesa, AZ 85204-6634 | 2008-06-18 |
| 1518186121 | Podiatric Physicians Management | Podiatrist | 1620 S Stapley Dr, Ste 132, Mesa, AZ 85204-6634 | 2007-04-24 |
| 1396715207 | Robert Zobel | Podiatrist | 1620 S Stapley Dr, #132, Mesa, AZ 85204 | 2006-01-24 |
| 1558331462 | Kerry Zang | Podiatrist | 1620 S Stapley Dr, #132, Mesa, AZ 85204 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680505 | Thornridge Medical and Management Inc | Podiatrist | 6104 E Brown Rd Ste 101, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1326408782 | Kraemer Medical Inc | Podiatrist | 6104 E Brown Rd Ste 102, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1255715579 | Patrick Gillihan | Podiatrist | 10238 E Hampton Ave Ste 107, Mesa, AZ 85209-3317 | 2015-07-16 |
| 1912313875 | Jordan Frank Hirschi | Podiatrist | 2147 N 30th St, Mesa, AZ 85213-3179 | 2014-07-10 |
| 1568705952 | Socorro Gabriela Montes | Podiatrist | 1520 S Dobson Rd Ste 307, Mesa, AZ 85202-4700 | 2013-04-03 |
| 1922395821 | Brandon Mecham | Podiatrist | 6116 E Arbor Ave Ste 118, Mesa, AZ 85206-6104 | 2011-06-30 |
| 1467786228 | Advanced Center for Foot & Ankle | Podiatrist | 2815 S Alma School Rd Ste 119b, Mesa, AZ 85210-4031 | 2009-09-28 |
| 1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
| 1043445091 | Blair James Sandall | Podiatrist | 1347 N. Greenfield Rd, Suite 101, Mesa, AZ 85205-4072 | 2009-05-20 |
| 1295714525 | Cameron Rafael Mckay | Podiatrist | 220 N Stapley Dr, Mesa, AZ 85203-8057 | 2006-01-13 |
| Find all providers in MESA | ||||
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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.