SAN TAN FOOT AND ANKLE (NPI# 1285054049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285054049 |
| Entity Type | Organization |
| Organization Name | SAN TAN FOOT AND ANKLE |
| Practice Address |
325 E Baseline Rd Phoenix AZ 85042-6510 |
| Mailing Address |
3200 S Alma School Rd 203 Chandler AZ 85248-3757 |
| Practice Telephone | 4809172300 |
| Mailing Telephone | 4809172300 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | DR. SPENCER NIEMANN (PROVIDER) |
| Authorized Official Telephone | 4809172300 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN TAN FOOT AND ANKLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0672 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 805048 | 05 |
| Street Address |
325 E BASELINE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888027 | Good Night Pediatrics South Mountain PC | Pediatrics | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2005-11-15 |
| 1437451499 | Leann Arleen Olson | Pediatrics | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2010-11-24 |
| 1891905147 | Lori A Rodriguez | Nurse Practitioner | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2007-05-23 |
| 1154474310 | Best Medical/urgent Care LLC | Family Medicine | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2007-01-19 |
| 1932283975 | Elizabeth Ann Lenio | Physical Therapist | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2006-10-25 |
| 1568410835 | Angel R Gomez | Family Medicine | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2006-05-05 |
| 1720036098 | Kathryn Louise Brown | Pediatrics | 325 E Baseline Rd, Phoenix, AZ 85042-6510 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1861808917 | Amanda Sarah Lernor | Podiatrist | 16841 N 31st Ave Ste 134, Phoenix, AZ 85053-3057 | 2014-07-09 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1790195964 | Melissa Jo Chrisman | Podiatrist | 13838 S 46th Pl Ste 210, Phoenix, AZ 85044-7803 | 2014-04-28 |
| 1669812855 | Zachary Anthony Flynn | Podiatrist | 11209 N Tatum Blvd Ste 100, Phoenix, AZ 85028-3000 | 2013-07-02 |
| 1316290893 | Katherine Edithe Kennedy | Podiatrist | 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021-8862 | 2012-10-20 |
| 1790044261 | Shylaja N Arya | Podiatrist | 3104 E Indian School Rd Ste 110, Phoenix, AZ 85016-6873 | 2012-05-03 |
| 1811135817 | Bryan James Roth | Podiatrist | 2601 E Roosevelt Ave, Phoenix, AZ 85008-4973 | 2009-01-29 |
| 1548440936 | Arizona Foot & Ankle Care, P.C. | Podiatrist | 3201 W Peoria Ave Ste A200, Phoenix, AZ 85029-4699 | 2007-11-14 |
| 1689793895 | Kelvin S Crezee Dpm PC | Podiatrist | 15810 S 45th St Ste 190, Phoenix, AZ 85048-7697 | 2007-03-28 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on SAN TAN FOOT AND ANKLE.
| 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.