OCOTILLO FOOT AND ANKLE CENTERS, PLLC (NPI# 1356824759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356824759 |
| Entity Type | Organization |
| Organization Name | OCOTILLO FOOT AND ANKLE CENTERS, PLLC |
| Practice Address |
270 W Chandler Heights Rd Ste 5 Chandler AZ 85248-5084 |
| Practice Telephone | 4808950276 |
| Practice Fax Number | 4808956933 |
| Mailing Telephone | 4808950276 |
| Mailing Fax Number | 4808956933 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | DR. MARY M PETERS (CEO) |
| Authorized Official Telephone | 4808950276 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13838 S 46th Pl Ste 105, Phoenix, AZ 850447801 | 4808950276 | 4808956933 |
| Street Address |
270 W CHANDLER HEIGHTS RD STE 5 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740664473 | Aldijan Sabic | Podiatrist | 595 N Dobson Rd Ste 71, Chandler, AZ 85224 | 2015-07-13 |
| 1487050720 | Lara Whitford | Podiatrist | 1831 E Queen Creek Rd Ste 119, Chandler, AZ 85286-2019 | 2014-11-14 |
| 1093125726 | Mark Little | Podiatrist | 1528 E Canyon Way, Chandler, AZ 85249-4742 | 2014-05-02 |
| 1053461053 | Floyd I Miller | Podiatrist | 2175 N Alma School Rd Ste C109, Chandler, AZ 85224-2880 | 2007-01-11 |
| 1700860715 | Keith Alan Goss | Podiatrist | 3042 W. Queek Creek Rd., Chandler, AZ 85286-0038 | 2005-12-02 |
| 1104270024 | Jared Edward Leber | Podiatrist | 1831 E Queen Creek Rd, Chandler, AZ 85286-2019 | 2016-04-17 |
| 1306200613 | Lauren Wurster | Podiatrist | 1831 E Queen Creek Rd Ste 119, Chandler, AZ 85286-2019 | 2016-04-12 |
| 1073976833 | Shannon Ganley | Podiatrist | 1831 E Queen Creek Rd, Chandler, AZ 85286-2019 | 2016-03-30 |
| 1033571328 | Chase Alexander Corley | Podiatrist | 1831 E Queen Creek Rd, Chandler, AZ 85286-2019 | 2016-03-24 |
| 1386050060 | Steven O'bryant | Podiatrist | 1831 E Queen Creek Rd, Building 8, Suite 119, Chandler, AZ 85286-2019 | 2014-07-02 |
| Find all providers in CHANDLER | ||||
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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.