ELITE PODIATRY, PLLC (NPI# 1366758104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366758104 |
| Entity Type | Organization |
| Organization Name | ELITE PODIATRY, PLLC |
| Practice Address |
13838 S 46th Pl Suite 210 Phoenix AZ 85044-7800 |
| Practice Telephone | 4802133011 |
| Practice Fax Number | 4808164483 |
| Mailing Telephone | 4802133011 |
| Mailing Fax Number | 4808164483 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | GREGORY THOMAS LOO (OWNER) |
| Authorized Official Telephone | 6023210292 |
| 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 |
0502 | AZ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
13838 S 46TH PL SUITE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872209 | Cynthia C Andrews | Family Medicine | 13838 S 46th Pl, Ste 125, Phoenix, AZ 85044-7802 | 2005-06-28 |
| 1154772721 | Rachel Schmidt | Nurse Practitioner | 13838 S 46th Pl, Suite 125, Phoenix, AZ 85044-7800 | 2016-06-24 |
| 1124377866 | Dr. Dane Buxbaum N.d. Pllc | Naturopath | 13838 S 46th Pl, Suite 110, Phoenix, AZ 85044-7800 | 2012-09-07 |
| 1164706628 | Katherine L Krahe | Physician Assistant | 13838 S 46th Pl, Suite 125, Phoenix, AZ 85044-7800 | 2011-10-03 |
| 1407188733 | Kasian Health Services, LLC | Chiropractor | 13838 S 46th Pl, Ste 300, Phoenix, AZ 85044-7800 | 2010-02-11 |
| 1295917508 | Jill E Kerr, D. O. P.C. | Family Medicine | 13838 S 46th Pl, Suite 320, Phoenix, AZ 85044-7800 | 2007-11-28 |
| 1235338054 | James Nichols Md, Ltd. | Clinic/Center | 13838 S 46th Pl, Phoenix, AZ 85044-7800 | 2007-07-12 |
| 1386790582 | Philip M Wazny | Naturopath | 13838 S 46th Pl, 120, Phoenix, AZ 85044-7800 | 2007-01-28 |
| 1902956592 | Therese Dautheribes | Counselor | 13838 S 46th Pl, Ste 110, Phoenix, AZ 85044-7800 | 2007-01-12 |
| 1215012646 | New Image Family Medicine LLC | General Practice | 13838 S 46th Pl, Suite 120, Phoenix, AZ 85044-7800 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| 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 ELITE PODIATRY, PLLC.
| 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.