DR. KELVIN S CREZEE (NPI# 1447242888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447242888 |
| Entity Type | Individual |
| Full Name | DR. KELVIN S CREZEE |
| Credential | DPM |
| Practice Address |
15810 S 45th St St #190 Phoenix AZ 85048-7694 |
| Mailing Address |
15810 S 45th St Suite # 190 Phoenix AZ 85048-7694 |
| Practice Telephone | 4808931090 |
| Practice Fax Number | 4805981458 |
| Mailing Telephone | 4808931090 |
| Mailing Fax Number | 4805981458 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-04-30 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0328 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DMERC | 0653000001 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0190620 | 01 |
| AZ | RAILROAD MEDICARE | 480008406 | 01 |
| Street Address |
15810 S 45TH ST ST #190 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564472 | Carl Jonathan Beecroft | Podiatrist | 15810 S 45th St, Phoenix, AZ 85048-7697 | 2005-08-02 |
| 1457898827 | Ahwatukee Ambulatory Surgical Center, LLC | Clinic/Center | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7694 | 2017-01-24 |
| 1295194207 | Cutting Edge Rnfa, LLC | Registered Nurse | 15810 S 45th St, Phoenix, AZ 85048-7694 | 2016-02-18 |
| 1508117292 | Smi Imaging, LLC | Radiology | 15810 S 45th St, Suite 110, Phoenix, AZ 85048-7694 | 2012-09-21 |
| 1679872303 | Ahwatukee Foothills Plastic Surgery PC | Plastic Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7694 | 2011-03-21 |
| 1265669824 | Alex Michael Stewart | Podiatrist | 15810 S 45th St, Suite 190, Phoenix, AZ 85048-7694 | 2009-06-22 |
| 1043433949 | Palo Verde Plastic Surgery PC | Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7694 | 2007-04-10 |
| 1568685477 | Ahwatukee Foothills Plastic Surgery PC | Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7697 | 2007-04-10 |
| 1114063054 | Karen B Rein | Physical Therapist | 15810 S 45th St, Suite 105, Phoenix, AZ 85048 | 2007-01-29 |
| 1700930963 | Julie L Tindall | Physical Therapist | 15810 S 45th St, Suite 105, Phoenix, AZ 85048 | 2007-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
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| 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 |
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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.