FOOT & ANKLE SPECIALISTS OF ARIZONA (NPI# 1467072090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467072090 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE SPECIALISTS OF ARIZONA |
| Practice Address |
5681 W Beverly Ln Ste 100a Glendale AZ 85306-9800 |
| Mailing Address |
18301 N 79th Ave Ste F168 Glendale AZ 85308-6045 |
| Practice Telephone | 6026750478 |
| Practice Fax Number | 6026750479 |
| Mailing Telephone | 6026750478 |
| Mailing Fax Number | 6026750479 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | SETH CLARK (OWNER PROVIDER) |
| Authorized Official Telephone | 8014484841 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456447 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 110, Surprise, AZ 85374-3236 | 2020-08-04 |
| 1285254813 | Foot & Ankle Specialists of Arizona | Podiatrist | 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 | 2020-04-23 |
| 1578179875 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 100, Surprise, AZ 85374-3878 | 2020-09-22 |
| 1821618463 | Foot & Ankle Specialists of Arizona | Podiatrist | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032-9385 | 2020-04-23 |
| 1003436635 | Foot & Ankle Specialists of Arizona | Podiatrist | 13949 W Meeker Blvd Ste B, Sun City West, AZ 85375-4436 | 2020-04-23 |
| 1316504574 | Foot & Ankle Specialists of Arizona | Podiatrist | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-05-23 |
| Street Address |
5681 W BEVERLY LN STE 100A |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1790218550 | Noubar Varderessian | Podiatrist | 1122 N Columbus Ave, Apt. 2, Glendale, CA 91202-3241 | 2017-04-09 |
| 1659721850 | Samvel Keshishyan | Podiatrist | 1339 N Columbus Ave Unit 311, Glendale, CA 91202-3875 | 2016-06-17 |
| 1639583388 | Jamila Butcher | Podiatrist | 5605 W Eugie Ave Ste 102, Glendale, AZ 85304-1273 | 2014-06-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1710173489 | Glendale Foot & Ankle Podiatry Center, Inc. | Podiatrist | 1030 S Glendale Ave Ste 403, Glendale, CA 91205-2866 | 2007-09-17 |
| 1760564272 | Hermoz B Ayvazian | Podiatrist | 110 S Adams St, Glendale, CA 91205-1312 | 2006-10-20 |
| 1467567883 | Rajesh Praful Daulat | Podiatrist | 6677 W Thunderbird Rd Ste J171-172, Glendale, AZ 85306-3732 | 2006-08-19 |
| 1780606764 | Allen Massihi | Podiatrist | 311 N Verdugo Rd, Glendale, CA 91206-3944 | 2006-07-25 |
| 1952343808 | Philip R Shupe | Podiatrist | 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163 | 2006-06-12 |
| Find all providers in GLENDALE | ||||
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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.