WOUND CARE PHYSICIANS OF ARIZONA PLLC (NPI# 1467096065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467096065 |
| Entity Type | Organization |
| Organization Name | WOUND CARE PHYSICIANS OF ARIZONA PLLC |
| Practice Address |
1012 E Willetta St Phoenix AZ 85006-2749 |
| Mailing Address |
19411 E Reins Rd Queen Creek AZ 85142-8628 |
| Practice Telephone | 6028396040 |
| Mailing Telephone | 9729519691 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | TROY WILDE (PODIATRIST) |
| Authorized Official Telephone | 9729519691 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
1012 E WILLETTA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802861 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1012 E Willetta St, 4th Floor, Phoenix, AZ 85006-2749 | 2005-06-24 |
| 1427513621 | Angela Padilla-jones | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-02-01 |
| 1770052086 | Yvette M Frey | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2018-11-15 |
| 1457701732 | Natalie B Wilkinson | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-06-16 |
| 1043668544 | Samantha Bradley | Clinic/Center | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-25 |
| 1578910170 | Catherine Savoia | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-24 |
| 1952756637 | Michelle Block | Speech-Language Pathologist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-29 |
| 1861846180 | Anna Cauley | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
| 1053765339 | Renee Schulz | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
| 1144674656 | Lisa Roye | Speech-Language Pathologist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617781 | Adam Khoa Lu | Podiatrist | 16423 S 34th Way, Phoenix, AZ 85048-7871 | 2005-05-27 |
| 1215112545 | Hilda Janetza Aviles Vargas | Podiatrist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2008-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666914 | Darin A Bocian Dpm PC | Podiatrist | 1845 W Orange Grove Rd Ste 125, Tucson, AZ 85704-1146 | 2015-08-12 |
| 1033469028 | Gilbert D Shapiro, Dpm PC | Podiatrist | 1888 N Country Club Rd., Tucson, AZ 85716-3115 | 2012-09-17 |
| 1003932328 | Tanya L Thoms | Podiatrist | 9045 W Athens St, Peoria, AZ 85382-8155 | 2007-03-21 |
| 1427165174 | Steven Barry Hollander | Podiatrist | 6554 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-08-25 |
| 1588606990 | Eulano Foot and Ankle PC | Podiatrist | 9817 N 95th St, Suite 115, Scottsdale, AZ 85258-4587 | 2006-06-11 |
| 1992745327 | Kenneth Sherman Blocher | Podiatrist | 4821 N Stone Ave, Tucson, AZ 85704-5727 | 2006-06-07 |
| 1215974951 | Carondelet Medical Group, Inc | Podiatrist | 1209 W. Target Range Rd., Nogales, AZ 85621 | 2006-06-01 |
| 1992791313 | Charles Connell | Podiatrist | 6104 E Brown Rd, Mesa, AZ 85205-4953 | 2005-09-21 |
| 1003800921 | Gilbert D. Shapiro | Podiatrist | 1888 N Country Club Rd, Tucson, AZ 85716-3115 | 2005-09-07 |
| 1669843611 | Arcadia Foot & Ankle PC | Podiatrist | 220 N Stapley Dr, Suite 1, Mesa, AZ 85203-8057 | 2015-10-16 |
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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.