ALLEN FOOT AND ANKLE MEDICINE AND SURGERY PLC (NPI# 1477678704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477678704 |
| Entity Type | Organization |
| Organization Name | ALLEN FOOT AND ANKLE MEDICINE AND SURGERY PLC |
| Practice Address |
2919 S Ellsworth Rd Suite 124 Mesa AZ 85212-2167 |
| Mailing Address |
Po Box 9058 Mesa AZ 85214-9058 |
| Practice Telephone | 4806337944 |
| Practice Fax Number | 4806330255 |
| Mailing Telephone | 4806099300 |
| Mailing Fax Number | 4806099350 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-01-03 |
| Authorized Official Name | BRIAN HOLT ALLEN (OWNER/PODIATRIST) |
| Authorized Official Telephone | 4806337944 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0622 | AZ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2919 S ELLSWORTH RD SUITE 124 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1225381999 | Amy Lynn Wagner | Naturopath | 2919 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2164 | 2012-10-18 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588614705 | Bjorn Y. Lawson Dpm, LLC | Podiatrist | 1121 S Gilbert Rd, Suite #102, Mesa, AZ 85204-5235 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824759 | Ocotillo Foot and Ankle Centers, Pllc | Podiatrist | 270 W Chandler Heights Rd Ste 5, Chandler, AZ 85248-5084 | 2018-09-11 |
| 1982075685 | Brian Baer | Podiatrist | 600 S Dobson Rd Ste D35, Chandler, AZ 85224 | 2015-10-07 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1861626608 | Tosha A Larios | Podiatrist | 3198 N Windsong Dr, Prescott Valley, AZ 86314-2239 | 2009-05-07 |
| 1689863664 | Julia Frances Granone | Podiatrist | 1151 S La Canada Dr Ste 213, Green Valley, AZ 85614-1943 | 2007-10-16 |
| 1578778213 | Albert E Eulano | Podiatrist | 8575 E Princess Dr Ste 221, Scottsdale, AZ 85255-5441 | 2007-05-14 |
| 1932143658 | Dpmjonesnraz LLC | Podiatrist | 4318 E Darrel Rd, Phoenix, AZ 85042-5227 | 2006-06-15 |
| 1477500387 | Noland Jones | Podiatrist | 4318 Darrel Road, Phoenix, AZ 85040 | 2006-05-27 |
| 1528026044 | David Francis Corcoran | Podiatrist | 4155 N 108th Ave Ste 101, Phoenix, AZ 85037-5464 | 2006-05-03 |
| 1962496323 | Brandon J Kim | Podiatrist | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2005-08-31 |
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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.