AHWATUKEE FOOTHILLS PLASTIC SURGERY PC (NPI# 1568685477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568685477 |
| Entity Type | Organization |
| Organization Name | AHWATUKEE FOOTHILLS PLASTIC SURGERY PC |
| Practice Address |
15810 S 45th St Suite 140 Phoenix AZ 85048-7697 |
| Practice Telephone | 4807593001 |
| Practice Fax Number | 4807591341 |
| Mailing Telephone | 4807593001 |
| Mailing Fax Number | 4807591341 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-03-05 |
| Authorized Official Name | DR. TODD K FARNWORTH (PRESIDENT) |
| Authorized Official Telephone | 4807593001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
17174 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679872303 | Ahwatukee Foothills Plastic Surgery PC | Plastic Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7694 | 2011-03-21 |
| Street Address |
15810 S 45TH ST SUITE 140 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7697 |
| 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 |
| 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 |
| 1376691741 | Anthony W Harden Physical Therapy | Physical Therapist | 15810 S 45th St, Suite 105, Phoenix, AZ 85048 | 2007-01-08 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144430182 | Jason Lee Mussman | Surgery | 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 | 2007-05-22 |
| 1801832977 | Tamir Mosharrafa | Surgery | 4611 E Shea Blvd Ste 230, Phoenix, AZ 85028 | 2006-06-20 |
| 1598705410 | Robert J Mcgregor | Surgery | 7601 N Central Ave, Unit 23, Phoenix, AZ 85020-4079 | 2006-06-08 |
| 1457303471 | Ali M Mosharrafa | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2006-05-17 |
| 1730138561 | Travis C Holcombe | Surgery | 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3420 | 2006-05-09 |
| 1104817378 | Barry Fernando | Surgery | 2777 E Camelback Rd Ste 140, #780, Phoenix, AZ 85016-4351 | 2005-11-04 |
| 1275521635 | Marc E Gottlieb | Surgery | 1012 E Willetta Street, Phoenix, AZ 85006 | 2005-10-10 |
| 1457969115 | Regenerative Institute Pllc | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2020-07-20 |
| 1164058954 | Leland H Webb Md Plastic Surgery Plc | Surgery | 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3476 | 2020-03-12 |
| 1508421819 | Phoenix Plastic Surgery, Pllc | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2019-05-02 |
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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.