TEISHA M KUBALA (NPI# 1770540700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770540700 |
| Entity Type | Individual |
| Full Name | TEISHA M KUBALA |
| Credential | DPM |
| Practice Address |
8325 W Happy Valley Rd Unit 105 Peoria AZ 85383-4361 |
| Mailing Address |
5605 W Eugie Ave Suite 102 Glendale AZ 85304-1272 |
| Practice Telephone | 6025472111 |
| Practice Fax Number | 6025470473 |
| Mailing Telephone | 6025472111 |
| Mailing Fax Number | 6025470473 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0459 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 45946301 | 05 |
| Street Address |
8325 W HAPPY VALLEY RD UNIT 105 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740305523 | Thunderbird Footcare Plc | Podiatrist | 8325 W Happy Valley Rd, Unit 105, Peoria, AZ 85383-4361 | 2007-03-20 |
| 1033176631 | Kathleen M Stone | Podiatrist | 8325 W Happy Valley Rd, Unit 105, Peoria, AZ 85383-4361 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699065839 | Keith Bangart Dpm PC | Podiatrist | 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 | 2011-04-08 |
| 1962689489 | Dan Bangart Plc | Podiatrist | 13660 N 94th Drive, Suite F-1, Peoria, AZ 85381-4323 | 2008-01-28 |
| 1285613463 | Thomas Kevin Brattain | Podiatrist | 3322 W Willow Knolls Dr, Peoria, IL 61614-8148 | 2006-01-16 |
| 1336135177 | David M Bates | Podiatrist | 15182 N 75th Ave, Ste 160, Peoria, AZ 85381-4722 | 2005-09-27 |
| 1689939985 | Annie Jong | Podiatrist | 13660 N 94th Dr, Ste A3, Peoria, AZ 85381-4836 | 2012-07-12 |
| 1306101571 | Steven Shane Moore | Podiatrist | 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 | 2012-07-12 |
| 1013216373 | Keith Thomas Bangart | Podiatrist | 13660 N 94th Dr, #f1, Peoria, AZ 85381-4836 | 2011-03-24 |
| 1689978397 | Edward Au | Podiatrist | 9171 W Thunderbird Rd, Ste 101, Peoria, AZ 85381-4872 | 2011-01-10 |
| 1629208723 | John Charles Hart | Podiatrist | 300 E War Memorial Dr, Suite 200, Peoria, IL 61614-7570 | 2009-07-23 |
| 1982817912 | Achilles Heel LLC | Podiatrist | 13660 N 94th Dr, Ste A-3, Peoria, AZ 85381-4836 | 2007-05-07 |
| Find all providers in PEORIA | ||||
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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.