CASA GRANDE FOOT & ANKLE SPEC (NPI# 1891982914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891982914 |
Entity Type | Organization |
Organization Name | CASA GRANDE FOOT & ANKLE SPEC |
Practice Address |
675 E Cottonwood Ln Casa Grande AZ 85222-2023 |
Mailing Address |
Po Box 11083 Casa Grande AZ 85230-1083 |
Practice Telephone | 5208363400 |
Practice Fax Number | 5208362425 |
Mailing Telephone | 5208363400 |
Mailing Fax Number | 5208362425 |
Enumeration Date | 2007-10-02 |
Last Update Date | 2007-11-14 |
Authorized Official Name | ADAM K LU (OWNER) |
Authorized Official Telephone | 5208363400 |
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 |
Street Address |
675 E COTTONWOOD LN |
City | CASA GRANDE |
State | AZ |
Zip Code | 85222-2023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164980231 | Andrew Slavens | Counselor | 675 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2019-03-07 |
1598259681 | Jennifer Leigh Pfeifer | Counselor | 675 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2018-06-21 |
1710343124 | Valerie George | Registered Nurse | 675 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2016-01-14 |
1740546985 | Community Bridges, Inc | Clinical Medical Laboratory | 675 E Cottonwood Ln, Suite 104, Casa Grande, AZ 85122-2032 | 2012-04-02 |
1922364157 | Community Bridges, Inc | Clinical Medical Laboratory | 675 E Cottonwood Ln, Suite 101, Casa Grande, AZ 85122-2032 | 2012-04-02 |
1508153008 | Community Bridges, Inc. | Non-emergency Medical Transport (VAN) | 675 E Cottonwood Ln, Suite 101, Casa Grande, AZ 85122-2032 | 2011-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
Find all providers in zip 85222 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528211364 | Laureen Cota, Dpm, Pllc | Podiatrist | 1821 N. Trekell Rd Suite 2, Casa Grande, AZ 85122 | 2008-10-24 |
1487655817 | Peter Modest Myskiw | Podiatrist | 1515 E Florence Blvd, Suite 105, Casa Grande, AZ 85122-5334 | 2005-08-09 |
1013374388 | Clement Holdings | Podiatrist | 1515 E Florence Blvd, Suite 105, Casa Grande, AZ 85122-5334 | 2016-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152452 | Arcadia Foot & Ankle PC | Podiatrist | 9421 W Bell Rd Ste 105, Sun City, AZ 85351-1361 | 2020-10-21 |
1093314072 | Arcadia Foot & Ankle PC | Podiatrist | 10900 N Scottsdale Rd Ste 101, Scottsdale, AZ 85254-5222 | 2020-10-21 |
1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
1285254813 | Foot & Ankle Specialists of Arizona | Podiatrist | 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 | 2020-04-23 |
1407418395 | Jupiter Medical Services LLC | Podiatrist | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-07-01 |
1629535273 | Saguaro Foot and Ankle | Podiatrist | 2128 E Maplewood St, Gilbert, AZ 85297-1140 | 2019-03-01 |
1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
1912439324 | Bogdan Baragau | Podiatrist | 14418 W Meeker Blvd Ste 205, Sun City West, AZ 85375-5291 | 2017-04-03 |
Find all providers with the same taxonomy |
City | CASA GRANDE |
Zip Code | 85222 |
Please comment or provide details below to improve the information on CASA GRANDE FOOT & ANKLE SPEC.
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.