BISDAK ANKLE FOOT (NPI# 1972046571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972046571 |
Entity Type | Organization |
Organization Name | BISDAK ANKLE FOOT |
Practice Address |
1743 W Sienna Bouquet Pl Phoenix AZ 85085-8040 |
Practice Telephone | 6318278159 |
Enumeration Date | 2016-11-30 |
Last Update Date | 2016-11-30 |
Authorized Official Name | MATHEW JAMES (BILLING MANAGER) |
Authorized Official Telephone | 6318278159 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
1743 W SIENNA BOUQUET PL |
City | PHOENIX |
State | AZ |
Zip Code | 85085-8040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184072894 | Eugene L De La Cruz Dpm PC | Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
Find all providers in zip 85085 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619252566 | Peter W. Mitchell, M.d.,p.c. | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2011-10-11 |
1174508667 | Richard J Claridge | Orthopaedic Surgery | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-12-07 |
1760474845 | John Ward Cory | Orthopaedic Surgery | 18404 N Tatum Blvd, Ste 202, Phoenix, AZ 85255-1508 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598797318 | Domingo Cheleuitte | Orthopaedic Surgery | 5301 E Grant Rd Bldg 1, Tucson, AZ 85712-2805 | 2006-07-06 |
1932189057 | John A Nassar | Orthopaedic Surgery | 8205 N. Via De Negocio Dr., Scottsdale, AZ 85258-2312 | 2006-01-17 |
1558365940 | Robert Allen Kaye | Orthopaedic Surgery | 1501 W 24th St, Suite C, Yuma, AZ 85364-6370 | 2005-06-13 |
1699063743 | Evan Nicholas Simonson | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2011-07-11 |
1609195957 | David Eric Jaffe | Orthopaedic Surgery | 5620 E Bell Rd, Scottsdale, AZ 85254-5950 | 2010-05-26 |
1063642304 | Arizona Orthopaedic Foot & Ankle Center, LLC | Orthopaedic Surgery | 20201 N Scottsdale Healthcare Dr, Ste 280, Scottsdale, AZ 85255-4134 | 2009-07-21 |
1093919631 | Barrett Foot & Ankle Center Phoenix LLC | Orthopaedic Surgery | 9377 E Bell Rd, Suite 131, Scottsdale, AZ 85260-1502 | 2007-06-14 |
1386854925 | Judah D Pifer | Orthopaedic Surgery | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2007-05-23 |
1750497756 | John A. Nassar, M.d., P.C. | Orthopaedic Surgery | 8205 N. Via De Negocio Dr., Scottsdale, AZ 85258-2312 | 2006-08-22 |
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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.