KEITH THOMAS BANGART


Address: 13660 N 94th Dr, #f1, Peoria, AZ 85381-4836
Phone: 6239740522

KEITH THOMAS BANGART (NPI# 1013216373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013216373
Entity Type Individual
Full Name KEITH THOMAS BANGART
Credential DPM
Practice Address 13660 N 94th Dr
#f1
Peoria
AZ 85381-4836
Practice Telephone 6239740522
Practice Fax Number 6239335787
Mailing Telephone 6239740522
Mailing Fax Number 6239335787
Enumeration Date 2011-03-24
Last Update Date 2012-03-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 0724 AZ Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ NSC PTAN 6647440001 01
AZ LICENSE # 0724 01
DEA # FB2444812 01

Office Location

Street Address 13660 N 94TH DR
#F1
City PEORIA
State AZ
Zip Code 85381-4836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437156031 Jeffrey C Kleiman Dentist 13660 N 94th Dr, Ste E3, Peoria, AZ 85381-4209 2005-06-28
1346851276 Galaxy Anesthesia Services, LLC Anesthesiology 13660 N 94th Dr, D-1, Peoria, AZ 85381-8538 2020-08-13
1912338393 Ashley Patricia Chung Naturopath 13660 N 94th Dr, Ste. C-4, Peoria, AZ 85381-4836 2013-12-10
1689939985 Annie Jong Podiatrist 13660 N 94th Dr, Ste A3, Peoria, AZ 85381-4836 2012-07-12
1205152022 Sunshine Health Care Center Family Medicine 13660 N 94th Dr, Suite C4, Peoria, AZ 85381-4841 2010-04-19
1619290129 Walker Dental Dentist 13660 N 94th Dr, Suite B-1, Peoria, AZ 85381-4836 2010-03-11
1104148741 Pacific Footwear Company, Inc Durable Medical Equipment & Medical Supplies 13660 N 94th Dr, Suite F-2, Peoria, AZ 85381-4836 2010-02-24
1821221847 Tiffany Nicole Mitchell Naturopath 13660 N 94th Dr, Ste C-4, Peoria, AZ 85381-4836 2009-08-25
1134359425 Plaza Del Rio Dentistry, LLC Dentist 13660 N 94th Dr, Suite B1, Peoria, AZ 85381-4836 2009-07-21
1174769590 94th Drive, LLC Dentist 13660 N 94th Dr, B-1, Peoria, AZ 85381-4836 2009-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1770540700 Teisha M Kubala Podiatrist 8325 W Happy Valley Rd, Unit 105, Peoria, AZ 85383-4361 2006-04-26
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
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
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City PEORIA
Zip Code 85381

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Dataset Information

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.

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