DR. TROY SCOTT WILDE (NPI# 1023306933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023306933 |
Entity Type | Individual |
Full Name | DR. TROY SCOTT WILDE |
Credential | D.P.M. |
Practice Address |
1012 E Willetta St Phoenix AZ 85006-2749 |
Mailing Address |
19411 E Reins Rd Queen Creek AZ 85142-8628 |
Practice Telephone | 6028396484 |
Mailing Telephone | 9729519691 |
Enumeration Date | 2011-07-12 |
Last Update Date | 2020-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0792 | AZ | Podiatric Medicine & Surgery Service Providers |
Street Address |
1012 E WILLETTA ST |
City | PHOENIX |
State | AZ |
Zip Code | 85006-2749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902802861 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1012 E Willetta St, 4th Floor, Phoenix, AZ 85006-2749 | 2005-06-24 |
1467096065 | Wound Care Physicians of Arizona Pllc | Podiatrist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-11-06 |
1427513621 | Angela Padilla-jones | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-02-01 |
1770052086 | Yvette M Frey | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2018-11-15 |
1457701732 | Natalie B Wilkinson | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-06-16 |
1043668544 | Samantha Bradley | Clinic/Center | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-25 |
1578910170 | Catherine Savoia | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-24 |
1952756637 | Michelle Block | Speech-Language Pathologist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-29 |
1861846180 | Anna Cauley | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
1053765339 | Renee Schulz | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
Find all providers in zip 85006 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
1861808917 | Amanda Sarah Lernor | Podiatrist | 16841 N 31st Ave Ste 134, Phoenix, AZ 85053-3057 | 2014-07-09 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1790195964 | Melissa Jo Chrisman | Podiatrist | 13838 S 46th Pl Ste 210, Phoenix, AZ 85044-7803 | 2014-04-28 |
1669812855 | Zachary Anthony Flynn | Podiatrist | 11209 N Tatum Blvd Ste 100, Phoenix, AZ 85028-3000 | 2013-07-02 |
1316290893 | Katherine Edithe Kennedy | Podiatrist | 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021-8862 | 2012-10-20 |
1790044261 | Shylaja N Arya | Podiatrist | 3104 E Indian School Rd Ste 110, Phoenix, AZ 85016-6873 | 2012-05-03 |
1811135817 | Bryan James Roth | Podiatrist | 2601 E Roosevelt Ave, Phoenix, AZ 85008-4973 | 2009-01-29 |
1548440936 | Arizona Foot & Ankle Care, P.C. | Podiatrist | 3201 W Peoria Ave Ste A200, Phoenix, AZ 85029-4699 | 2007-11-14 |
1689793895 | Kelvin S Crezee Dpm PC | Podiatrist | 15810 S 45th St Ste 190, Phoenix, AZ 85048-7697 | 2007-03-28 |
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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.