AZ FEET FIXERS LLC (NPI# 1043868714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043868714 |
Entity Type | Organization |
Organization Name | AZ FEET FIXERS LLC |
Practice Address |
2919 S Ellsworth Rd Ste 124 Mesa AZ 85212-2167 |
Mailing Address |
Po Box 9058 Mesa AZ 85214-9058 |
Practice Telephone | 4809078217 |
Enumeration Date | 2019-08-27 |
Last Update Date | 2019-08-27 |
Authorized Official Name | TRACI ALLEN (OWNER) |
Authorized Official Telephone | 4809078217 |
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 |
2919 S ELLSWORTH RD STE 124 |
City | MESA |
State | AZ |
Zip Code | 85212-2167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669442448 | Donald Siegel | Podiatrist | 2919 S Ellsworth Rd Ste 124, Mesa, AZ 85212-2167 | 2006-01-25 |
1376198325 | Arizona Preferred Podiatry Management, LLC | Podiatrist | 2919 S Ellsworth Rd Ste 124, Mesa, AZ 85212-2167 | 2019-08-07 |
1851791347 | Michael Gifford | Podiatrist | 2919 S Ellsworth Rd Ste 124, Mesa, AZ 85212-2167 | 2014-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
Find all providers in zip 85212 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144680505 | Thornridge Medical and Management Inc | Podiatrist | 6104 E Brown Rd Ste 101, Mesa, AZ 85205-4953 | 2016-02-28 |
1326408782 | Kraemer Medical Inc | Podiatrist | 6104 E Brown Rd Ste 102, Mesa, AZ 85205-4953 | 2016-02-28 |
1255715579 | Patrick Gillihan | Podiatrist | 10238 E Hampton Ave Ste 107, Mesa, AZ 85209-3317 | 2015-07-16 |
1912313875 | Jordan Frank Hirschi | Podiatrist | 2147 N 30th St, Mesa, AZ 85213-3179 | 2014-07-10 |
1568705952 | Socorro Gabriela Montes | Podiatrist | 1520 S Dobson Rd Ste 307, Mesa, AZ 85202-4700 | 2013-04-03 |
1922395821 | Brandon Mecham | Podiatrist | 6116 E Arbor Ave Ste 118, Mesa, AZ 85206-6104 | 2011-06-30 |
1467786228 | Advanced Center for Foot & Ankle | Podiatrist | 2815 S Alma School Rd Ste 119b, Mesa, AZ 85210-4031 | 2009-09-28 |
1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
1043445091 | Blair James Sandall | Podiatrist | 1347 N. Greenfield Rd, Suite 101, Mesa, AZ 85205-4072 | 2009-05-20 |
1295714525 | Cameron Rafael Mckay | Podiatrist | 220 N Stapley Dr, Mesa, AZ 85203-8057 | 2006-01-13 |
Find all providers in MESA |
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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.