CHRISTOPHER DESUTTER (NPI# 1104473883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104473883 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER DESUTTER |
| Credential | MD |
| Practice Address |
9321 W Thomas Rd Ste 205 Phoenix AZ 85037-3392 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 58450 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
58450 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
9321 W THOMAS RD STE 205 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407157811 | Jennifer Anne White | Nurse Practitioner | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2010-11-16 |
| 1528526290 | Center for Orthopedic Research and Education Inc | Durable Medical Equipment & Medical Supplies | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2019-03-12 |
| 1548727969 | John Xavier Miller | Orthopaedic Surgery | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2019-02-21 |
| 1437520525 | Stephanie Elyse Durst-rael | Nurse Practitioner | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2015-10-14 |
| 1326459660 | Torrey Parry | Orthopaedic Surgery | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2014-05-08 |
| 1447679840 | Timothy Degan | Orthopaedic Surgery | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| 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 |
|---|---|---|---|---|
| 1972046571 | Bisdak Ankle Foot | Orthopaedic Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-11-30 |
| 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.