MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS


Address: 9250 N 3rd St Ste 3020, Phoenix, AZ 85020-2425
Phone: 4803587970

MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS (NPI# 1114545506) 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) 1114545506
Entity Type Organization
Organization Name MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS
Practice Address 9250 N 3rd St Ste 3020
Phoenix
AZ 85020-2425
Mailing Address 1227 E Julian Dr
Gilbert
AZ 85295-1753
Practice Telephone 4803587970
Mailing Telephone 4803587970
Enumeration Date 2020-07-11
Last Update Date 2020-07-11
Authorized Official Name DR. HAMMAD MOHAMMAD ZAFAR (DOCTOR)
Authorized Official Telephone 4803587970
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP1100X Clinic/Center
Specialization: Podiatric
Ambulatory Health Care Facilities
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 1164752283 05
AZ 1164809711 05

Office Location

Street Address 9250 N 3RD ST STE 3020
City PHOENIX
State AZ
Zip Code 85020-2425

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1104369495 Michelle Mastro Registered Nurse 1234 E. Northern Avenue, Phoenix, AZ 85020 2016-11-18
1912363003 Charles D. Atkinson Social Worker 1716 East Seldon Lane, Phoenix, AZ 85020 2016-01-06
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1275906984 Summer Macey Nurse Practitioner 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 2015-11-03
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City PHOENIX
Zip Code 85020

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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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