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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 1164752283 | 05 | |
AZ | 1164809711 | 05 |
Street Address |
9250 N 3RD ST STE 3020 |
City | PHOENIX |
State | AZ |
Zip Code | 85020-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
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 |
1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
Find all providers in zip 85020 |
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 |
Find all providers in PHOENIX |
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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.