REGENERATIVE FOOT & ANKLE LLC


Address: 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232
Phone: 6239740522

REGENERATIVE FOOT & ANKLE LLC (NPI# 1154822369) 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) 1154822369
Entity Type Organization
Organization Name REGENERATIVE FOOT & ANKLE LLC
Practice Address 13660 N 94th Dr Ste F1
Peoria
AZ 85381-4232
Practice Telephone 6239740522
Enumeration Date 2018-02-22
Last Update Date 2020-02-10
Authorized Official Name STEVEN SHANE MOORE (MANAGER)
Authorized Official Telephone 6239740522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 13660 N 94TH DR STE F1
City PEORIA
State AZ
Zip Code 85381-4232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699065839 Keith Bangart Dpm PC Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2011-04-08
1710471529 Jeff Thomas Pllc Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-06-15
1710470950 Shane Moore Dpm PC Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-06-12
1699276881 Neo Matrix Anesthesia LLC Anesthesiology 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-02-23
1306101571 Steven Shane Moore Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2012-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104341353 Banner Peoria Surgery Center LLC Clinic/Center 13640 N Plaza Del Rio Blvd Ste 135, Peoria, AZ 85381-4846 2017-08-09
1285085068 Valley Pain Centers of Arizona, LLC Clinic/Center 9242 W Union Hills Dr Ste 100, Peoria, AZ 85382-8218 2016-06-23
1700137650 Olive Surgical Care, LLC Clinic/Center 8914 N 91st Ave, Suite 120, Peoria, AZ 85345-8390 2012-10-01
1972782845 Nationalhealthcareinc Clinic/Center 7405 N University St, Peoria, IL 61614-1212 2007-10-29
1104957869 Pain Solutions Center, LLC Clinic/Center 15262 N 75th Ave, Suite 400, Peoria, AZ 85381-4763 2007-03-07
1821141284 Center for Health Ambulatory Surgery Center, LLC Clinic/Center 8800 Route 91 North, Peoria, IL 61615 2007-01-19
1528002219 Pinnacle Surgery Center LLC Clinic/Center 6790 W Thunderbird Rd, Peoria, AZ 85381-5023 2006-06-15
1518498385 Annmarie Klein Clinic/Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2017-03-23
1023567260 Ski Ambulatory Surgical Centers, LLC Clinic/Center 7362 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-5028 2016-09-29
1790104248 Metro Surgery Center, LLC Clinic/Center 6790 W Thunderbird Rd, Peoria, AZ 85381 2014-04-14
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Competitor

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City PEORIA
Zip Code 85381

Improve Information

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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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