SOLE, FOOT AND ANKLE SPECIALISTS PC (NPI# 1275621799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275621799 |
Entity Type | Organization |
Organization Name | SOLE, FOOT AND ANKLE SPECIALISTS PC |
Other Organization Name | FOOTCARE SURGICENTER |
Practice Address |
5750 W Thunderbird Rd Ste G700 Glendale AZ 85306-4673 |
Practice Telephone | 6029383600 |
Practice Fax Number | 6029380400 |
Mailing Telephone | 6029383600 |
Mailing Fax Number | 6029380400 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-09-02 |
Authorized Official Name | JAY LARSON (PRESIDENT) |
Authorized Official Telephone | 6029383600 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 315015 | 05 |
Other Name | Type Code |
---|---|
Footcare Surgicenter | Doing Business As Name - Organization |
Street Address |
5750 W THUNDERBIRD RD STE G700 |
City | GLENDALE |
State | AZ |
Zip Code | 85306-4673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700848157 | Gary Neal Friedlander | Podiatrist | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306 | 2006-04-03 |
1043525314 | Dustin Doyle | Podiatrist | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306-4673 | 2010-08-11 |
1386806917 | Jay C Larson | Podiatrist | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306 | 2008-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720419302 | Universal Footcare and Podiatry, Inc | Clinic/Center | 541 W Colorado St, Ste. 206, Glendale, CA 91204-3638 | 2013-12-06 |
1245370444 | Pak Podiatry Corp | Clinic/Center | 1123 S Central Ave, Glendale, CA 91204-2212 | 2007-02-07 |
1295839512 | Advanced Podiatric Specialty Inc | Clinic/Center | 6677 W Thunderbird Rd, J171/172, Glendale, AZ 85306-3709 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114545506 | Mirage Podiatry Foot and Ankle Specialists | Clinic/Center | 9250 N 3rd St Ste 3020, Phoenix, AZ 85020-2425 | 2020-07-11 |
1548807209 | Dr Kathleen J Richards, PC | Clinic/Center | 3815 E Bell Rd Ste 4300, Phoenix, AZ 85032-2169 | 2019-12-02 |
1043874878 | Global Holdings Treatment Center, LLC | Clinic/Center | 7304 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7459 | 2019-04-26 |
1801304910 | Bio Family Clinic Inc | Clinic/Center | 2851 S Avenue B Ste 101, Yuma, AZ 85364 | 2018-01-11 |
1457667750 | Livi Medical Services LLC | Clinic/Center | 6380 E Thomas Rd Ste 100, Scottsdale, AZ 85251-7033 | 2010-08-24 |
1245562768 | Joseph E. Knochel, Dpm PC | Clinic/Center | 112 Whipple St, Suite 101, Prescott, AZ 86301-1713 | 2010-02-09 |
1740488246 | Bradley L Newswander, Dpm,plc | Clinic/Center | 37200 N Gantzel Rd Ste 250, San Tan Valley, AZ 85140-7368 | 2007-07-05 |
1588290944 | Prestige Medical Care Professional Corporation | Clinic/Center | 301 E Bethany Home Rd Ste 172, Phoenix, AZ 85012-1263 | 2020-03-18 |
1134759681 | Arya Foot & Ankle | Clinic/Center | 3104 E Indian School Rd Ste 110, Phoenix, AZ 85016-6873 | 2020-01-23 |
1548778749 | Pinnacle Foot and Ankle Specialists | Clinic/Center | 2730 S Val Vista Dr Ste 175, Gilbert, AZ 85295-1683 | 2018-01-22 |
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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.