DR. RYAN B GOLUB (NPI# 1285635888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285635888 |
| Entity Type | Individual |
| Full Name | DR. RYAN B GOLUB |
| Credential | D.P.M. |
| Practice Address |
11209 N Tatum Blvd Ste B100 Phoenix AZ 85028-3091 |
| Practice Telephone | 6029733888 |
| Practice Fax Number | 6029733028 |
| Mailing Telephone | 6029733888 |
| Mailing Fax Number | 6029733028 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0581 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTH NET | 2Z0183 | 01 |
| AZ | BCBS | AZ0194890 | 01 |
| Street Address |
11209 N TATUM BLVD STE B100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124112180 | Arizona Foot Health, P.C. | Podiatrist | 11209 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3091 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838368 | Stocks Podiatry LLC | Podiatrist | 3229 E Malapai Dr, Phoenix, AZ 85028-4954 | 2020-07-14 |
| 1619592896 | Dr Kimble Foot Specialist, P.l.l.c. | Podiatrist | 522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 | 2020-06-12 |
| 1518420777 | Gfservices, Pllc | Podiatrist | 5352 E Estevan Rd, Phoenix, AZ 85054-7211 | 2019-04-12 |
| 1457835829 | Prompt Foot and Ankle Pllc | Podiatrist | 9046 N 28th St, Phoenix, AZ 85028-4703 | 2018-09-20 |
| 1215378450 | Devin S Bland | Podiatrist | 301 E Bethany Home Rd Ste 172, Phoenix, AZ 85012-1263 | 2013-07-16 |
| 1023457116 | Nathan K Plaskey | Podiatrist | 4350 E Camelback Rd Ste B115, Suite B-115, Phoenix, AZ 85018-8324 | 2013-06-21 |
| 1710234422 | Paradise Valley Foot & Ankle Pllc | Podiatrist | 4611 E Shea Blvd Ste 160, Phoenix, AZ 85028-4257 | 2012-08-13 |
| 1205016268 | Samuel Mason | Podiatrist | 502 E Kaler Dr, Phoenix, AZ 85020-4050 | 2007-11-07 |
| 1871624742 | Foot Doctor PC | Podiatrist | 7000 N 16th St # 120, Box 483, Phoenix, AZ 85020-5547 | 2007-03-09 |
| 1043363377 | Andrew E Lowy Dpm Pllc | Podiatrist | 14001 N 7th St Ste A101, Phoenix, AZ 85022-4382 | 2007-01-19 |
| 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.