DR. DARICK HATHAWAY FREESTONE (NPI# 1295906212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295906212 |
| Entity Type | Individual |
| Full Name | DR. DARICK HATHAWAY FREESTONE |
| Credential | DPM |
| Practice Address |
2680 S. Val Vista Dr. Suite 177, Bldg 14 Gilbert AZ 85295-4234 |
| Mailing Address |
2680 S. Val Vista Dr Suite 177, Bldg 14 Gilbert AZ 85295-4234 |
| Practice Telephone | 4809093700 |
| Practice Fax Number | 8778399972 |
| Mailing Telephone | 4809093700 |
| Mailing Fax Number | 8778399972 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0708 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002258 | MI | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 S Dobson Rd Suite E40, Chandler, AZ 852245693 | 4809093700 | 8778399972 |
| Street Address |
2680 S. VAL VISTA DR. SUITE 177, BLDG 14 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535273 | Saguaro Foot and Ankle | Podiatrist | 2128 E Maplewood St, Gilbert, AZ 85297-1140 | 2019-03-01 |
| 1043694235 | Brent Weintrub | Podiatrist | 633 E Ray Rd Ste 128, Gilbert, AZ 85296 | 2015-07-17 |
| 1760770556 | Nicole L Adams | Podiatrist | 4915 E Baseline Rd Ste 121, Gilbert, AZ 85234-2969 | 2011-07-14 |
| 1477844959 | Gregory Rowe | Podiatrist | 3011 S Lindsay Rd Ste 113, Gilbert, AZ 85295-4334 | 2011-05-02 |
| 1457675126 | Vu Thai Nguyen | Podiatrist | 2915 E Baseline Rd Ste 103, Gilbert, AZ 85234-2427 | 2010-03-24 |
| 1356676449 | Frank Maben Dpm LLC | Podiatrist | 3120 E Kingbird Ct, Gilbert, AZ 85297-8163 | 2009-10-07 |
| 1700014552 | Shaun Simmons | Podiatrist | 1355 S Higley Rd Ste 112, Gilbert, AZ 85296-4799 | 2009-06-30 |
| 1043446131 | Robert Christopher Andersen | Podiatrist | 3336 E Chandler Heights Rd Ste 121, Gilbert, AZ 85298-4263 | 2009-06-03 |
| 1104083369 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 2680 S Val Vista Dr Bldg 14, Suite 177, Gilbert, AZ 85295 | 2008-05-16 |
| 1679603724 | Foot Ankle Specialty Centers, LLC | Podiatrist | 4915 E Baseline Road, Bldg 8, Suite 121, Gilbert, AZ 85234-2965 | 2007-03-07 |
| Find all providers in GILBERT | ||||
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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.