NATHAN SANFORD JEPPESEN (NPI# 1306088307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306088307 |
| Entity Type | Individual |
| Full Name | NATHAN SANFORD JEPPESEN |
| Credential | DPM |
| Practice Address |
1450 S Dobson Rd Ste B123 Mesa AZ 85202-4712 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 6235375600 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 6235375600 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0745 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0745 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 715319 | 05 |
| Street Address |
1450 S DOBSON RD STE B123 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256548 | Heather E. Mangam | Specialist | 1450 S Dobson Rd, Suite B221, Mesa, AZ 85202-4712 | 2005-09-25 |
| 1164875373 | Jonathan Munns | Physician Assistant | 1450 S Dobson Rd, B122, Mesa, AZ 85202-4712 | 2016-07-22 |
| 1558717447 | Center for Orthopedic Research and Education, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2016-05-10 |
| 1255732558 | Robert Steinmeyer | Physical Therapist | 1450 S Dobson Rd, Mesa, Mesa, AZ 85202-4712 | 2014-09-06 |
| 1760812770 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 1450 S Dobson Rd, Suite A-203, Mesa, AZ 85202-4712 | 2013-11-13 |
| 1275967408 | Center for Orthopedic Research and Educatoin | Occupational Therapist | 1450 S Dobson Rd, Ste A302, Mesa, AZ 85202-4712 | 2013-08-23 |
| 1023358223 | John D Holmes Md PC | Obstetrics & Gynecology | 1450 S Dobson Rd, A207, Mesa, AZ 85202-4712 | 2013-02-25 |
| 1427308899 | Brook David Rogers | Physician Assistant | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2012-09-13 |
| 1487900817 | Center for Orthopedic Research and Education, LLC | Durable Medical Equipment & Medical Supplies | 1450 S Dobson Rd, Suite B122, Mesa, AZ 85202-4712 | 2012-08-03 |
| 1225314115 | April Marie Hofmann | Physician Assistant | 1450 S Dobson Rd, #320b, Mesa, AZ 85202-4712 | 2011-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680505 | Thornridge Medical and Management Inc | Podiatrist | 6104 E Brown Rd Ste 101, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1326408782 | Kraemer Medical Inc | Podiatrist | 6104 E Brown Rd Ste 102, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1255715579 | Patrick Gillihan | Podiatrist | 10238 E Hampton Ave Ste 107, Mesa, AZ 85209-3317 | 2015-07-16 |
| 1912313875 | Jordan Frank Hirschi | Podiatrist | 2147 N 30th St, Mesa, AZ 85213-3179 | 2014-07-10 |
| 1568705952 | Socorro Gabriela Montes | Podiatrist | 1520 S Dobson Rd Ste 307, Mesa, AZ 85202-4700 | 2013-04-03 |
| 1922395821 | Brandon Mecham | Podiatrist | 6116 E Arbor Ave Ste 118, Mesa, AZ 85206-6104 | 2011-06-30 |
| 1467786228 | Advanced Center for Foot & Ankle | Podiatrist | 2815 S Alma School Rd Ste 119b, Mesa, AZ 85210-4031 | 2009-09-28 |
| 1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
| 1043445091 | Blair James Sandall | Podiatrist | 1347 N. Greenfield Rd, Suite 101, Mesa, AZ 85205-4072 | 2009-05-20 |
| 1295714525 | Cameron Rafael Mckay | Podiatrist | 220 N Stapley Dr, Mesa, AZ 85203-8057 | 2006-01-13 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on NATHAN SANFORD JEPPESEN.
| 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.