FOOT & ANKLE SPECIALISTS OF ARIZONA (NPI# 1316504574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316504574 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE SPECIALISTS OF ARIZONA |
| Practice Address |
18301 N 79th Ave Ste F168 Glendale AZ 85308-6045 |
| Practice Telephone | 6026750478 |
| Practice Fax Number | 6026750479 |
| Mailing Telephone | 6026750477 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | SETH CLARK (OWNER) |
| Authorized Official Telephone | 8014484841 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13949 W Meeker Blvd Ste B, Sun City West, AZ 853754436 | 6026750478 | 6026750479 |
| 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 853512748 | 6026750478 | 6026750479 |
| 5681 W Beverly Ln Ste 100a, Glendale, AZ 853069800 | 6026750478 | 6026750479 |
| 4550 E Bell Rd Ste 170, Phoenix, AZ 850329385 | 6026750478 | 6026750479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456447 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 110, Surprise, AZ 85374-3236 | 2020-08-04 |
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1285254813 | Foot & Ankle Specialists of Arizona | Podiatrist | 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 | 2020-04-23 |
| 1578179875 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 100, Surprise, AZ 85374-3878 | 2020-09-22 |
| 1821618463 | Foot & Ankle Specialists of Arizona | Podiatrist | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032-9385 | 2020-04-23 |
| 1003436635 | Foot & Ankle Specialists of Arizona | Podiatrist | 13949 W Meeker Blvd Ste B, Sun City West, AZ 85375-4436 | 2020-04-23 |
| Street Address |
18301 N 79TH AVE STE F168 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341005 | Diana Steiner | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-01-31 |
| 1962017038 | Glendale Pain Treatment Center | Pain Medicine | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2020-09-15 |
| 1396396743 | Union Hills Treatment Center | Clinic/Center | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-09-26 |
| 1720645211 | Michael Allen White | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-05-21 |
| 1801358080 | Crystal Lynn Mccabe | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-04-05 |
| 1316409154 | Christopher Andrew Stewart | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| 1790218550 | Noubar Varderessian | Podiatrist | 1122 N Columbus Ave, Apt. 2, Glendale, CA 91202-3241 | 2017-04-09 |
| 1659721850 | Samvel Keshishyan | Podiatrist | 1339 N Columbus Ave Unit 311, Glendale, CA 91202-3875 | 2016-06-17 |
| 1639583388 | Jamila Butcher | Podiatrist | 5605 W Eugie Ave Ste 102, Glendale, AZ 85304-1273 | 2014-06-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1710173489 | Glendale Foot & Ankle Podiatry Center, Inc. | Podiatrist | 1030 S Glendale Ave Ste 403, Glendale, CA 91205-2866 | 2007-09-17 |
| 1760564272 | Hermoz B Ayvazian | Podiatrist | 110 S Adams St, Glendale, CA 91205-1312 | 2006-10-20 |
| 1467567883 | Rajesh Praful Daulat | Podiatrist | 6677 W Thunderbird Rd Ste J171-172, Glendale, AZ 85306-3732 | 2006-08-19 |
| 1780606764 | Allen Massihi | Podiatrist | 311 N Verdugo Rd, Glendale, CA 91206-3944 | 2006-07-25 |
| Find all providers in GLENDALE | ||||
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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.