AMG PODIATRY LLC (NPI# 1376160309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376160309 |
| Entity Type | Organization |
| Organization Name | AMG PODIATRY LLC |
| Practice Address |
4915 E Baseline Rd Ste 121 Gilbert AZ 85234-2969 |
| Mailing Address |
1925 S Follett Way Gilbert AZ 85295-0155 |
| Practice Telephone | 4808123668 |
| Mailing Telephone | 3602692106 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-08-08 |
| Authorized Official Name | ANDREW GOODEILL (OWNER/MEMBER) |
| Authorized Official Telephone | 3602692106 |
| 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 |
| Street Address |
4915 E BASELINE RD STE 121 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760770556 | Nicole L Adams | Podiatrist | 4915 E Baseline Rd Ste 121, Gilbert, AZ 85234-2969 | 2011-07-14 |
| 1740661313 | Katy Melissa Statler | Podiatrist | 4915 E Baseline Rd Ste 121, Gilbert, AZ 85234-2969 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
| 1295906212 | Darick Hathaway Freestone | Podiatrist | 2680 S. Val Vista Dr. Suite 177, Bldg 14, Gilbert, AZ 85295-4234 | 2008-03-18 |
| 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.