BRADLEY L NEWSWANDER, DPM,PLC (NPI# 1740488246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740488246 |
| Entity Type | Organization |
| Organization Name | BRADLEY L NEWSWANDER, DPM,PLC |
| Other Organization Name | IMPRESSION FOOT & ANKLE |
| Practice Address |
37200 N Gantzel Rd Ste 250 San Tan Valley AZ 85140-7368 |
| Practice Telephone | 4803218267 |
| Practice Fax Number | 4808403458 |
| Mailing Telephone | 4803218267 |
| Mailing Fax Number | 4808403458 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | BRADLEY L NEWSWANDER (OWNER) |
| Authorized Official Telephone | 4808403457 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Impression Foot & Ankle | Doing Business As Name - Organization |
| Newswander Foot and Ankle | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 37100 N Gantzel Rd Ste 214, San Tan Valley, AZ 851407353 | 4803218267 | 4808403458 |
| 5656 S Power Rd Ste 124, Gilbert, AZ 852958489 | 4808403457 | 4808403458 |
| Street Address |
37200 N GANTZEL RD STE 250 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85140-7368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598797318 | Domingo Cheleuitte | Orthopaedic Surgery | 5301 E Grant Rd Bldg 1, Tucson, AZ 85712-2805 | 2006-07-06 |
| 1932189057 | John A Nassar | Orthopaedic Surgery | 8205 N. Via De Negocio Dr., Scottsdale, AZ 85258-2312 | 2006-01-17 |
| 1558365940 | Robert Allen Kaye | Orthopaedic Surgery | 1501 W 24th St, Suite C, Yuma, AZ 85364-6370 | 2005-06-13 |
| 1972046571 | Bisdak Ankle Foot | Orthopaedic Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-11-30 |
| 1619252566 | Peter W. Mitchell, M.d.,p.c. | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2011-10-11 |
| 1699063743 | Evan Nicholas Simonson | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2011-07-11 |
| 1609195957 | David Eric Jaffe | Orthopaedic Surgery | 5620 E Bell Rd, Scottsdale, AZ 85254-5950 | 2010-05-26 |
| 1063642304 | Arizona Orthopaedic Foot & Ankle Center, LLC | Orthopaedic Surgery | 20201 N Scottsdale Healthcare Dr, Ste 280, Scottsdale, AZ 85255-4134 | 2009-07-21 |
| 1093919631 | Barrett Foot & Ankle Center Phoenix LLC | Orthopaedic Surgery | 9377 E Bell Rd, Suite 131, Scottsdale, AZ 85260-1502 | 2007-06-14 |
| 1386854925 | Judah D Pifer | Orthopaedic Surgery | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
Please comment or provide details below to improve the information on BRADLEY L NEWSWANDER, DPM,PLC.
| 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.