JEROME KEITH STECK (NPI# 1972540367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972540367 |
| Entity Type | Individual |
| Full Name | JEROME KEITH STECK |
| Credential | DPM |
| Practice Address |
6567 E Carondelet Dr Suite 415 Tucson AZ 85710-2156 |
| Practice Telephone | 5208856701 |
| Practice Fax Number | 5208859037 |
| Mailing Telephone | 5208856701 |
| Mailing Fax Number | 5208859037 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0610 | AZ | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6567 E Carondelet Dr Ste 305, Tucson, AZ 857106160 | 5208818400 | 5208816563 |
| Street Address |
6567 E CARONDELET DR SUITE 415 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902800 | Fraser Richards | Specialist | 6567 E Carondelet Dr, Ste 225, Tucson, AZ 85710-6152 | 2005-06-16 |
| 1225490683 | Alisha Severson | Audiologist | 6567 E Carondelet Dr, Tucson, AZ 85710-6152 | 2016-03-24 |
| 1386002350 | Wren Winston | Nurse Practitioner | 6567 E Carondelet Dr, Ste 215, Tucson, AZ 85710-6152 | 2016-02-05 |
| 1457733206 | Sarah Laszok | Audiologist | 6567 E Carondelet Dr, Suite 515, Tucson, AZ 85710-6152 | 2015-06-28 |
| 1174941439 | Timothy Hoskins Obgyn | Obstetrics & Gynecology | 6567 E Carondelet Dr, Suite 445, Tucson, AZ 85710-6152 | 2014-04-03 |
| 1689003956 | Ashley Nicole Ryan | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-11-06 |
| 1306274790 | Western Neurosurgery. Ltd. | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-10-22 |
| 1538405386 | Chelsea Mcnally | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2012-12-26 |
| 1447527817 | Sitara Kommareddi Md Pllc | Surgery | 6567 E Carondelet Dr, Suite 435, Tucson, AZ 85710-6152 | 2011-11-29 |
| 1205167277 | Timothy J Knoll | Physician Assistant | 6567 E Carondelet Dr, Suite 415, Tucson, AZ 85710-6152 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1801183744 | David Wayne Gooch | Podiatrist | 6565 E Carondelet Dr # 385, Tucson, AZ 85710-2117 | 2011-06-29 |
| 1235365685 | Andrea Renee Roemer | Podiatrist | 5600 W Placita Del Risco, Tucson, AZ 85745-9196 | 2009-05-29 |
| 1659514818 | Tara Fay Shirley | Podiatrist | 899 N Wilmot Road Ste E6, Tucson, AZ 85711-1714 | 2009-04-16 |
| 1386652444 | James F. Dancho | Podiatrist | 4629 S Almond St, Tucson, AZ 85730-4619 | 2006-08-04 |
| 1497786750 | Eric H Espensen | Podiatrist | 1500 N Campbell Ave, Room 4402, Tucson, AZ 85724-5872 | 2006-07-05 |
| 1821089624 | Bradley Whitaker | Podiatrist | 2163 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-10-31 |
| 1104813237 | Glenn E. Nelson | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2005-10-04 |
| 1790207363 | Patrick Law | Podiatrist | 3601 S 6th Ave, Tucson, AZ 85723 | 2017-07-14 |
| 1023541455 | Parth Patel | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2017-04-03 |
| Find all providers in TUCSON | ||||
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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.