CHARLES CONNELL (NPI# 1992791313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992791313 |
| Entity Type | Individual |
| Full Name | CHARLES CONNELL |
| Credential | D.P.M. |
| Practice Address |
6104 E Brown Rd Mesa AZ 85205-4953 |
| Mailing Address |
6104 E Brown Rd Suite 102 Mesa AZ 85205-4953 |
| Practice Telephone | 4806997377 |
| Mailing Telephone | 4806997377 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
322 | AZ | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861469777 | Charles Richard Connell | Dentist | 900 N 7th St, West Memphis, AR 72301-2001 | 2006-03-01 |
| Street Address |
6104 E BROWN RD |
| City | MESA |
| State | AZ |
| Zip Code | 85205-4953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255533097 | Laurel A. Retay Do, Plc | Internal Medicine | 6104 E Brown Rd, Suite 101, Mesa, AZ 85205-4953 | 2007-06-04 |
| 1184737546 | East Valley Footcare Pllc | Podiatrist | 6104 E Brown Rd, Suite 102, Mesa, AZ 85205-4953 | 2006-08-17 |
| 1346236544 | Jeffrey Pawlowski | Podiatrist | 6104 E Brown Rd, Suite 101, Mesa, AZ 85205-4953 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669843611 | Arcadia Foot & Ankle PC | Podiatrist | 220 N Stapley Dr, Suite 1, Mesa, AZ 85203-8057 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666914 | Darin A Bocian Dpm PC | Podiatrist | 1845 W Orange Grove Rd Ste 125, Tucson, AZ 85704-1146 | 2015-08-12 |
| 1033469028 | Gilbert D Shapiro, Dpm PC | Podiatrist | 1888 N Country Club Rd., Tucson, AZ 85716-3115 | 2012-09-17 |
| 1003932328 | Tanya L Thoms | Podiatrist | 9045 W Athens St, Peoria, AZ 85382-8155 | 2007-03-21 |
| 1427165174 | Steven Barry Hollander | Podiatrist | 6554 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-08-25 |
| 1588606990 | Eulano Foot and Ankle PC | Podiatrist | 9817 N 95th St, Suite 115, Scottsdale, AZ 85258-4587 | 2006-06-11 |
| 1992745327 | Kenneth Sherman Blocher | Podiatrist | 4821 N Stone Ave, Tucson, AZ 85704-5727 | 2006-06-07 |
| 1215974951 | Carondelet Medical Group, Inc | Podiatrist | 1209 W. Target Range Rd., Nogales, AZ 85621 | 2006-06-01 |
| 1003800921 | Gilbert D. Shapiro | Podiatrist | 1888 N Country Club Rd, Tucson, AZ 85716-3115 | 2005-09-07 |
| 1083617781 | Adam Khoa Lu | Podiatrist | 16423 S 34th Way, Phoenix, AZ 85048-7871 | 2005-05-27 |
| 1467096065 | Wound Care Physicians of Arizona Pllc | Podiatrist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
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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.