Organization Active NPI

Desert Foot Surgeons P L L C

  • Primary Podiatric Medicine Podiatrist
  • Phoenix, AZ
National Provider Identifier
1033188909
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0426 Issued in AZ
Legal business name
DESERT FOOT SURGEONS P L L C
Practice address
2222 E Highland Ave
Suite 206
Phoenix, AZ 85016-4872
Phone
(602) 995-1169
Fax
(602) 995-7155
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen Michael Geller, DPM
Title
Owner
Phone
(602) 995-1169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 0426 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave
Suite 206
Phoenix, AZ 85016-4872

Mailing address

2222 E Highland Ave
Suite 206
Phoenix, AZ 85016-4872
Phone (602) 995-1169

Other identifiers 4

IdentifierTypeStateIssuer
AZ0193430OtherAZBCBS
P00057362OtherAZMEDICARE RAILROAD
2Z0674OtherAZHEALTH NET
314758MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2222 E Highland Ave
Ste 206
Phoenix, AZ 85016
Phone (602) 900-8003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1033188909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-995-1169",
            "fax_number": "602-995-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-995-1169",
            "fax_number": "602-995-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FOOT SURGEONS P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-995-1169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AZ",
            "license": "0426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0193430",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00057362",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z0674",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314758",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.