Organization Active NPI

Foothills Neurology P C

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1104857143
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FOOTHILLS NEUROLOGY P C
Practice address
4530 E Muirwood Dr Ste 111
Phoenix, AZ 85048-7693
Phone
(480) 961-2365
Fax
(480) 961-2382
NPI assigned
Jul 6, 2006
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Stuart Hetrick, DONPI 1932101730
Title
President
Phone
(602) 920-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU
Neurology Physician 2084N0400X NU Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU

Addresses

Primary practice location

4530 E Muirwood Dr Ste 111
Phoenix, AZ 85048-7693

Mailing address

4505 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7688
Phone (480) 961-2365

Other practice location 1

15715 S 46th St Ste 100
Phoenix, AZ 85048-0439
Phone (480) 961-2365

Other practice location 2

5422 W Thunderbird Rd Ste 13
Glendale, AZ 85306-4717
Phone (480) 961-2365

Other practice location 3

8415 N Pima Rd Ste 175
Scottsdale, AZ 85258-4484
Phone (480) 961-2365

Other practice location 4

4001 N 3rd St Ste 290
Phoenix, AZ 85012-2071
Phone (480) 961-2365

Other practice location 5

1919 E McKellips Rd Ste 102
Mesa, AZ 85203-2855
Phone (480) 961-2365

Other practice location 6

4530 E Muirwood Dr Ste 114
Phoenix, AZ 85048-7693
Phone (480) 961-2365

Other practice location 7

4530 E Muirwood Dr Ste 103-104
Phoenix, AZ 85048-7639
Phone (480) 961-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000431 AZ Part B Supplier - Clinic/Group Practice 6507757234 Receives reassigned benefits from 33 practitioners
Practice locations: Mesa, AZ; Scottsdale, AZ; Phoenix, AZ; Glendale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2322925Foothills Neurology4530 E Muirwood Ste 1114, Phoenix, AZ 85048Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

15715 S 46th St
Ste 100
Phoenix, AZ 85048

4505 E Chandler Blvd
Ste 200
Phoenix, AZ 85048

4530 E Muirwood Dr
Ste 102
Phoenix, AZ 85048

4530 E Muirwood Dr
Ste 114
Phoenix, AZ 85048
Phone (480) 962-2365

8415 N Pima Rd
Ste 175
Scottsdale, AZ 85258

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1104857143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E CHANDLER BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487688",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487693",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15715 S 46th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850480439",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5422 W Thunderbird Rd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064717",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8415 N Pima Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584484",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "580-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 N 3rd St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122071",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 E McKellips Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032855",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 E Muirwood Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487693",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 E Muirwood Dr Ste 103-104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487639",
            "country_code": "US",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOTHILLS NEUROLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-920-4700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.