Active NPI
Foothills Neurology P C
- Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Hetrick, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2322925 | Foothills Neurology | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Phoenix, AZ
- NPI 1932101730
-
- Neurology Physician
- Gilbert, AZ
- NPI 1114956273
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Phoenix, AZ
- NPI 1881618569
Neurology
-
- Neurology Physician
- Phoenix, AZ
- NPI 1053310227
-
- Neurology Physician
- Mesa, AZ
- NPI 1699771600
-
- Neurology Physician
- Phoenix, AZ
- NPI 1164050837
-
- Neurology Physician
- Phoenix, AZ
- NPI 1477726933
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Gilbert, AZ
- NPI 1124409073
Neurology
-
- Neurology Physician
- Gilbert, AZ
- NPI 1578763223
-
- Physician Assistant
- Mesa, AZ
- NPI 1235607292
-
- Neurology Physician
- Scottsdale, AZ
- NPI 1063574572
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
- Foot Solutions, Inc. (Foot Solutions Phoenix)
- Samuel Henry Foote, M.D.
- Foothills Family Care PLC
- Foothills Family Chiropractic, Inc (Foothills Family Chiro)
- Foothills Family Dental PC
- Foothills Orthopaedic Specialists, PC
- Foothills Smiles, LLP (Foothills Smiles)
- Foothills Sports Medicine & Orthopaedics Phoenix, LLC
- Foothills Sports Medicine & Physical Therapy - Tatum Shea LLC
- Foothills Sports Medicine & Rehabilitation Downtown, LLC
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.