Organization Active NPI

Arizona Foot Health, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1124112180
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARIZONA FOOT HEALTH, P.C.
Practice address
11209 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3091
Phone
(602) 973-3888
Fax
(602) 973-3028
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Dr. Ryan B GolubNPI 1285635888
Title
Owner
Phone
(602) 402-0421

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3091

Mailing address

11209 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3091
Phone (602) 973-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040621001748 AZ Part B Supplier - Clinic/Group Practice 1254316540 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ
O20100930036438 AZ DME Supplier - Physician - Podiatry 1254316540 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

20940 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 253-5660

11209 N Tatum Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 973-3888

3401 W Bethany Home Rd
Phoenix, AZ 85017
Phone (602) 973-3888

11209 N Tatum Blvd
Ste B100
Phoenix, AZ 85028
Phone (602) 973-3888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18608/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1124112180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE B100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-973-3888",
            "fax_number": "602-973-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE B100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-973-3888",
            "fax_number": "602-973-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FOOT HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-402-0421",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.