Organization Active NPI

Thornridge Medical and Management Inc

Doing business as Arizona Red Mountain Footcare

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
National Provider Identifier
1144680505
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
THORNRIDGE MEDICAL AND MANAGEMENT INC
Doing business as
Arizona Red Mountain Footcare
Practice address
6104 E Brown Rd Ste 101
Mesa, AZ 85205-4953
Phone
(480) 705-7300
NPI assigned
Feb 28, 2016
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Spencer Hardy, DPMNPI 1407353907
Title
Owner
Phone
(480) 219-4100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6104 E Brown Rd Ste 101
Mesa, AZ 85205-4953

Mailing address

6104 E Brown Rd Ste 101
Mesa, AZ 85205-4953
Phone (480) 705-7300

Other names 1

  • Arizona Red Mountain Footcare Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160518002210 AZ Part B Supplier - Clinic/Group Practice 0042509770 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ
O20160906001988 AZ DME Supplier - Physician - Podiatry 0042509770 Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1144680505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-705-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-705-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNRIDGE MEDICAL AND MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-219-4100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Red Mountain Footcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.