Active NPI
Thornridge Medical and Management Inc
Doing business as Arizona Red Mountain Footcare
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
National Provider Identifier
1144680505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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, 2024
- 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
- Spencer Hardy, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Mesa, AZ
- NPI 1407353907
-
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
- NPI 1033571328
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.