Marie C. Paul, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0711 Issued in AZ

Practice address

13954 W Waddell Rd
Suite 307
Surprise, AZ 85379-8750

Phone

(623) 584-0760

Fax

(623) 546-0344

NPI assigned

Nov 3, 2007

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heavenly Soles PLLC

  • Primary Podiatric Medicine Podiatrist
  • Surprise, AZ
  • NPI 1114342169
  Authorized official Same address or phone

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1174703409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13954 W WADDELL RD",
            "address_2": "SUITE 307",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798750",
            "telephone_number": "623-584-0760",
            "fax_number": "623-546-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13954 W WADDELL RD",
            "address_2": "SUITE 307",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798750",
            "telephone_number": "623-584-0760",
            "fax_number": "623-546-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MARIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-03",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0711",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways to Communication
• Ashwinikumar Patil, M.D.
• Patricia a. Kirk DPM, PLLC
• Wanda Sue Patterson, LCPC
• Dallas Joseph Paul, D.M.D.
• Theodora E Paul, D.O.
• Morgan Paulson, SLP-A
• Pearl Pawlak, CDA
• Morgan Le'Aysia Payne
• Peak Cardiovascular Associates LLC

• Podiatrist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.