Active NPI
Paradise Valley Foot & Ankle PLLC
Doing business as Podiatry Group Of Arizona
- Foot & Ankle Surgery Podiatrist
- Anthem, AZ
National Provider Identifier
1194619445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PARADISE VALLEY FOOT & ANKLE PLLC
- Doing business as
- Podiatry Group Of Arizona
- Practice address
- 41818 N Venture Dr Ste 110
Anthem, AZ 85086-3189 - Phone
- (623) 551-5000
- NPI assigned
- Jun 3, 2025
- 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
- Kyle Vaughn
- Title
- DPM
- Phone
- (480) 705-9920
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
41818 N Venture Dr Ste 110
Anthem, AZ 85086-3189
Mailing address
41818 N Venture Dr Ste 110
Anthem, AZ 85086-3189
Other names 1
- Podiatry Group Of Arizona
National Provider Directory
National Provider Directory- Tax ID family
- Paradise Valley Foot Ankle PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Phoenix, AZ
- NPI 1710234422
Interoperability endpoints
- https://api.platform.athenahealth.com/13503/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
- NPI 1467618850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1194619445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41818 N VENTURE DR STE 110",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41818 N VENTURE DR STE 110",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863189",
"telephone_number": "623-551-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE VALLEY FOOT & ANKLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "480-705-9920"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Podiatry Group Of Arizona",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anthem, AZ
- Orthopedic & Sport Rehab Specialists at Anthem, LLC
- Julie J Oyan, OTR/L
- Haley Elizabeth Page, FNP
- Pain Medicine Specialists PC
- Jodi Marie Palmer, FNP
- Hannah Parrish, PMHNP-BC
- Patricia Roberts, LLC (Patricia Roberts, M.D.)
- Melanie Christine Patton, MD
- Eileen Ann Paulson, MOT, OTR/L
- Amber Petculescu, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.