Premier Foot and Ankle, L.L.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0564 Issued in AZ

Legal business name

PREMIER FOOT AND ANKLE, L.L.C.

Practice address

3149 N Windsong Dr
Prescott Valley, AZ 86314-2240

Phone

(928) 772-5916

Fax

(928) 775-3250

NPI assigned

Sep 20, 2006

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott R Price, DPMNPI 1417067455

Title

Provider

Phone

(928) 772-5916

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

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.

• Scott R Price, DPM

  • Podiatrist
  • Prescott Valley, AZ
  • NPI 1417067455
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Max Rex, DPM

  • Podiatrist
  • Prescott Valley, AZ
  • NPI 1447665716
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1275630451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26488",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863126488",
            "telephone_number": "928-772-5916",
            "fax_number": "928-775-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142240",
            "telephone_number": "928-772-5916",
            "fax_number": "928-775-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT AND ANKLE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "928-772-5916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711144002",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711144001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00198294",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0195490",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RD MEDICARE",
            "identifier": "DC9191",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jami Potter, FNP
• Hayden Verl Poulson, DPM
• Anna Dusteen Powers, SLP-A
• Prairie View Creations LLC (Healthy Transitions For Life)
• Beatrice H Preciado, OTRL
• Prescott Mobile Physical Therapy and Wellness LLC (Prescott Mobile Physical Therapy and Wellness)
• Prescott Quick Care LLC (Family First Convenient Care)
• Prescott Valley Accident Chiropractic Inc
• Prescott Valley Charter School
• Prescott Valley Chiropractic LLC (Prescott Valley Chiropractic)

• Podiatrist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.