Kraemer Medical Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KRAEMER MEDICAL INC

Doing business as

Connell Foot Care

Practice address

6104 E Brown Rd Ste 102
Mesa, AZ 85205-4953

Phone

(480) 705-7300

NPI assigned

Feb 28, 2016

Organization subpart

No

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

Authorized official

Name

Charles ConnellNPI 1992791313

Title

Owner

Phone

(480) 705-7300

Specialties & licenses 1

Addresses

Other names 1

• Connell Foot Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Charles Connell, D.P.M.

  • Foot Surgery Podiatrist
  • Mesa, AZ
  • NPI 1992791313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1326408782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD STE 102",
            "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 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-705-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAEMER MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-28",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-705-7300"
    },
    "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": "Connell Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber M Kozlowski, P.T.
• Paulina Kozupa, DPT
• Kpa TWS Inc. (Interim HealthCare of Gilbert Az)
• Kpa TWS Inc. (Interim HealthCare of Gilbert AZ)
• KPC Promise Hospital of Phoenix LLC
• Paul Joseph Kraemer, PHARM.D.
• Theresa J Kraemer, PT, ATC
• Breanne Krakora, BCBA
• Sean Michael Kramer, D.O.
• David Allen Krants, PHARMD

• Foot & Ankle Surgery Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.