Sonoran Foot Specialists, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0544 Issued in AZ

Legal business name

SONORAN FOOT SPECIALISTS, PLLC

Practice address

9767 N 91St St
Ste 101
Scottsdale, AZ 85258-5086

Phone

(480) 629-5903

Fax

(480) 629-8498

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lee David Richer, D.P.M.NPI 1093750077

Title

Podiatric Surgeon Member Manager

Phone

(480) 629-5903

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lee David Richer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
  • NPI 1093750077
  Medicare reassignment NPD Authorized official
• Joseph Augustine Derose, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1982863593
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1336160548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9767 N 91ST ST",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585086",
            "telephone_number": "480-629-5903",
            "fax_number": "480-629-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9767 N 91ST ST",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585086",
            "telephone_number": "480-629-5903",
            "fax_number": "480-629-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN FOOT SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "RICHER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PODIATRIC SURGEON MEMBER MANAGER",
        "authorized_official_telephone_number": "480-629-5903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7542669",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonoran Chiropractic, LLC
• Sonoran Dental Design
• Sonoran Desert Psychotherapy LLC
• Sonoran Detox LLC
• Sonoran Emergency Associates, P.L.C.
• Sonoran Health Specialists, Inc
• Sonoran Health Specialists, Inc
• Sonoran Internal Medicine, LLC
• Sonoran Life Coaching, LLC
• Sonoran Medical Consulting Services PLLC

• Foot & Ankle Surgery Podiatrist in Scottsdale, AZ
• Providers in Scottsdale, 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 Jul 2, 2008; 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.