Fikes Orthopedic Specialties, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FIKES ORTHOPEDIC SPECIALTIES, INC.

Practice address

715 White Spar Rd
Prescott, AZ 86303-4631

Phone

(928) 227-2621

Fax

(928) 227-3084

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Connie S. Fikes, RN

Title

Treasurer

Phone

(480) 981-7393

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1336215409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 E MAIN ST STE B1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058972",
            "telephone_number": "480-981-7393",
            "fax_number": "480-981-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 WHITE SPAR RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034631",
            "telephone_number": "928-227-2621",
            "fax_number": "928-227-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIKES ORTHOPEDIC SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "480-981-7393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ US DEPT OF LABOR",
            "identifier": "197436500",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511685",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL ARIZONA NETWORK",
            "identifier": "153543",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0277820",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z7008",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin Anne Fetter, R.N.
• Mark Fetter, M.D.
• Danielle Fetting, PA
• Elizabeth Fidler
• Robert Wendell Fields III, LMSW
• Kenneth Paul Finn, M.D.
• First Lab, LLC
• Tamara L Fischer, NP
• Marianne Fisher
• Melody Sue Fisher, L.M.

• Prosthetic/Orthotic Supplier in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.