Organization Active NPI

Hawkeye Foot and Ankle LLC

  • Podiatric Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1356722920
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
0809 Issued in AZ
Legal business name
HAWKEYE FOOT AND ANKLE LLC
Practice address
6707 N 19TH Ave
Phoenix, AZ 85015-1104
Phone
(602) 274-4100
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Laura Heath, D.P.M.
Title
Owner
Phone
(515) 669-9089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 0809 AZ Primary

Addresses

Primary practice location

6707 N 19TH Ave
Phoenix, AZ 85015-1104

Mailing address

6707 N 19TH Ave
Phoenix, AZ 85015-1104

National Provider Directory

National Provider Directory

Locations

6707 N 19th Ave
Phoenix, AZ 85015
Phone (602) 274-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1356722920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151104",
            "telephone_number": "602-274-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-669-9089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AZ",
            "license": "0809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.