Amg Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

AMG PODIATRY LLC

Practice address

4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969

Phone

(480) 812-3668

NPI assigned

Jun 25, 2020

Last updated

Aug 8, 2020By 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

Andrew Goodeill, DPM

Title

Owner/Member

Phone

(360) 269-2106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596844800000",
    "number": "1376160309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 S FOLLETT WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950155",
            "telephone_number": "360-269-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-812-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "GOODEILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "360-269-2106",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Gilbert, AZ
• Providers in Gilbert, 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 Aug 8, 2020; 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.