Alan Lee Gaveck, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0424 Issued in AZ

Practice address

9721 E Celtic Dr
Scottsdale, AZ 85260

Phone

(480) 860-8787

Fax

(480) 767-8140

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey a. Copoloff, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
  • NPI 1225084627
  NPD (past)
• Talus, Limited Liability Company

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1659372027
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386738003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 E CELTIC DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-860-8787",
            "fax_number": "480-767-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 E CELTIC DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-860-8787",
            "fax_number": "480-767-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVECK",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4421843",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160341",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0191520",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesa Renae Gaudreau, BC-HIS
• Erik Shawn Gauharou, M.D
• Virginia B. Gausden, M.S.
• Paul R Gause, MD
• Naomi Gauthier, LPC
• Rita Renee Gavle, MS CCC-SLP
• Winston Gaw
• Karen Therese Gawin, LAC
• Gawley Plastic Surgery
• Bryan W Gawley, MD

• Podiatrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.