Phoenix Foot Surgeon Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

AZ497 Issued in AZ

Legal business name

PHOENIX FOOT SURGEON INC

Practice address

1501 N Gilbert Rd Ste 120
Gilbert, AZ 85234-2393

Phone

(480) 507-7560

Fax

(480) 507-7509

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Brett Roeder, DPMNPI 1134116700

Title

President

Phone

(480) 507-7560

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17000/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Roeder, DPM

  • Podiatrist
  • Gilbert, AZ
  • NPI 1134116700
  Authorized official Same address or phone

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1407031016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD STE 120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342393",
            "telephone_number": "480-507-7560",
            "fax_number": "480-507-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD STE 120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342393",
            "telephone_number": "480-507-7560",
            "fax_number": "480-507-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FOOT SURGEON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-507-7560",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "AZ497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phoenix Arizona Dental Group Inc
• Phoenix Children's Hospital
• Phoenix Diagnostic Imaging Inc
• Phoenix Holistic Psychiatry LLC
• Phoenix Skin and Wound Care
• Phoenix Spine and Joint Gilbert ASC, LLC
• Phoenix Valley Senior Care (Right at Home)
• Phoenix Vamc

• 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 Feb 22, 2016; 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.