Advanced Foot & Ankle LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ADVANCED FOOT & ANKLE LTD

Practice address

3667 Reflection Dr
Prescott, AZ 86305-7188

Phone

(928) 530-3230

NPI assigned

Jun 5, 2007

Last updated

Jan 10, 2025By 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

Ron Anthon Olsen, D.P.M.NPI 1972510675

Title

Doctor

Phone

(928) 530-3230

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

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.

• Ron Anthon Olsen, DPM

  • Podiatrist
  • Queen Creek, AZ
  • NPI 1972510675
  Medicare reassignment Authorized official
• Ashley Marie Eyer

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1013559301
  Medicare reassignment NPD
• Daniel Hall, DNP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1013437458
  Medicare reassignment NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1467654897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10634",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040634",
            "telephone_number": "928-530-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 REFLECTION DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057188",
            "telephone_number": "928-530-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "ANTHON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "928-530-3230",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR PROVIDER ONLY",
            "identifier": "1972510675",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1467654897",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adult Residential Care Services, Inc. (The Margaret T. Morris Center)
• Adult Residential Care Services, Inc. (The Margaret T. Morris Center)
• Advanced Anesthesia Group, LLC
• Advanced Cardiac Specialists, Chartered
• Advanced Chiropractic Center, Inc.
• Advanced Minimally Invasive Surgical
• Advanced Plastic Surgery Center, L.L.C.
• Advanced Wound Care of Arizona PLLC
• Aesthetically Yours Medical Clinic PLLC
• Affordable Oxygen & Medical Supply. LLC

• Foot & Ankle Surgery Podiatrist in Prescott, AZ
• Providers in Prescott, 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 Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.