Southwest Foot and Ankle Center LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHWEST FOOT AND ANKLE CENTER LLC

Doing business as

Southwest Foot & Ankle

Practice address

9343 E Shea Blvd Ste B-130
Scottsdale, AZ 85260-6802

Phone

(425) 277-3668

Fax

(425) 277-0732

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Petrina C Lewis, DPMNPI 1215935457

Title

Owner

Phone

(425) 277-3668

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Southwest Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Petrina Celeste Lewis, DPM

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1215935457
  Medicare reassignment NPD Authorized official
• Mark Thomas Lewis, DPM

  • Podiatrist
  • Renton, WA
  • NPI 1770581910

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1497328330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-277-3668",
            "fax_number": "425-277-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 E SHEA BLVD STE B-130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606802",
            "telephone_number": "425-277-3668",
            "fax_number": "425-277-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FOOT AND ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PETRINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-277-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "8146570001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Diagnostic Imaging LLC
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• Southwest ENT, PC
• Southwest Facility Group, LLC (Southwest Facility Group)
• Southwest Facility Providers, LLC
• Southwest Health, LTD (dba The Mollen Clinic)
• Southwest Integrative Geriatrics
• Southwest Liberty LLC (Nurse Next Door of Scottsdale)
• Southwest Medical Center, PLLC
• Southwest Mobility Inc

• 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 Jan 5, 2023; 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.