NPIMap

Organization Active NPI

Podiatric Physicians of Arizona, Inc.

Doing business as Steward Medical Group of Arizona / Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
National Provider Identifier
1609366533
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRIC PHYSICIANS OF ARIZONA, INC.
Doing business as
Steward Medical Group of Arizona / Podiatry
Practice address
11851 N 51St Ave Ste D120
Glendale, AZ 85304-2839
Phone
(480) 505-0755
Fax
(480) 505-0750
NPI assigned
May 16, 2018
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PODIATRIC PHYSICIANS OF ARIZONA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Karen H Abbott
Title
Officer
Phone
(615) 467-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

11851 N 51St Ave Ste D120
Glendale, AZ 85304-2839

Mailing address

PO Box 847818
Dallas, TX 75284-7818
Phone (480) 834-8804

Other names 1

  • Steward Medical Group of Arizona / Podiatry Doing business as

National Provider Directory

National Provider Directory
Part of
Podiatric Phy of Az PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1609366533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847818",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847818",
            "telephone_number": "480-834-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE D120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042839",
            "telephone_number": "480-505-0755",
            "fax_number": "480-505-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC PHYSICIANS OF ARIZONA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PODIATRIC PHYSICIANS OF ARIZONA, INC.",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "615-467-1246"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steward Medical Group of Arizona / Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.