Richard P Jacoby DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00084 Issued in AZ

Legal business name

RICHARD P JACOBY DPM, PC

Doing business as

Extremity Health Center

Practice address

9475 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4576

Phone

(480) 994-5977

Fax

(480) 990-9397

NPI assigned

Dec 28, 2005

Last updated

Apr 20, 2023By 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

Richard Paul Jacoby, DPMNPI 1134106420

Title

Owner

Phone

(480) 994-5977

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Extremity Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

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.

• Richard Paul Jacoby, DPM

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1134106420
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1669459962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N SCOTTSDALE RD STE C4005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517666",
            "telephone_number": "480-994-5977",
            "fax_number": "480-672-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-994-5977",
            "fax_number": "480-990-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P JACOBY DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-994-5977",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "00084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN",
            "identifier": "1Z1219",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ PIN",
            "identifier": "AZ0190960",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700626",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DA8041",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "2572688",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "189007100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extremity Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard J Settles DO
• Richard J Settles, DO, PC
• Richard J. Brown, MD, PLLC
• Richard L Gomez MD PC
• Richard Lee Averitte Jr PLLC (Affiliated Dermatology)
• Richard P. Jacoby DPM PC
• Richard P. Jacoby, DPM, PC
• Richards and Kim Group Corporation (Aligned Integrative Medicine)
• Alexis Bree Richards, PA-C
• Gabrielle Kathleen Richards, FNP

• 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 Apr 20, 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.