NPIMap

Organization Active NPI

Suzanne Abraham

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1699727065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
609 Issued in AZ
Legal business name
SUZANNE ABRAHAM
Practice address
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone
(480) 596-3309
Fax
(602) 697-3912
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Suzanne AbrahamNPI 1982655957
Title
Owner
Phone
(480) 596-3309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 609 AZ Primary

Addresses

Primary practice location

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443

Mailing address

8390 E Via de Ventura Ste F110
#247
Scottsdale, AZ 85258-3189
Phone (480) 596-3309

National Provider Directory

National Provider Directory

Locations

6036 N 19th Ave
Ste 204
Phoenix, AZ 85015
Phone (480) 717-0356

8390 E Via de Ventura
Ste F110
Scottsdale, AZ 85258
Phone (480) 422-8510

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699727065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA STE F110",
            "address_2": "#247",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583189",
            "telephone_number": "480-596-3309",
            "fax_number": "602-697-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152443",
            "telephone_number": "480-596-3309",
            "fax_number": "602-697-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE ABRAHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-596-3309"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.