Paradise Valley Foot & Ankle PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

726 Issued in AZ

Legal business name

PARADISE VALLEY FOOT & ANKLE PLLC

Practice address

4611 E Shea Blvd Ste 160
Phoenix, AZ 85028-4257

Phone

(480) 705-9920

Fax

(800) 530-9132

NPI assigned

Aug 13, 2012

Last updated

Nov 23, 2020By 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

Kyle VaughnNPI 1467618850

Title

DPM

Phone

(480) 705-7300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Tax ID family

Paradise Valley Foot Ankle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paradise Valley Foot & Ankle PLLC

  dba Podiatry Group Of Arizona

  • Foot & Ankle Surgery Podiatrist
  • Anthem, AZ
  • NPI 1194619445
  NPD tax ID

Locations

Practitioners 5

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.

• Kyle Vaughn, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1467618850
  Medicare reassignment Care Compare group Authorized official
• William Fishco, DPM

  • Podiatrist
  • Anthem, AZ
  • NPI 1225025893
  Medicare reassignment Care Compare group NPD
• Rachel Gerber, DPM

  • Foot & Ankle Surgery Podiatrist
  • Anthem, AZ
  • NPI 1831687268
  Medicare reassignment Care Compare group NPD
• Jason A Kayce, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1609163542
  Medicare reassignment Care Compare group
• Barbara A Campbell, D.P.M.

  • Podiatrist
  • Paradise Valley, AZ
  • NPI 1952398869
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1710234422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284257",
            "telephone_number": "480-705-9920",
            "fax_number": "800-530-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284257",
            "telephone_number": "480-705-9920",
            "fax_number": "800-530-9132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3624 W Anthem Way Ste C116",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850860457",
            "country_code": "US",
            "telephone_number": "480-705-9920",
            "fax_number": "888-872-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE VALLEY FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "480-705-7300"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Valley Center for Cosmetic and Comprehensive Dentistry, PLLC
• Paradise Valley Emergency Physicians, PC
• Paradise Valley Family Care PLLC
• Paradise Valley Family Dental LLC
• Paradise Valley Family Medicine, PC
• Paradise Valley Foothills Assisted Living LLC
• Paradise Valley Health Clinic LLC
• Paradise Valley Heart and Rhythm, PLLC (Paradise Valley Heart and Rhythm)
• Paradise Valley Hospice Inc
• Paradise Valley Loving Care (Paradise Valley Loving Care LLC)

• Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.