Preferred Foot and Ankle Specialists of Arizona, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PREFERRED FOOT AND ANKLE SPECIALISTS OF ARIZONA, PLLC

Practice address

30 S Kyrene Rd Ste 3
Chandler, AZ 85226-4722

Phone

(480) 461-3734

Fax

(480) 497-3947

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Mikkel Jarman, DPMNPI 1760804991

Title

Member Manager

Phone

(480) 497-3946

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Preferred Foot and Ankle Specialists of Arizona, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
  • NPI 1952727984

  7012140825

  Same PAC ID

Tax ID family

Preferred Foot and3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Preferred Foot and Ankle Specialists of Arizona, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
  • NPI 1285499640
  NPD tax ID
• Preferred Foot and Ankle Specialists of Arizona, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
  • NPI 1952727984
  NPD tax ID

Locations

Practitioners 3

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

• Mikkel Jarman

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
  • NPI 1760804991
  NPD Authorized official
• Peter Karl Kemp, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
  • NPI 1174107460
  NPD
• Jeff M Korab, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
  • NPI 1164749669
  NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1821757964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 128",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964206",
            "telephone_number": "480-497-3946",
            "fax_number": "480-497-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S KYRENE RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264722",
            "telephone_number": "480-461-3734",
            "fax_number": "480-497-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FOOT AND ANKLE SPECIALISTS OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "JARMAN",
        "authorized_official_first_name": "MIKKEL",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-497-3946",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Earl Pray III, N.P.
• Giovanna Ruby Preciado
• Robin Preciado, LMSW
• Precious Folks Assisted Living Facility (Rex Saludo)
• Preferred Foot and Ankle Specialists of Arizona, PLLC
• Claire Elaine Prefontaine, SPEECH THERAPIST
• Kathryn L. Prehoda, RPH
• Jill Prell, PHARM D.
• Premier Anesthesiology LLC
• Premier Cardiovascular Center, PLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.