Arizona Foot and Ankle Surgery LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ARIZONA FOOT AND ANKLE SURGERY LLC

Practice address

1601 N Tucson Blvd Ste 15
Tucson, AZ 85716-3406

Phone

(520) 209-1919

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Mohanad Eltahir, DPM

Title

Owner

Phone

(703) 501-0283

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1851135347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 15",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-209-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 15",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-209-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FOOT AND ANKLE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "ELTAHIR",
        "authorized_official_first_name": "MOHANAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-501-0283",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.