Agave Foot Specialists, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0552 Issued in AZ

Legal business name

AGAVE FOOT SPECIALISTS, PLLC

Practice address

16841 N. 31St Ave.
Ste. 134
Phoenix, AZ 85053-3051

Phone

(623) 322-5501

Fax

(623) 322-8996

NPI assigned

Aug 22, 2006

Last updated

Feb 26, 2008By 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

Dr. Heather Ann Couch, D.P.M.NPI 1184629156

Title

Owner/Podiatrist

Phone

(623) 322-5501

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Heather A Couch, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1184629156
  Medicare reassignment Care Compare group NPD Authorized official
• John David Knochel, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1063768877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1861508541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16841 N. 31ST AVE.",
            "address_2": "STE. 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533051",
            "telephone_number": "623-322-5501",
            "fax_number": "623-322-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N. 31ST AVE.",
            "address_2": "STE. 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533051",
            "telephone_number": "623-322-5501",
            "fax_number": "623-322-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE FOOT SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "623-322-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0997",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "Z78990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajeev Agarwal, MD
• Shalini Rajeev Agarwal, M.D.
• Agave Chiropractic LLC
• Agave Chiropractic, LLC
• Agave Dental LLC
• Agave Healthcare LLC (Agave Hospice and Palliative Care)
• Agave Physician Services LLC
• Agave Postpartum Wellness Clinic PLLC
• Agave Surgery Center
• Agave Therapeutics PLLC (Agave Therapeutics)

• Foot & Ankle Surgery Podiatrist in Phoenix, AZ
• Providers in Phoenix, 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 Feb 26, 2008; 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.