Verde Valley Foot and Ankle Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0604 Issued in AZ

Legal business name

VERDE VALLEY FOOT AND ANKLE CENTER, LLC

Practice address

1759 E Villa Dr
Suite 114
Cottonwood, AZ 86326-4681

Phone

(928) 634-8356

Fax

(928) 639-2777

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jean Kroyn, DPMNPI 1992708986

Title

Owner

Phone

(928) 634-8356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Jean Yevgeniya Kroyn, DPM

  • Primary Podiatric Medicine Podiatrist
  • Cottonwood, AZ
  • NPI 1992708986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1861535767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4228",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262616",
            "telephone_number": "928-634-8356",
            "fax_number": "928-639-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 E VILLA DR",
            "address_2": "SUITE 114",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264681",
            "telephone_number": "928-634-8356",
            "fax_number": "928-639-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "KROYN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-634-8356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verde Valley Ambulance Co Inc
• Verde Valley Community Hospice, LLC
• Verde Valley Concierge Medicine PLLC
• Verde Valley Connection Primary Care PLC
• Verde Valley Fire District
• Verde Valley Functional Wellness Center & Medicinal Apothecary PLLC
• Verde Valley Heart Center
• Verde Valley Heart, LLC
• Verde Valley Medical Center
• Verde Valley Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.