Organization Active NPI

John W McGhan DPM PC

Doing business as Gold Canyon Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Gold Canyon, AZ
National Provider Identifier
1871674234
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JOHN W MCGHAN DPM PC
Doing business as
Gold Canyon Foot and Ankle
Practice address
6820 S Kings Ranch Rd Ste 130
Gold Canyon, AZ 85118-2959
Phone
(480) 982-8137
Fax
(480) 983-8153
NPI assigned
Oct 18, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
John Wayne McGhanNPI 1881116762
Title
DPM
Phone
(480) 982-8137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

6820 S Kings Ranch Rd Ste 130
Gold Canyon, AZ 85118-2959

Mailing address

6499 S Kings Ranch Rd # 6-10
Gold Canyon, AZ 85118-2902
Phone (480) 982-8137

Other names 1

  • Gold Canyon Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070718000374 AZ Part B Supplier - Clinic/Group Practice 0749381960 Receives reassigned benefits from 1 practitioner
Practice locations: Gold Canyon, AZ

National Provider Directory

National Provider Directory
Tax ID family
E James Bodmer DPM PC2 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.

Locations

6499 S Kings Ranch Rd
#610
Gold Canyon, AZ 85118

6499 S Kings Ranch Rd
Ste 610
Gold Canyon, AZ 85118

6804 S Kings Ranch Rd
Gold Canyon, AZ 85118
Phone (480) 982-1909

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1871674234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6499 S KINGS RANCH RD # 6-10",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182902",
            "telephone_number": "480-982-8137",
            "fax_number": "480-983-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 S KINGS RANCH RD STE 130",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182959",
            "telephone_number": "480-982-8137",
            "fax_number": "480-983-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W MCGHAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "MCGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "480-982-8137"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Canyon Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gold Canyon Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.