North Valley Podiatry, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

630 Issued in AZ

Legal business name

NORTH VALLEY PODIATRY, LLC

Practice address

19636 N 27TH Ave
Suite 208
Phoenix, AZ 85027-4013

Phone

(602) 943-7115

Fax

(602) 943-7113

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Gary R. Grover

Title

Senior Vice President

Phone

(602) 216-6680

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1023693207

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1871727677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "SUITE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274013",
            "telephone_number": "602-943-7115",
            "fax_number": "602-943-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "SUITE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274013",
            "telephone_number": "602-943-7115",
            "fax_number": "602-943-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-6680"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Valley Pediatric Therapy, LLC
• North Valley Pediatrics PC
• North Valley Pharmacy LLC
• North Valley Physicians Group, LLC
• North Valley Podiatry LLC
• North Valley Psychiatry
• North Valley Surgical Assisting, Inc.
• Kathleen Marie North-Wilhelm, M.D.
• Gary J North, PAC
• Northcutt Physical Therapy PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.