Arizona Foot and Ankle Medicine and Surgery, PLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0704 Issued in AZ

Legal business name

ARIZONA FOOT AND ANKLE MEDICINE AND SURGERY, PLC

Practice address

1347 N Greenfield Rd
Suite 101
Mesa, AZ 85205-4072

Phone

(480) 699-8762

Fax

(480) 699-8350

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Blair J Sandall, DPMNPI 1043445091

Title

President

Phone

(480) 699-8762

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Blair James Sandall, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1043445091

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1871898288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13385",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673385",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 N GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054072",
            "telephone_number": "480-699-8762",
            "fax_number": "480-699-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FOOT AND ANKLE MEDICINE AND SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "SANDALL",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-699-8762",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Family & Geriatric Medicine PLLC
• Arizona Family Care Network Inc.
• Arizona Family Health & Rehab Center, P C.
• Arizona Family Institute
• Arizona Family Institute
• Arizona Gastro Care PLLC
• Arizona Glaucoma Specialists - Mesa PLLC
• Arizona Healing Hearts PLLC
• Arizona Health & Rehab LLC
• Arizona Health Care Contract Management Services Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.