FS Camelback LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332BC3200X Issued in AZ

Legal business name

FS CAMELBACK LLC

Practice address

1650 E Camelback Rd
Suite 175
Phoenix, AZ 85016-3941

Phone

(602) 241-9300

Fax

(602) 241-9305

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Richard P Jacoby, DPM

Title

Owner

Phone

(602) 241-9300

Specialties & licenses 1

Addresses

Other names 1

• Foot Solutions Doing business as

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1891964664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E CAMELBACK RD",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163941",
            "telephone_number": "602-241-9300",
            "fax_number": "602-241-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E CAMELBACK RD",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163941",
            "telephone_number": "602-241-9300",
            "fax_number": "602-241-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS CAMELBACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-241-9300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Robert Lee Frye, PHARMD
• Lindsay Deason Frye, LISAC 15082
• Richard Eugene Frye, MD
• Travis Eugene Frye, LPC
• Kandi Fryer
• FSL Home Improvements
• FSL Management
• FSL Pathways
• FSL Pathways
• FSL Pathways

• Customized Equipment (DME) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.