Organization Active NPI

Casa Grande Foot & Ankle Spec

  • Foot & Ankle Surgery Podiatrist
  • Casa Grande, AZ
National Provider Identifier
1891982914
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CASA GRANDE FOOT & ANKLE SPEC
Practice address
675 E Cottonwood LN
Casa Grande, AZ 85222-2023
Phone
(520) 836-3400
Fax
(520) 836-2425
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Adam K Lu, DPMNPI 1083617781
Title
Owner
Phone
(520) 836-3400

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

675 E Cottonwood LN
Casa Grande, AZ 85222-2023

Mailing address

PO Box 11083
Casa Grande, AZ 85230-1083
Phone (520) 836-3400

National Provider Directory

National Provider Directory

Locations

177 W Cottonwood Ln
Ste 12
Casa Grande, AZ 85122

675 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 423-2046

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1891982914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11083",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852301083",
            "telephone_number": "520-836-3400",
            "fax_number": "520-836-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E COTTONWOOD LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222023",
            "telephone_number": "520-836-3400",
            "fax_number": "520-836-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE FOOT & ANKLE SPEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-836-3400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.