NPIMap

Organization Active NPI

Alliance Medical Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Buckeye, AZ
National Provider Identifier
1902632664
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ALLIANCE MEDICAL SPECIALISTS, PLLC
Practice address
865 S Watson Rd Ste 205
Buckeye, AZ 85326-3470
Phone
(623) 974-0522
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Jeffrey Thomas, DPM
Title
Manager
Phone
(623) 512-1633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

865 S Watson Rd Ste 205
Buckeye, AZ 85326-3470

Mailing address

13660 N 94TH Dr Ste D1
Peoria, AZ 85381-4275
Phone (623) 974-0522

Other practice location 1

490 W Bralliar Rd
Wickenburg, AZ 85390-2448
Phone (623) 974-0522

Other practice location 2

13660 N 94th Dr Ste D1
Peoria, AZ 85381-4275
Phone (623) 974-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241112003624 AZ Part B Supplier - Clinic/Group Practice 3072047174 Receives reassigned benefits from 6 practitioners
Practice locations: Wickenburg, AZ; Peoria, AZ; Buckeye, AZ
O20250813000396 AZ DME Supplier - Physician - Podiatry 3072047174 Practice locations: Buckeye, AZ

National Provider Directory

National Provider Directory

Member of 4

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1902632664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE D1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814275",
            "telephone_number": "623-974-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S WATSON RD STE 205",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263470",
            "telephone_number": "623-974-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 W Bralliar Rd",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853902448",
            "country_code": "US",
            "telephone_number": "623-974-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13660 N 94th Dr Ste D1",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814275",
            "country_code": "US",
            "telephone_number": "623-974-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-512-1633",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.