PNC Podiatry of Arizona PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PNC PODIATRY OF ARIZONA PC

Practice address

5757 W Thunderbird Rd Ste E-159
Glendale, AZ 85306-4641

Phone

(602) 843-9945

NPI assigned

Mar 27, 2026

Organization subpart

Yes

Parent organization

PNC PODIATRY OF ARIZONA PCAs reported in NPPES

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

Authorized official

Name

Alexander Reyzelman

Title

Cmo

Phone

(415) 292-0638

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• PNC Podiatry of Arizona PC

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1063168359

  5496264863

  Same PAC ID
• PNC Podiatry of Arizona PC

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1689513335

  5496264863

  Same PAC ID

Tax ID family

PNC Podiatry of Arizona PC3 organizations share this tax ID, including this one

Part of

PNC Podiatry of Arizona PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• PNC Podiatry of Arizona PC

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1063168359
  NPD tax ID
• PNC Podiatry of Arizona PC

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1689513335
  NPD tax ID

Member of 1

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

• Bay Area Foot Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1801506415

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• PNC Podiatry of Arizona PC

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1063168359
  NPPES parent name

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1932048683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844167",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900844167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E-159",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "602-843-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNC PODIATRY OF ARIZONA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PNC PODIATRY OF ARIZONA PC",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adia Visolela Plourd, PSYD, LAC
• Barbara J Plourd, LPC
• PLSN Corp.
• Abigail Plumley, RN
• Rachael Plyler
• Cara Pocano, DDS
• Podiatric Physicians of Arizona, Inc.
• Elizabeth Kathryn Pogge, PHARM.D.
• Georgeann H Polansky, MD
• Jennifer Lynn Polansky, PHARM.D.

• Foot & Ankle Surgery Podiatrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.