Charles Connell, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

322 Issued in AZ

Practice address

6104 E Brown Rd
Mesa, AZ 85205-4953

Phone

(480) 699-7377

NPI assigned

Sep 21, 2005

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kraemer Medical Inc

  dba Connell Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1326408782
  Medicare reassignment NPD Authorized official
• East Valley Footcare PLLC

  • Podiatrist
  • Mesa, AZ
  • NPI 1184737546
  Authorized official Same address or phone
• Podiatric Physicians of Arizona, Inc.

  dba Arizona Institute of Footcare Physicians

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1194944728
  NPD (past)
• Podiatric Physicians of Arizona, Inc.

  dba Steward Medical Group of Arizona / Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1609366533
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1992791313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-699-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-699-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "CHARLES",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger W Conely, RPH
• Rachel Lynn Conforti, PHARM.D.
• Alysia Marie Conley, MD
• Marie Nicole Conn, NP-C
• Connect Hearing, Inc.
• Haley Connelly
• Lisa Dianne Connelly, MA
• Russ Conner, PHARMD
• Kelly F Connor, PA-C
• Lin Connor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.