Provider Demographics
NPI:1043437544
Name:ASSOCIATED PODIATRISTS, P.C.
Entity Type:Organization
Organization Name:ASSOCIATED PODIATRISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-264-1031
Mailing Address - Street 1:3330 N 2ND ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2368
Mailing Address - Country:US
Mailing Address - Phone:602-264-1031
Mailing Address - Fax:602-264-3864
Practice Address - Street 1:3330 N 2ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2368
Practice Address - Country:US
Practice Address - Phone:602-264-1031
Practice Address - Fax:602-264-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZCS4883OtherRAILROAD MEDICARE
AZF01317OtherPHOENIX HEALTH PLAN
AZZ64505Medicare PIN