Provider Demographics
NPI:1275561854
Name:DESERT PODIATRIC MEDICAL SPECIALISTS PC
Entity Type:Organization
Organization Name:DESERT PODIATRIC MEDICAL SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SETTLEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:CANPC, MAA
Authorized Official - Phone:520-575-0800
Mailing Address - Street 1:2163 W. ORANGE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-3118
Mailing Address - Country:US
Mailing Address - Phone:520-575-0800
Mailing Address - Fax:520-575-0264
Practice Address - Street 1:2163 W ORANGE GROVE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3118
Practice Address - Country:US
Practice Address - Phone:520-575-0800
Practice Address - Fax:520-575-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ335213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZWMBNVMedicare ID - Type UnspecifiedGROUP UPIN
AZ0755590001Medicare NSC