Provider Demographics
NPI:1518164185
Name:VALLEY FOOT CARE, INC.
Entity Type:Organization
Organization Name:VALLEY FOOT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-938-8400
Mailing Address - Street 1:PO BOX 8525
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-0125
Mailing Address - Country:US
Mailing Address - Phone:602-938-8400
Mailing Address - Fax:602-938-8401
Practice Address - Street 1:3201 W PEORIA AVE
Practice Address - Street 2:SUITE B-307
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4608
Practice Address - Country:US
Practice Address - Phone:602-938-8400
Practice Address - Fax:602-938-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ0472, AZ0473213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1831184134OtherNPI FOR DR. M. HADDAD
AZ398330001Medicaid
AZ1487649778OtherNPI FOR DR. T. SEKOSKY
AZ244463Medicaid
AZ398322Medicaid
AZ1831184134OtherNPI FOR DR. M. HADDAD
AZU66292Medicare UPIN
AZ244463Medicaid
AZ398330001Medicaid
AZ398322Medicaid
AZZ67547Medicare PIN