Provider Demographics
NPI:1538104765
Name:NORTH SCOTTSDALE FOOT AND ANKLE CENTER, INC.
Entity Type:Organization
Organization Name:NORTH SCOTTSDALE FOOT AND ANKLE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-710-6996
Mailing Address - Street 1:PO BOX 12322
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-2322
Mailing Address - Country:US
Mailing Address - Phone:480-609-1777
Mailing Address - Fax:480-609-7222
Practice Address - Street 1:10900 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5216
Practice Address - Country:US
Practice Address - Phone:480-609-1777
Practice Address - Fax:480-609-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0625213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6063840001Medicare NSC
AZZ110498Medicare PIN