Provider Demographics
NPI:1568698074
Name:MCALISTER, JEFFREY EUGENE (DPM)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:EUGENE
Last Name:MCALISTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 E 2ND ST STE 206
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5610
Mailing Address - Country:US
Mailing Address - Phone:602-761-7819
Mailing Address - Fax:866-939-2673
Practice Address - Street 1:7301 E 2ND ST STE 206
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5610
Practice Address - Country:US
Practice Address - Phone:602-761-7819
Practice Address - Fax:602-324-7199
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0764213E00000X, 213ES0131X, 213ES0103X
VA0116021668213ES0103X
OH36.003606213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ795773Medicaid
AZZ159322Medicare PIN