Provider Demographics
NPI:1578695417
Name:ACCLAIM FOOT AND ANKLE CENTER PC
Entity Type:Organization
Organization Name:ACCLAIM FOOT AND ANKLE CENTER PC
Other - Org Name:ACCLAIM FOOT AND ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-536-9822
Mailing Address - Street 1:9220 E MOUNTAIN VIEW RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5134
Mailing Address - Country:US
Mailing Address - Phone:623-536-9822
Mailing Address - Fax:623-536-3448
Practice Address - Street 1:9305 W THOMAS RD STE 225
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3363
Practice Address - Country:US
Practice Address - Phone:623-536-9822
Practice Address - Fax:623-536-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0194500OtherBCBS
AZ1Z3309OtherHEALTH NET
AZ701278Medicaid
AZ609656600OtherOWCP
AZAZ0194500OtherBCBS
AZ1Z3309OtherHEALTH NET
AZ=========OtherTRICARE