Provider Demographics
NPI:1588606990
Name:EULANO FOOT AND ANKLE P C
Entity type:Organization
Organization Name:EULANO FOOT AND ANKLE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:EULANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-735-9508
Mailing Address - Street 1:8575 E PRINCESS DR
Mailing Address - Street 2:STE 221
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5441
Mailing Address - Country:US
Mailing Address - Phone:480-948-8754
Mailing Address - Fax:602-753-9543
Practice Address - Street 1:4921 E BELL RD STE 205
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6002
Practice Address - Country:US
Practice Address - Phone:480-948-8754
Practice Address - Fax:602-753-9543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0421213EP1101X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00026267OtherRAILROAD MEDICARE
AZAZ0193820OtherBLUE CROSS BLUE SHIELD AZ
AZ4707480001OtherMEDICARE DMEPOS
AZAZ0193820OtherBLUE CROSS BLUE SHIELD AZ
AZU50544Medicare UPIN