Provider Demographics
NPI:1598830713
Name:RICHARD E. QUINT
Entity Type:Organization
Organization Name:RICHARD E. QUINT
Other - Org Name:ARIZONA FOOT SPECIALISTS, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:QUINT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:520-746-0186
Mailing Address - Street 1:697 W AJO WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6047
Mailing Address - Country:US
Mailing Address - Phone:520-746-0186
Mailing Address - Fax:520-746-0278
Practice Address - Street 1:697 W AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6047
Practice Address - Country:US
Practice Address - Phone:520-746-0186
Practice Address - Fax:520-746-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0163213E00000X
213E00000X, 213EP1101X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0065030OtherSSA
AZ154990XXOtherPREFERRED HEALTH NETWORK
AZAZ0065030OtherBLUE CROSS BLUE SHIELD
AZ1Z2388OtherHEALTHNET
AZ4648739OtherAETNA
AZ700311OtherHEALTHCHOICE
AZ700311OtherMERCYCARE
AZ70031101OtherAZ PHYSICIANS IPA
AZDA3252OtherMEDICARE RRB
AZ700311OtherAP/IPA
AZ700311Medicaid
AZ1Z2388OtherHEALTHNET
AZ70031101OtherAZ PHYSICIANS IPA
AZAZ0065030OtherSSA