Provider Demographics
NPI:1598977324
Name:STEGMAN AND EROTAS, DPM, PC
Entity Type:Organization
Organization Name:STEGMAN AND EROTAS, DPM, PC
Other - Org Name:AMERICAN FOOT AND ANKLE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:STEGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-483-9000
Mailing Address - Street 1:10900 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5222
Mailing Address - Country:US
Mailing Address - Phone:480-483-9000
Mailing Address - Fax:480-483-1791
Practice Address - Street 1:10900 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5222
Practice Address - Country:US
Practice Address - Phone:480-483-9000
Practice Address - Fax:480-483-1791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0197213E00000X
AZ0228213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT42178Medicare UPIN
AZ0385390001Medicare NSC
AZT41587Medicare UPIN