Provider Demographics
NPI:1659372027
Name:TALUS, LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:TALUS, LIMITED LIABILITY COMPANY
Other - Org Name:SERRINA M YOZSA, DPM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SERRINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YOZSA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-994-3668
Mailing Address - Street 1:3501 N SCOTTSDALE RD
Mailing Address - Street 2:STE 246
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5648
Mailing Address - Country:US
Mailing Address - Phone:480-994-3668
Mailing Address - Fax:480-663-8110
Practice Address - Street 1:3501 N SCOTTSDALE RD
Practice Address - Street 2:STE 246
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5648
Practice Address - Country:US
Practice Address - Phone:480-994-3668
Practice Address - Fax:480-663-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0514213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ477233Medicaid
AZ602490600OtherDEPT OF LABOR
AZAZ0195150OtherBCBS
AZ5250730001OtherCIGNA DMERC REGION D
AZ7167058OtherAETNA HEALTH CARE
AZ2Z0160OtherHEALTHNET
AZ477233003OtherMERCY CARE PLAN
AZ602490600OtherDEPT OF LABOR
AZAZ0195150OtherBCBS
AZ5250730001OtherCIGNA DMERC REGION D