Provider Demographics
NPI:1790942977
Name:ACCLAIM FOOT AND ANKLE CENTER PC
Entity Type:Organization
Organization Name:ACCLAIM FOOT AND ANKLE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
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:480-963-9000
Practice Address - Fax:623-536-3448
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCLAIM FOOT AND ANKLE CENTER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-16
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ609656600OtherOWCP
AZ609656600OtherOWCP
AZZ120609Medicare PIN