Provider Demographics
NPI:1104936012
Name:BURNS, ANA (DPM)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7340 E INDIAN SCHOOL ROAD
Mailing Address - Street 2:#21-123
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018
Mailing Address - Country:US
Mailing Address - Phone:480-415-5448
Mailing Address - Fax:
Practice Address - Street 1:9935 W ROYAL OAK ROAD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-933-2807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ000621213E00000X
AZ0621213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ936403Medicaid
AZ936403Medicaid
Z119847Medicare Oscar/Certification
AZV05166Medicare UPIN
AZ936403Medicaid
AZAZ0195750OtherBCBS