Provider Type Icon

VITALITY FOOT AND ANKLE INSTITUTE PLLC NPI 1538798004


NPI Information

NPI: 1538798004
Provider Name: VITALITY FOOT AND ANKLE INSTITUTE PLLC

Doing Business As: VITALITY FOOT AND ANKLE INSTITUTE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10204 W HAPPY VALLEY PKWY STE 160
PEORIA, AZ
ZIP 85383
Phone: (623) 254-7111
Get Directions

VITALITY FOOT AND ANKLE INSTITUTE PLLC is a foot and ankle surgery podiatrist in Peoria, AZ. VITALITY FOOT AND ANKLE INSTITUTE PLLC NPI is 1538798004. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vitality Foot And Ankle Institute.

The provider's business location address is:

10204 W HAPPY VALLEY PKWY STE 160
PEORIA, AZ
ZIP 85383-880
Phone: (623) 254-7111
Fax: (623) 254-7100

The provider's authorized official is Yehia Mohamed Elebrashi .
The authorized official title is Ceo and has the following contact phone number (623) 254-7111.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 1/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
2208D00000XGeneral PracticeNo
3363L00000XNurse PractitionerNo
4213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11548615875MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.