Provider Type Icon

PNC PODIATRY OF ARIZONA PC NPI 1063168359


NPI Information

NPI: 1063168359
Provider Name: PNC PODIATRY OF ARIZONA PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1520 S DOBSON RD STE 312
MESA, AZ
ZIP 85202
Phone: (480) 844-8218
Get Directions

PNC PODIATRY OF ARIZONA PC is a foot and ankle surgery podiatrist in Mesa, AZ. PNC PODIATRY OF ARIZONA PC NPI is 1063168359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1520 S DOBSON RD STE 312
MESA, AZ
ZIP 85202-700
Phone: (480) 844-8218
Fax: (480) 844-8218

The provider's authorized official is Julie Ann Carpentieri .
The authorized official title is Director and has the following contact phone number (510) 399-0221.

The enumeration date for this NPI number is 2/24/2022 and was last updated on 10/24/2022.


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
1213E00000XPodiatristNo
2213ES0000XPodiatristSports MedicineNo
3213ES0131XPodiatristFoot SurgeryNo
42251X0800XPhysical TherapistOrthopedicNo
5225200000XPhysical Therapy AssistantNo
6213ES0103XPodiatristFoot & Ankle SurgeryYes

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: 4/28/2024

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.