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THORNRIDGE MEDICAL AND MANAGEMENT INC NPI 1144680505


NPI Information

NPI: 1144680505
Provider Name: THORNRIDGE MEDICAL AND MANAGEMENT INC

Doing Business As: ARIZONA RED MOUNTAIN FOOTCARE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 03D2173699

Address:
6104 E BROWN RD STE 101
MESA, AZ
ZIP 85205
Phone: (480) 705-7300
Get Directions

THORNRIDGE MEDICAL AND MANAGEMENT INC is a foot and ankle surgery podiatrist in Mesa, AZ. THORNRIDGE MEDICAL AND MANAGEMENT INC NPI is 1144680505. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Arizona Red Mountain Footcare.

The provider's business location address is:

6104 E BROWN RD STE 101
MESA, AZ
ZIP 85205-953
Phone: (480) 705-7300

The provider's authorized official is Jeffrey Pawlowski .
The authorized official title is Owner and has the following contact phone number (480) 705-7300.

The CLIA number assigned to this NPI record is 03D2173699 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2016 and was last updated on 4/4/2024.


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
1213ES0103XPodiatristFoot & 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.