CRAIG KENYON UDALL DPM NPI 1396180477

NPI Details

Craig Kenyon Udall, DPM is a foot and ankle surgery podiatrist in Goodyear, AZ with 13 years of experience. Craig Kenyon Udall, DPM NPI is 1396180477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14539 W INDIAN SCHOOL RD STE 880
GOODYEAR, AZ
ZIP 85395-279
Phone: (623) 248-4734
Fax: (623) 259-7006

The NPI 1396180477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
• Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Permanent removal fingernail or toenail (HCPCS:11750)
• Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• Ultrasound study of arm and leg arteries (HCPCS:93922)

The enumeration date for this NPI number is 5/2/2013 and was last updated on 6/4/2024.

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:

Other Identifiers

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