AGAVE FOOT SPECIALISTS PLLC NPI 1861508541

NPI Information

NPI: 1861508541
Provider Name: AGAVE FOOT SPECIALISTS, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
16841 N. 31ST AVE.
STE. 134
PHOENIX, AZ
ZIP 85053
Phone: (623) 322-5501
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AGAVE FOOT SPECIALISTS, PLLC is a foot and ankle surgery podiatrist in Phoenix, AZ. AGAVE FOOT SPECIALISTS, PLLC NPI is 1861508541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16841 N. 31ST AVE.
STE. 134
PHOENIX, AZ
ZIP 85053-051
Phone: (623) 322-5501
Fax: (623) 322-8996

The provider's authorized official is Heather Ann Couch .
The authorized official title is Owner/podiatrist and has the following contact phone number (623) 322-5501.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 2/26/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	0552	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD0997	OTHER	ARIZONA	RAILROAD MEDICARE
2	Z78990	OTHER	ARIZONA	MEDICARE ID-PIN
3	5546200001	MEDICARE NSC	ARIZONA

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

NPI Synchronization or Removal

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