Active NPIOrganization

Agave Foot Specialists, PLLC

Podiatrist, Foot & Ankle Surgery in Phoenix, Arizona

NPI Number1861508541
Practice location
16841 N. 31ST Ave., Ste. 134, Phoenix, AZ 85053-3051
Fax
623-322-8996
Last updated
February 26, 2008

Agave Foot Specialists, PLLC is a healthcare organization based in Phoenix, AZ. The NPI number for Agave Foot Specialists, PLLC is 1861508541 and holds license No. 0552 (AZ). The current practice location address is 16841 N. 31ST Ave., Ste. 134, Phoenix, AZ 85053-3051 and the office can be reached by phone at 623-322-5501 and by fax at 623-322-8996. The NPI was assigned on August 22, 2006 and the record was last updated in NPPES on February 26, 2008.

●Provider Profile Details

NPI Number
1861508541
Provider Name
Agave Foot Specialists, PLLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Heather Ann Couch, DPM · Owner/Podiatrist · 623-322-5501
Enumeration Date
August 22, 2006
Last Update Date
February 26, 2008
NPI Status
Active

◉Business Practice Location Address

Address
16841 N. 31ST Ave.
Ste. 134
Phoenix, AZ 85053-3051
State
Arizona
ZIP
85053-3051
Country
US
Phone Number
623-322-5501
Fax Number
623-322-8996

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✉Business Mailing Address

Address
16841 N. 31ST Ave.
Ste. 134
Phoenix, AZ 85053-3051
City
Phoenix
State
AZ
ZIP
85053-3051
Phone Number
623-322-5501
Fax Number
623-322-8996

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Podiatrist, Foot & Ankle Surgery
193400000X - Single Specialty Group
213ES0103XYes0552AZ

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Agave Foot Specialists, PLLC?

The NPI number of Agave Foot Specialists, PLLC is 1861508541. It was assigned on August 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Agave Foot Specialists, PLLC?

Agave Foot Specialists, PLLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X) and holds license No. 0552 (AZ).

Where does Agave Foot Specialists, PLLC practice?

The practice location is 16841 N. 31ST Ave., Ste. 134, Phoenix, AZ 85053-3051. The office can be reached at 623-322-5501 (phone) or 623-322-8996 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861508541 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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