Provider Demographics
NPI:1902907504
Name:MICHAEL F ESBER DPM PC
Entity Type:Organization
Organization Name:MICHAEL F ESBER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-546-4930
Mailing Address - Street 1:14418 W MEEKER BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5291
Mailing Address - Country:US
Mailing Address - Phone:623-546-4930
Mailing Address - Fax:623-546-5979
Practice Address - Street 1:14300 W GRANITE VALLEY DR
Practice Address - Street 2:STE 5B
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5783
Practice Address - Country:US
Practice Address - Phone:623-546-4930
Practice Address - Fax:623-546-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDPM358213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
109030Medicare PIN
AZ5685240001Medicare NSC
AZU20701Medicare UPIN