Provider Demographics
NPI:1548440936
Name:ARIZONA FOOT & ANKLE CARE, P.C.
Entity type:Organization
Organization Name:ARIZONA FOOT & ANKLE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEONETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-843-3277
Mailing Address - Street 1:3201 W PEORIA AVE STE A200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4699
Mailing Address - Country:US
Mailing Address - Phone:602-843-3277
Mailing Address - Fax:602-843-3643
Practice Address - Street 1:3201 W PEORIA AVE STE A200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4699
Practice Address - Country:US
Practice Address - Phone:602-843-3277
Practice Address - Fax:602-843-3643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0210213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ480025917OtherRAILROAD MEDICARE
AZ188715900OtherACS
AZ6819144OtherCIGNA
AZZWCGCLOtherMEDICARE
AZ630556OtherAETNA
AZAZ0068970OtherBLUECROSS/BLUESHIELD
AZT88241Medicare UPIN
AZ480025917OtherRAILROAD MEDICARE