SOUTHERN ARIZONA PODIATRY
NPI 1104691773
Podiatrist - Foot & Ankle Surgery in Green Valley, AZ

Active since November 23, 2023
1055 N LA CANADA DR STE 135, GREEN VALLEY, AZ 85614(801) 310-5651 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, Nov 23, 2023 (2 updates tracked since 2023).

About Southern Arizona Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ARIZONA PODIATRY (NPI 1104691773) is a healthcare organization registered as a foot & ankle surgery in Green Valley, Arizona and active in the NPI registry since November 2023. The organization lists Steven Gillespie, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1104691773
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTHERN ARIZONA PODIATRY LLC
Location Address1055 N LA CANADA DR STE 135Green Valley, AZ 85614-3700
Mailing Address14480 S Via Del TronoSahuarita, AZ 85629-8494 · (801) 310-5651
Organization SubpartNo
Authorized OfficialSteven GillespiePodiatrist · (520) 640-7010
Enumeration DateNovember 23, 2023
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1104691773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1055 N LA CANADA DR STE 135, Green Valley, AZ 85614

Other Names 1

Doing Business AsSouthern Arizona Podiatry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1055 N LA CANADA DR STE 135
GREEN VALLEY, AZ 85614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Arizona Podiatry LLC's NPI number?

The NPI number for Southern Arizona Podiatry LLC is 1104691773. It was assigned to this organization in the NPPES registry on November 23, 2023. The provider is doing business as Southern Arizona Podiatry.

Where is Southern Arizona Podiatry LLC located?

Southern Arizona Podiatry LLC is located at 1055 N La Canada Dr Ste 135, Green Valley, AZ 85614. The listed phone number is (801) 310-5651.

What is Southern Arizona Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Southern Arizona Podiatry LLC was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.