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EAST VALLEY FOOTCARE PLLC
NPI 1184737546
Podiatrist in Mesa, AZ

Active since August 17, 2006
6104 E BROWN RD, SUITE 102, MESA, AZ 85205(480) 357-4400(480) 807-0800 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Valley Footcare Pllc NPPES

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

EAST VALLEY FOOTCARE PLLC (NPI 1184737546) is a healthcare organization registered as a podiatrist in Mesa, Arizona and active in the NPI registry since August 2006. The organization lists Charles Connell, President, as its authorized official.

NPPES Registry Identity

NPI1184737546
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEAST VALLEY FOOTCARE PLLC
Location Address6104 E BROWN RD, SUITE 102Mesa, AZ 85205-4953
Mailing Address6104 E Brown Rd, Suite 102Mesa, AZ 85205-4953 · (480) 357-4400 · Fax (480) 807-0800
Phone(480) 357-4400
Fax(480) 807-0800
Organization SubpartNo
Authorized OfficialCharles ConnellPresident · (480) 357-4400
Enumeration DateAugust 17, 2006
Last NPPES UpdateApril 23, 2013
✔ NPI 1184737546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in AZ · 322
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6104 E BROWN RD, Mesa, AZ 85205
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Other Identifiers 4

Other480032937AZ · Railroad Medicare
Medicare NSC4416650001AZ
Other480032936AZ · Rr Medicare
Medicare PINZ68001AZ

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 3

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

LAUREL A. RETAY DO, PLC
Internal Medicine
6104 E BROWN RD, SUITE 101
MESA, AZ 85205
Maricopa County (480) 633-1452
JEFFREY PAWLOWSKI DPM
Podiatrist
6104 E BROWN RD, SUITE 101
MESA, AZ 85205
Maricopa County (480) 219-4100
CHARLES CONNELL D.P.M.
Podiatrist (Foot Surgery)
6104 E BROWN RD
MESA, AZ 85205
Maricopa County (480) 699-7377

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 East Valley Footcare PLLC's NPI number?

The NPI number for East Valley Footcare PLLC is 1184737546. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is East Valley Footcare PLLC located?

East Valley Footcare PLLC is located at 6104 E Brown Rd Suite 102, Mesa, AZ 85205. The listed phone number is (480) 357-4400.

What is East Valley Footcare PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for East Valley Footcare PLLC was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.