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MARICOPA PODIATRY CORPORATION
NPI 1649456229
Podiatrist - Foot Surgery in Surprise, AZ

Active since January 14, 2008
12361 W BOLA DR, SUITE 100, SURPRISE, AZ 85378(623) 214-3335(623) 214-3956 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maricopa Podiatry Corporation NPPES

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

MARICOPA PODIATRY CORPORATION (NPI 1649456229) is a healthcare organization registered as a foot surgery in Surprise, Arizona and active in the NPI registry since January 2008. The organization lists Tharesh Udupa, Owner, as its authorized official.

NPPES Registry Identity

NPI1649456229
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameMARICOPA PODIATRY CORPORATION
Location Address12361 W BOLA DR, SUITE 100Surprise, AZ 85378-9021
Mailing AddressPo Box 9350Surprise, AZ 85374-0139 · (623) 214-3335 · Fax (623) 214-3956
Phone(623) 214-3335
Fax(623) 214-3956
Organization SubpartNo
Authorized OfficialTharesh UdupaOwner · (623) 214-3335
Enumeration DateJanuary 14, 2008
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1649456229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in AZ · 0599
12361 W BOLA DR, Surprise, AZ 85378
Open in Google Maps ↗

Other Identifiers 3

Medicaid842171AZ
Medicare UPINU88958AZ
Medicare OSCAR/certification104693AZ

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 16

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

LAWRENCE J KELLY MD
Orthopaedic Surgery
12361 W BOLA DR, SUITE 100
SURPRISE, AZ 85378
Maricopa County (623) 584-5626
DESERT SPINE SURGEONS, PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12361 W BOLA DR, SUITE 100
SURPRISE, AZ 85378
Maricopa County (623) 584-5626
ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE, LLC
Surgery (Vascular Surgery)
12361 W BOLA DR
SURPRISE, AZ 85378
Maricopa County (623) 815-5000
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Orthopaedic Surgery
12361 W BOLA DR, STE 100
SURPRISE, AZ 85378
Maricopa County (623) 584-5626
NICOLE BARTH FNP-C
Nurse Practitioner (Family)
12361 W BOLA DR, SUITE 109
SURPRISE, AZ 85378
Maricopa County (623) 227-1000
LAWRENCE KELLY, MD PC
Orthopaedic Surgery (Sports Medicine)
12361 W BOLA DR
SURPRISE, AZ 85378
Maricopa County (623) 853-4812
TRAVIS S JENSEN DPM PC
Podiatrist (Foot & Ankle Surgery)
12361 W BOLA DR
SURPRISE, AZ 85378
Maricopa County (623) 584-5626
SR BILLING
Anesthesiology (Pain Medicine)
12361 W BOLA DR, SUITE 109
SURPRISE, AZ 85378
Maricopa County (623) 974-9571

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 Maricopa Podiatry Corporation's NPI number?

The NPI number for Maricopa Podiatry Corporation is 1649456229. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Maricopa Podiatry Corporation located?

Maricopa Podiatry Corporation is located at 12361 W Bola Dr Suite 100, Surprise, AZ 85378. The listed phone number is (623) 214-3335.

What is Maricopa Podiatry Corporation's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Maricopa Podiatry Corporation was last updated on September 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.