Extremity Health Center
LBN: Richard P Jacoby Dpm, Pc
Extremity Health Center is an health care organization with primary practice located at 9475 E Ironwood Square Dr Ste 100 , Scottsdale AZ 85258-4576. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Richard P Jacoby Dpm, Pc can be contacted via phone (480) 994-5977, or through Jacoby, Richard Paul via phone (480) 994-5977.
Contact Information
Primary practice address
9475 E Ironwood Square Dr Ste 100
Scottsdale AZ 85258-4576
Phone: (480) 994-5977
Fax: (480) 990-9397
Website:
Authorized official contact:
Name: Jacoby, Richard Paul Doctor of Podiatric Medicine (DPM)
Phone: (480) 994-5977
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00084 | Arizona |
Profile Details
| NPI number | 1669459962 |
|---|---|
| LBN Legal business name | Richard P Jacoby Dpm, Pc |
| DBA Doing business as | Extremity Health Center |
| Authorized official | Jacoby, Richard Paul Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 20th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669459962 | NPPES |
| Arizona | Other | 2572688 | AETNA PIN |
| Arizona | MEDICAID | 700626 | AETNA PIN |
| Arizona | Other | DA8041 | AETNA PIN |
| Arizona | Other | 189007100 | AETNA PIN |
| Arizona | Other | AZ0190960 | AETNA PIN |
| Arizona | Other | 1Z1219 | AETNA PIN |
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