1659372027 NPI number — TALUS, LIMITED LIABILITY COMPANY

Table of content: (NPI 1659372027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659372027 NPI number — TALUS, LIMITED LIABILITY COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TALUS, LIMITED LIABILITY COMPANY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SERRINA M YOZSA, DPM
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659372027
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3501 N SCOTTSDALE RD
Provider Second Line Business Mailing Address:
STE 246
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85251-5648
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-994-3668
Provider Business Mailing Address Fax Number:
480-663-8110

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3501 N SCOTTSDALE RD
Provider Second Line Business Practice Location Address:
STE 246
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85251-5648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-994-3668
Provider Business Practice Location Address Fax Number:
480-663-8110
Provider Enumeration Date:
08/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
YOZSA
Authorized Official First Name:
SERRINA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
PODIATRIST/OWNER
Authorized Official Telephone Number:
480-994-3668

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  0514 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 477233 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 602490600 . This is a "DEPT OF LABOR" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: AZ0195150 . This is a "BCBS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 5250730001 . This is a "CIGNA DMERC REGION D" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 7167058 . This is a "AETNA HEALTH CARE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 2Z0160 . This is a "HEALTHNET" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 477233003 . This is a "MERCY CARE PLAN" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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