1598977324 NPI number — STEGMAN AND EROTAS, DPM, PC

Table of content: (NPI 1598977324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598977324 NPI number — STEGMAN AND EROTAS, DPM, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEGMAN AND EROTAS, DPM, PC
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:
AMERICAN FOOT AND ANKLE SPECIALISTS
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:
1598977324
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10900 N SCOTTSDALE RD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85254-5222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-483-9000
Provider Business Mailing Address Fax Number:
480-483-1791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10900 N SCOTTSDALE RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85254-5222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-483-9000
Provider Business Practice Location Address Fax Number:
480-483-1791
Provider Enumeration Date:
05/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STEGMAN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
480-483-9000

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  0197 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 213E00000X , with the licence number: 0228 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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