DESERT HORIZON MEDICAL GROUP
NPI 1518124700
Podiatrist - Foot & Ankle Surgery in Gilbert, AZ

NPI Status: Active since May 16, 2008

Contact Information

1501 N GILBERT RD
SUITE 207
GILBERT, AZ
ZIP 85234
Phone: (520) 421-1122
Fax: (520) 421-0751

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About DESERT HORIZON MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Desert Horizon Medical Group, a provider established in Gilbert, Arizona operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1518124700 assigned on May 2008. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Frederick Stack Dpm (President)

NPI
1518124700
Provider Name
DESERT HORIZON MEDICAL GROUP
Entity Type
Organization
Location Address
1501 N GILBERT RD SUITE 207 GILBERT, AZ 85234
Location Phone
(520) 421-1122
Location Fax
(520) 421-0751
Mailing Address
1821 N TREKELL RD SUITE 6 CASA GRANDE, AZ 85222
Mailing Phone
(520) 421-1122
Mailing Fax
(520) 421-0751
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-16-2008
Last Update Date
05-16-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. FREDERICK STACK DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(520) 421-1122

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CH1571OTHER (01)AZRAILROAD MEDICARE
Z62197MEDICARE PIN (08)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518124700
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252822870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 2 + 8 + 7 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518124700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316983497DR. AURBINDERDEEP K. SIDHU MD
Individual
Family Medicine1501 N GILBERT RD
GILBERT, AZ 85234
(480) 728-4114
1134234784DR. PAUL GENUISE M.D.
Individual
Family Medicine1501 N GILBERT RD
GILBERT, AZ 85234
(480) 728-4114
1396968822MRS. LINDA GRIFFIN BROST RN OGNP
Individual
Obstetrics & Gynecology1501 N GILBERT RD STE 200
GILBERT, AZ 85234
(480) 633-6868
1427111541 LAWRENCE R LEBEAU DO
Individual
Family Medicine1501 N GILBERT RD
GILBERT, AZ 85234
(480) 728-4104
1881680080 RUSKIN R LINES MD
Individual
Specialist1501 N GILBERT RD SUITE 206
GILBERT, AZ 85234
(480) 507-7767
1659868222CHANDLER RADIOLOGY ASSOCIATES LLC
Organization
Radiology (Diagnostic Radiology)1501 N GILBERT RD
GILBERT, AZ 85234
(469) 401-2386
1366501405EAST VALLEY SURGICAL ASSOCIATES,PLLC
Organization
Specialist1501 N GILBERT RD 207
GILBERT, AZ 85234
(480) 633-0202
1821520313 BREANNE M JAQUA D.O.
Individual
Emergency Medicine1501 N GILBERT RD
GILBERT, AZ 85234
(480) 728-4100
1750520771DR. NAMIR J SHABA D.O.
Individual
Urology1501 N GILBERT RD SUITE 204
GILBERT, AZ 85234
(480) 924-7333
1992785000DR. FRANK L SIMONCINI DO
Individual
Urology1501 N GILBERT RD SUITE 204
GILBERT, AZ 85234
(480) 924-7333
1639135304 KAREN ELIZABETH SALTZMAN N.P.
Individual
Nurse Practitioner (Obstetrics & Gynecology)1501 N GILBERT RD
GILBERT, AZ 85234
(480) 633-6868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518124700, enumerated in the NPI registry as an "organization" on May 16, 2008

The provider is located at 1501 N Gilbert Rd Suite 207 Gilbert, Az 85234 and the phone number is (520) 421-1122

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 16, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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