MEDICARE: ACCLAIM FOOT AND ANKLE CENTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0194500	OTHER	AZ	BCBS
2	1Z3309	OTHER	AZ	HEALTH NET
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	609656600	OTHER	AZ	OWCP

General Provider Information

NPI Number	:	1578695417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCLAIM FOOT AND ANKLE CENTER PC

Provider Business Mailing Address
First Line	:	9305 W THOMAS RD STE 225
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3363
Country	:	US
Telephone Number	:	623-536-9822
Fax Number	:	623-536-3448

Provider Business Practice Location Address
First Line	:	9305 W THOMAS RD STE 225
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3363
Country	:	US
Telephone Number	:	623-536-9822
Fax Number	:	623-536-3448

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KARRIE CORCORAN
Credential	:
Telephone Number	:	623-536-9822

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	12/03/2025

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