Healthcare Provider Details
I. General information
NPI: 1811463946
Provider Name (Legal Business Name): JEFFREY E. MCALISTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2018
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7301 E 2ND ST STE 206
SCOTTSDALE AZ
85251-5610
US
IV. Provider business mailing address
7301 E 2ND ST STE 206
SCOTTSDALE AZ
85251-5610
US
V. Phone/Fax
- Phone: 602-761-7819
- Fax: 602-324-7199
- Phone: 602-761-7819
- Fax: 602-324-7199
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0000X |
| Taxonomy | Sports Medicine Podiatrist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
MCALISTER
Title or Position: OWNER
Credential: DPM
Phone: 602-761-7819