=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306978382
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL ANNE JANOWICZ D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2007
-----------------------------------------------------
Last Update Date | 10/14/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16427 N SCOTTSDALE RD STE 434
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85254-7103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-247-6494
-----------------------------------------------------
Fax | 480-247-6643
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11475 E HELM DR
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-1887
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-247-6494
-----------------------------------------------------
Fax | 480-247-6643
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 0829
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------