MEDICARE: DR. NATHAN K PLASKEY D.P.M

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	213E00000X	Podiatrist	5901002478	MI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	0833	AZ

General Provider Information

NPI Number	:	1023457116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN K PLASKEY D.P.M

Provider Business Mailing Address
First Line	:	11390 E VIA LINDA STE 102
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-4075
Country	:	US
Telephone Number	:	480-247-8443
Fax Number	:

Provider Business Practice Location Address
First Line	:	11390 E VIA LINDA STE 102
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-4075
Country	:	US
Telephone Number	:	480-247-8443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2013
Last Update Date	:	06/18/2025

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