MEDICARE: DR. WADE ALLAN JESPERSEN DPM

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	SC006516	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	0843	AZ

General Provider Information

NPI Number	:	1174964654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WADE ALLAN JESPERSEN DPM

Provider Business Mailing Address
First Line	:	14050 N 83RD AVE
Second Line	:	STE 290
City	:	PEORIA
State	:	AZ
Zip	:	85381-5650
Country	:	US
Telephone Number	:	888-495-4489
Fax Number	:	602-865-8090

Provider Business Practice Location Address
First Line	:	19350 E SILVER CREEK LN
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-9064
Country	:	US
Telephone Number	:	480-718-5400
Fax Number	:	877-666-4624

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

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	05/09/2019

Similar Medicare Providers

1093753709 — MR. CORY M KOVAC PA-C
Practice Location Address:

19350 E SILVER CREEK LN
QUEEN CREEK, AZ
85142-9064

Practice Phone: 480-718-5400
Practice Fax: 877-666-4624

1811464373 — MITCHELL VANGELDER RD
Practice Location Address:

8794 SILER CITY GLENDON RD
BEAR CREEK, NC
27207-9064

Practice Phone: 919-819-4850
Practice Fax:

1114690401 — LIGHT AT THE END PLLC
Practice Location Address:

21168 E OCOTILLO RD # 1045
QUEEN CREEK, AZ
85142-8175

Practice Phone: 623-265-6220
Practice Fax: 866-491-7389

1225624729 — SHAVAUN JOHNSON NP
Practice Location Address:

21168 E OCOTILLO RD # 1045
QUEEN CREEK, AZ
85142-8175

Practice Phone: 623-265-6220
Practice Fax: 866-491-7389

1184515249 — VITAL HORMONES AND WEIGHT LOSS
Practice Location Address:

21455 S ELLSWORTH RD
QUEEN CREEK, AZ
85142-9849

Practice Phone: 480-318-1823
Practice Fax:

1073118162 — HEATHER MARIE RICHARDS LMFT
Practice Location Address:

21321 E OCOTILLO RD STE 132
QUEEN CREEK, AZ
85142-5995

Practice Phone: 602-759-0512
Practice Fax:

Directions to “ DR. WADE ALLAN JESPERSEN DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.