| Ian Newport, DPM | |
|
4611 E Shea Blvd Ste 160, Phoenix, AZ 85028-4257 | |
| (480) 705-9920 | |
| (888) 872-0466 |
| Full Name | Ian Newport |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 7 Years |
| Location | 4611 E Shea Blvd Ste 160, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891227294 | NPI | - | NPPES |
| 08131 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD-000968 (Arizona) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD-000968 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Medical Services Inc | 1052328408 | 74 |
| Provider Name | Integrated Medical Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760441141 PECOS PAC ID: 1052328408 Enrollment ID: O20060309000742 |
| Provider Name | Paradise Valley Foot & Ankle Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710234422 PECOS PAC ID: 2163674011 Enrollment ID: O20121129000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Newport, DPM 4611 E. Shea Blvd., Building 2, Suite 160, Phoenix, AZ 85028 Ph: () - | Ian Newport, DPM 4611 E Shea Blvd Ste 160, Phoenix, AZ 85028-4257 Ph: (480) 705-9920 |
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