| Heelex 2 LLC | |
|
12329 W. Bola Drive Surprise AZ 85378 | |
| (865) 999-5898 | |
| Not Available |
| Full Name | Heelex 2 LLC |
|---|---|
| Speciality | Radiology |
| Location | 12329 W. Bola Drive, Surprise, Arizona |
| Authorized Official Name and Position | Todd Jefferson Scarbrough (MD, OWNER) |
| Authorized Official Contact | 8659995898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heelex 2 LLC 12329 W Bola Dr Surprise AZ 85378-9000 Ph: (270) 231-6269 | Heelex 2 LLC 12329 W. Bola Drive Surprise AZ 85378 Ph: (865) 999-5898 |
| NPI Number | 1215794094 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 08/04/2026 |
| Certification Date | 08/04/2026 |
| Medicare PECOS PAC ID | 1456876408 |
|---|---|
| Medicare Enrollment ID | O20250422003302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215794094 | NPI | - | NPPES |
| Provider Name | David M Bates |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336135177 PECOS PAC ID: 7315938586 Enrollment ID: I20040518001415 |
| Provider Name | Craig a Nagle |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497718506 PECOS PAC ID: 1658358486 Enrollment ID: I20070726000144 |
| Provider Name | Todd Scarbrough |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194700625 PECOS PAC ID: 6406869916 Enrollment ID: I20250424002912 |
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