Provider Demographics
NPI:1679903868
Name:PODIATRY ASSOCIATES, INC
Entity type:Organization
Organization Name:PODIATRY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:303-805-5156
Mailing Address - Street 1:7505 VILLAGE SQUARE DR
Mailing Address - Street 2:#101
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3693
Mailing Address - Country:US
Mailing Address - Phone:303-805-5156
Mailing Address - Fax:303-805-5157
Practice Address - Street 1:26719 PLEASANT PARK RD
Practice Address - Street 2:STE 240
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-7756
Practice Address - Country:US
Practice Address - Phone:303-805-5156
Practice Address - Fax:303-805-5157
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PODIATRY ASSOCIATES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-25
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty