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Keith Thomas Bangart

Podiatrist

13660 N 94th Dr #f1
Peoria , Arizona 85381-4836

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Keith Thomas Bangart

Podiatrist

13660 N 94th Dr #f1
Peoria , Arizona 85381-4836

(623) 933-5787

Write a Review Save Call

Keith Thomas Bangart

Podiatrist

13660 N 94th Dr #f1
Peoria , Arizona 85381-4836

(623) 933-5787 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist

Languages spoken

  • English

Location

13660 N 94th Dr #f1 Peoria , Arizona 85381-4836

First Address

  • Keith Thomas Bangart
  • 13660 N 94th Dr #f1
  • Peoria, AZ
  • Zip : 85381-4836
  • Fax : (623) 933-5787
  • Phone : (623) 974-0522

Second Address

  • Keith Thomas Bangart
  • 13660 N 94th Dr #f1
  • Peoria, AZ
  • Zip : 85381-4836
  • Fax : (623) 933-5787
  • Phone : (623) 974-0522

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FAQs


Where did Keith Thomas Bangart attend graduate school?

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Where did Keith Thomas Bangart do his residency?

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Where did Keith Thomas Bangart do his fellowship?

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Is Keith Thomas Bangart board certified?

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What type of doctor is Keith Thomas Bangart

Podiatrist

In what state does Keith Thomas Bangart practice in?

Arizona

Where is Keith Thomas Bangart ’s practice located?

13660 N 94th Dr #f1 , Peoria, Arizona, 85381-4836

What is Keith Thomas Bangart ’s gender?

Male

Is Keith Thomas Bangart a sole practitioner?

No

Is Keith Thomas Bangart accepting new patients?

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What languages does Keith Thomas Bangart speak?

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Does Keith Thomas Bangart accept insurance?

Yes, Keith Thomas Bangart accepts insurance

Does Keith Thomas Bangart offers telemedicine?

Keith Thomas Bangart has not indicated if he offers telemedicine

What is Keith Thomas Bangart ’s professional license number?

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What is Keith Thomas Bangart ’s NPI number?

1013216373

Does Keith Thomas Bangart have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213E00000X Podiatrist 0724 AZ
Y 222Z00000X Podiatrist 0724 AZ

National Provider Identifier

NPI 1013216373
Provider Name Keith Thomas Bangart
First Address Peoria, AZ 85381-4836
Second Address Peoria, AZ 85381-4836
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/03/2011
Last Update Date 15/03/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0724 LICENSE # (01) AZ
6647440001 NSC PTAN (01) AZ
FB2444812 DEA # (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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