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Deactivated NPI 1205016268 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Mason , DPM

Podiatrist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Mason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2007
NPI Deactivation Date January 18, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Mason, DPM was a registered Podiatrist practicing in Phoenix, AZ. Throughout an active medical career spanning 16 years, Dr. Mason provided care at the practice location at 502 E KALER DR until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

502 E Kaler Dr

Phoenix, AZ 850204050

Telephone 6022775551
Associated Practice Facility / Clinic
🏢 Phoenix Vamc Facility NPI 1184682676

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.7 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
48 Specialists

Practicing in Phoenix, AZ (235 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License AZ 0031

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Korena Fine , RN

Registered Nurse

NPI 1003003807

Registered Nurse

NPI 1003062837

Doctor of Pharmacy (Pharm.D.)

NPI 1003225673

Certified Nursing Assistant

NPI 1003588815

Doctor of Pharmacy (Pharm.D.)

NPI 1003647314
Dr. Venu Gopal , MD

Internal Medicine - Geriatric Medicine

NPI 1003853912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active November 07, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2007

Registered at 502 E KALER DR, PHOENIX, AZ 850204050 (Tel: 6022775551)

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Updated Business Mailing Address November 07, 2007

Registered at 502 E KALER DR, PHOENIX, AZ 850204050 (Tel: 6029435111)

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Provider Name / Credentials Updated November 07, 2007

Recorded as SAMUEL MASON, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2007

Podiatrist (License #0031 in AZ)

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Initial NPI Registration & Enumeration November 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205016268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2007
Last Update: November 07, 2007
Deactivation Date: January 18, 2023

Mailing Address

502 E Kaler Dr

Phoenix, AZ 850204050

Phone: 6029435111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.