Maricopa Podiatry Corporation
Podiatry practice in Surprise, AZ
Registered providerLicense # listed (AZ)
Public-record details
- Address
- 12361 W Bola Dr, Suite 100, Surprise, AZ 85378
- Phone
- (623) 214-3335
- Listed under
- Practices and organizations, Foot and ankle surgery (registered)
- NPI
- 1649456229
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Podiatrist, Foot Surgery (213ES0131X)
- License number on NPI record
- 0599 (AZ)
- Authorized official
- Tharesh Udupa, DPM, Owner
- NPI first issued
- Jan 14, 2008
- Years since NPI first issued
- 18 years (since 2008)
- License state on NPI record
- AZ
- NPI record last updated
- Sep 10, 2014
- Other podiatry listings at this street address
- 2
Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error
What these registry facts mean
Podiatrists and practices at this address
- Travis Jensen, DPM
- Travis S Jensen DPM PC (practice/organization)
Registered specialty is not board certification. Verify the license with the state podiatry board, and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine. Medicare generally does not cover routine foot care; ask how your visit will be billed.