Individual provider · Type 1 NPI

Nathaniel A. Ptak

Foot & Ankle Surgery Podiatrist · Sierra Vista, AZ

NPI number 1194387571 Active

Practice location

5750 E Highway 90 Ste 200
Sierra Vista, AZ 85635-9113

Fax (520) 263-3779

Other practice locations

  • 5121 S Cottonwood St, Murray, UT 84107-5701 · (801) 507-7000
  • 1670 Clairmont Rd, Decatur, GA 30033-4004 · (404) 321-6111

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X12366058-0501 (UT)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD001108 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1194387571

Nathaniel A. Ptak's National Provider Identifier is 1194387571, issued on Jul 5, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Sierra Vista, AZ. The record was last updated on Jun 26, 2025.