VIDAL MEDICAL OFFICE PLC (NPI# 1023112760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023112760 |
| Entity Type | Organization |
| Organization Name | VIDAL MEDICAL OFFICE PLC |
| Practice Address |
21300 N John Wayne Pkwy Unit 116 Bldg 7 Maricopa AZ 85139-8979 |
| Mailing Address |
21300 N John Wayne Pkwy Unit 116 Bldg 7 Maricopa AZ 85139-8978 |
| Practice Telephone | 5204239699 |
| Practice Fax Number | 5204239599 |
| Mailing Telephone | 5204239699 |
| Mailing Fax Number | 5204239599 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | DR. HILDA FLORES-VIDAL (OWNER) |
| Authorized Official Telephone | 5204239699 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS # | 313021 | 01 |
| Street Address |
21300 N JOHN WAYNE PKWY UNIT 116 BLDG 7 |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139-8979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336125731 | Andrew D Schatzki | Family Medicine | 21300 N John Wayne Pkwy, Ste 123, Maricopa, AZ 85239-8979 | 2005-12-16 |
| 1508313602 | Atos Dermatopathology Pllc | Dermatology | 21300 N John Wayne Pkwy, #116, Maricopa, AZ 85139-8979 | 2016-09-07 |
| 1134673932 | Sld LLC | Dentist | 21300 N John Wayne Pkwy, Ste 108, Maricopa, AZ 85139-8979 | 2016-08-09 |
| 1396197067 | Garrett Johnson | Physical Therapist | 21300 N John Wayne Pkwy, Suite 107, Maricopa, AZ 85139-8979 | 2016-07-06 |
| 1780040832 | Arizona Associates In Dentistry PC | Dentist | 21300 N John Wayne Pkwy, Suite 128, Maricopa, AZ 85139-8979 | 2016-01-05 |
| 1790181543 | Brittany Johnson | Physician Assistant | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85139-8979 | 2014-11-06 |
| 1922432632 | Akdhc, LLC | Internal Medicine | 21300 N John Wayne Pkwy, Suite 116, Maricopa, AZ 85139-8979 | 2013-08-29 |
| 1720306459 | Theresa L Bess | Nurse Practitioner | 21300 N John Wayne Pkwy, Suite 121, Maricopa, AZ 85139-8979 | 2010-05-05 |
| 1023347150 | Southwestern Pediatrics LLC | Nurse Practitioner | 21300 N John Wayne Pkwy, Ste 109, Maricopa, AZ 85139-8979 | 2009-12-21 |
| 1962737965 | Az Dermatology | Specialist | 21300 N John Wayne Pkwy, Suite 112, Maricopa, AZ 85139-8979 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| Find all providers in zip 85139 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1508496167 | Claudia Macias | Family Medicine | 4350 N 19th Ave Ste 3, Phoenix, AZ 85015-4602 | 2020-01-23 |
| 1992353312 | Az Premier Mobile Providers | Family Medicine | 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016-2170 | 2019-08-28 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1508338732 | Erin Leah Mickelson | Family Medicine | 1542 Marvin Gardens Ln, Prescott, AZ 86301-5528 | 2018-12-28 |
| 1437698107 | Edward A Carrington Md Pllc | Family Medicine | 2600 E Southern Ave Ste F4, Tempe, AZ 85282-7626 | 2017-02-14 |
| 1396123733 | Vital Health Care LLC | Family Medicine | 7707 W Deer Valley Rd Ste 115, Peoria, AZ 85382-2101 | 2015-05-18 |
| 1609267038 | Annual Wellness Centers LLC | Family Medicine | 116 Lake Havasu Ave S Ste 103, Lake Havasu City, AZ 86403-0811 | 2015-02-06 |
| 1518386929 | Valor Health Services, LLC | Family Medicine | 2990 N Campbell Avenue, Suite 230, Tucson, AZ 85719 | 2014-04-14 |
| 1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.