DR. JULIUS RAY CHARLIE (NPI# 1063479707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479707 |
| Entity Type | Individual |
| Full Name | DR. JULIUS RAY CHARLIE |
| Credential | M.D. |
| Practice Address |
6944 E Broadway Rd Mesa AZ 85208-1916 |
| Mailing Address |
2201 W Fairview St Ste 1 Chandler AZ 85224-4712 |
| Practice Telephone | 4808004890 |
| Practice Fax Number | 4804274766 |
| Mailing Telephone | 4808004980 |
| Mailing Fax Number | 4804274766 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
40519 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD2006-0839 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 865090 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2201 W Fairview St, Ste 1, Chandler, AZ 852244712 | 4808004980 | 4804274766 |
| Street Address |
6944 E BROADWAY RD |
| City | MESA |
| State | AZ |
| Zip Code | 85208-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902103138 | Madiha Zia Sajjad | Internal Medicine | 6944 E Broadway Rd, Mesa, AZ 85208-1916 | 2011-02-24 |
| 1669693040 | Mashood Sajjad | Internal Medicine | 6944 E Broadway Rd, Mesa, AZ 85208-1916 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073573 | William Wagner Md PC | Psychiatry & Neurology | 4135 S Power Rd Ste 120, Mesa, AZ 85212-3626 | 2011-07-28 |
| 1144480682 | Win Toe | Psychiatry & Neurology | 6553 E Baywood Ave Ste 212, 2nd Floor, Mesa, AZ 85206-1754 | 2008-06-09 |
| 1053309245 | Gilbert J. Toffol, D.o., Pllc | Psychiatry & Neurology | 1134 E University Dr, Ste 114, Mesa, AZ 85203-8027 | 2005-10-11 |
| 1699771600 | David Charles Marzulo | Psychiatry & Neurology | 1919 E Mckellips Rd, Ste 102, Mesa, AZ 85203-2844 | 2005-06-23 |
| 1669095394 | Tonto Tech LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1124641857 | Pine Monitoring LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1043728801 | Advanced Iom Specialists, LLC | Psychiatry & Neurology | 2535 W Plata Ave, Mesa, AZ 85202-7860 | 2018-01-15 |
| 1184135980 | Iom Technologist Rem LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-19 |
| 1801307814 | Intraoperative Neurology Preventative Services LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-17 |
| 1386154219 | Mag7 Neurology LLC | Psychiatry & Neurology | 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 | 2017-10-05 |
| Find all providers in MESA | ||||
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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.