OSNA PRIMARY CARE, LLC (NPI# 1063855088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063855088 |
| Entity Type | Organization |
| Organization Name | OSNA PRIMARY CARE, LLC |
| Other Organization Name | MEZONA ORTHOPAEDIC |
| Practice Address |
2940 E Banner Gateway Dr Ste 200 Gilbert AZ 85234-2171 |
| Mailing Address |
Po Box 271429 Salt Lake City UT 84127-1429 |
| Practice Telephone | 4809642908 |
| Practice Fax Number | 4808332136 |
| Mailing Telephone | 6027723800 |
| Mailing Fax Number | 6027723801 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | JOHN KINNA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6027723800 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSNA PRIMARY CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mezona Orthopaedic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740529288 | Osna Primary Care, LLC | Family Medicine | 8630 E Via De Ventura Blvd, Ste 201, Scottsdale, AZ 85258-3358 | 2013-02-04 |
| 1811233554 | Osna Primary Care, LLC | Family Medicine | 8630 E Via De Ventura, Suite 201, Scottsdale, AZ 85258-3326 | 2012-12-28 |
| Street Address |
2940 E BANNER GATEWAY DR STE 200 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957556 | Beth Erickson Foley | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2005-07-29 |
| 1477090801 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 2940 E Banner Gateway Dr, Suite 350, Gilbert, AZ 85234-2168 | 2017-01-24 |
| 1306203674 | Jennifer Gomez | Physician Assistant | 2940 E Banner Gateway Dr, Gilbert, AZ 85234-2168 | 2016-01-18 |
| 1679941835 | Rebecca Luiten | Genetic Counselor, MS | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 | 2015-09-04 |
| 1497156640 | Jason Theodore Trulson | Physician Assistant | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2014-09-08 |
| 1336561828 | Kathleen M Forgy | Nurse Practitioner | 2940 E Banner Gateway Dr, Gilbert, AZ 85234 | 2014-01-17 |
| 1114357555 | Jennifer Gray | Clinical Nurse Specialist | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-11-21 |
| 1992130991 | Laura Mount | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2013-09-09 |
| 1265771588 | Athena Turnage | Physical Therapist | 2940 E Banner Gateway Dr, Suite 425, Gilbert, AZ 85234-2168 | 2013-02-06 |
| 1255684676 | Kristi M Goyne | Physical Therapist | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458205 | Ruth Cover | Family Medicine | 979 N Gilbert Rd Ste 102, Gilbert, AZ 85234-3307 | 2020-05-12 |
| 1659991461 | Charles Milton Combs IIi | Family Medicine | 3035 E Vernon St, Gilbert, AZ 85298-8757 | 2020-04-22 |
| 1316502750 | Shelley Campbell | Family Medicine | 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 | 2019-05-01 |
| 1689136830 | Master Mark Np, Pllc | Family Medicine | 4287 E Michelle Ave, Gilbert, AZ 85234-0117 | 2019-04-04 |
| 1841771904 | Farzam Afshar | Family Medicine | 829 S Adam Way, Gilbert, AZ 85296-1488 | 2018-08-27 |
| 1992295000 | Wade Reynolds | Family Medicine | 3061 E Vallejo Dr, Gilbert, AZ 85298-9059 | 2018-05-14 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1366813602 | Kyle Tisi | Family Medicine | 1489 S. Higley Rd, Suite 101, Gilbert, AZ 85296-4777 | 2015-10-13 |
| 1679857825 | Good Health Medical, P.C. | Family Medicine | 428 S. Gilbert Rd., Suite # 101, Gilbert, AZ 85296-2261 | 2011-10-06 |
| 1073807202 | Punyakam Pllc | Family Medicine | 690 E Warner Rd Ste 133, Gilbert, AZ 85296 | 2011-06-06 |
| Find all providers in GILBERT | ||||
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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.