DR. MARIO T PARISE (NPI# 1114972395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114972395 |
| Entity Type | Individual |
| Full Name | DR. MARIO T PARISE |
| Credential | M.D. |
| Practice Address |
10503 W Thunderbird Blvd # 113 Sun City AZ 85351-3022 |
| Practice Telephone | 6235836420 |
| Practice Fax Number | 6235836421 |
| Mailing Telephone | 6235836420 |
| Mailing Fax Number | 6235836421 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
19729 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 297087 | 05 |
| Street Address |
10503 W THUNDERBIRD BLVD # 113 |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643920 | Kumar L Ravi | Internal Medicine | 10503 W Thunderbird Blvd, Ste 103, Sun City, AZ 85351-3022 | 2005-10-18 |
| 1821596875 | Sarah Elizabeth Bade | Physical Therapist | 10503 W Thunderbird Blvd, Sun City, AZ 85351-3022 | 2018-01-24 |
| 1578070066 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 10503 W Thunderbird Blvd, Sun City, AZ 85351-3022 | 2018-01-05 |
| 1689126591 | Julia D'angelo | Physician Assistant | 10503 W Thunderbird Blvd, 366, Sun City, AZ 85351-3022 | 2016-10-26 |
| 1720482912 | Philip Jordan Ristvedt | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2014-10-16 |
| 1447502968 | Advanced Audiological Associates, LLC | Audiologist-Hearing Aid Fitter | 10503 W Thunderbird Blvd, Suite 114, Sun City, AZ 85351-3022 | 2012-10-08 |
| 1104176627 | Morris Bruce Hamburg | Nurse Practitioner | 10503 W Thunderbird Blvd, Suite 262, Sun City, AZ 85351-3022 | 2012-09-12 |
| 1063788875 | Todd Christopher Herman | Specialist | 10503 W Thunderbird Blvd, Suite 262, Sun City, AZ 85351-3022 | 2012-03-26 |
| 1427368885 | Ahmad Nizam | Specialist | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3022 | 2010-10-19 |
| 1902116965 | Mara Lee Hall | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2010-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1609827286 | Liqun Bai | Internal Medicine | 10615 W Thunderbird Blvd Ste C100, Sun City, AZ 85351-3097 | 2006-05-16 |
| 1609339951 | Akdhc, LLC | Internal Medicine | 10615 W Thunderbird Blvd Ste C100, Sun City, AZ 85351-3097 | 2019-04-12 |
| 1558563817 | Atiq Syed | Internal Medicine | 10615 W Thunderbird Blvd Ste C100, Sun City, AZ 85351-3097 | 2007-05-31 |
| 1255377800 | Jean Robey | Internal Medicine | 10615 W Thunderbird Blvd Ste C100, Sun City, AZ 85351-3097 | 2006-06-21 |
| 1265439996 | Desert Dialysis Services, Inc. | Internal Medicine | 13000 N 103rd Ave, Ste. 66, Sun City, AZ 85351-3024 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089328 | Akdhc, LLC | Internal Medicine | 525 S Watson Rd Ste 205, Buckeye, AZ 85326-3451 | 2019-12-09 |
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1124503586 | Jean Letarte Md Pllc | Internal Medicine | 1515 E Florence Blvd Ste 102, Casa Grande, AZ 85122-5334 | 2018-10-01 |
| 1013403161 | Akdhc Surgery Center, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 100, Bullhead City, AZ 86442-7959 | 2018-07-02 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1902392079 | Akdhc,llc | Internal Medicine | 3600 W Tangerine Rd, Suite 110, Marana, AZ 85658 | 2018-07-02 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1720502073 | Akdhc, LLC | Internal Medicine | 4475 S I 19 Frontage Rd Ste 101, Green Valley, AZ 85614-5884 | 2017-07-28 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
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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.