SAN TAN ALLERGY AND ASTHMA PC (NPI# 1124240510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124240510 |
| Entity Type | Organization |
| Organization Name | SAN TAN ALLERGY AND ASTHMA PC |
| Practice Address |
4915 E Baseline Rd Ste 112 Gilbert AZ 85234 |
| Mailing Address |
4915 E Baseline Rd Ste 112 Gilbert AZ 85234-2966 |
| Practice Telephone | 4806266600 |
| Practice Fax Number | 4806266604 |
| Mailing Telephone | 4806266600 |
| Mailing Fax Number | 4806266604 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | GREGORY CARLSON (BUSINESS MANAGER) |
| Authorized Official Telephone | 4806266600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 29558 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE # FOR DR. NEAL JAIN | Z134798 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4915 E Baseline Rd Ste 112, Gilbert, AZ 852342966 | 4806266600 | 4806266604 |
| 708 S Coeur D Alene Ln Ste C, Payson, AZ 855415662 | 4806266600 | 4806266604 |
| 4840 E Indian School Rd Ste 101, Phoenix, AZ 850185500 | 4806266600 | 4806266604 |
| Street Address |
4915 E BASELINE RD STE 112 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720321250 | Kiranjit Kaur Khalsa | Internal Medicine | 4915 E Baseline Rd Ste 112, Gilbert, AZ 85234 | 2013-04-03 |
| 1073805511 | John Gedell | Physician Assistant | 4915 E Baseline Rd Ste 112, Gilbert, AZ 85234-2966 | 2011-05-03 |
| 1194034942 | Heidi Marie Schmidt | Physician Assistant | 4915 E Baseline Rd Ste 112, Gilbert, AZ 85234-2966 | 2010-09-28 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447210935 | Earl Alan Labovitz | Allergy & Immunology | 2915 E Baseline Rd, Suite 121, Gilbert, AZ 85234-2425 | 2006-03-27 |
| 1497035604 | Jennifer Leigh Hill | Allergy & Immunology | 4915 E Baseline Rd, Ste 112, Gilbert, AZ 85234-2966 | 2011-08-18 |
| 1396056131 | Allery and Asthma Center of Arizona Plc | Allergy & Immunology | 633 E Ray Rd, 101, Gilbert, AZ 85296-4200 | 2010-06-26 |
| 1548571623 | Deepa Maria Grandon | Allergy & Immunology | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2965 | 2010-06-23 |
| 1124298468 | East Valley Allergy & Asthma Center, Inc. | Allergy & Immunology | 3491 S Mercy Rd, Suite #101, Gilbert, AZ 85297-0433 | 2008-03-03 |
| 1306058961 | Mesa Tempe Allergy & Asthma Clinic PC | Allergy & Immunology | 2915 E Baseline Rd, Suite 121, Gilbert, AZ 85234-2425 | 2007-05-04 |
| 1356390512 | Neal Jain | Allergy & Immunology | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2966 | 2006-05-08 |
| 1073587382 | Sam Reed Shimamoto | Allergy & Immunology | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2965 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111603 | Arizona Allergy and Asthma Specialists PC | Allergy & Immunology | 16611 S 40th St Ste 170, Phoenix, AZ 85048-0565 | 2018-04-10 |
| 1588192397 | North Scottsdale Allergy Associates | Allergy & Immunology | 6892 E Ironwood Dr, Scottsdale, AZ 85266-7444 | 2017-05-24 |
| 1164756904 | Gregory Michael Cowan | Allergy & Immunology | 9145 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4820 | 2009-09-27 |
| 1740445782 | Stanley Carl Ushinski | Allergy & Immunology | 5160 North Camino Sumo, Tucson, AZ 85718-6044 | 2008-07-18 |
| 1053586917 | Arizona Physicians Pllc | Allergy & Immunology | 5116 W Fawn Dr, Laveen, AZ 85339-2897 | 2008-04-22 |
| 1740466549 | Jeffrey Dale Leitner | Allergy & Immunology | 11209 N Tatum Blvd Ste 175, Stonecreek Medical Associates, Phoenix, AZ 85028-6016 | 2008-01-11 |
| 1972695914 | Jeffrey M Lime | Allergy & Immunology | 5605 W Eugie, 200, Glendale, AZ 85304-1200 | 2006-09-28 |
| 1053412064 | Allergy Asthma Associates PC | Allergy & Immunology | 2320 N Wyatt Dr Ste 71, Tucson, AZ 85712-2151 | 2006-09-25 |
| 1043314065 | Nabeeh Naufal Lahood | Allergy & Immunology | 2320 N Wyatt Dr, Suite 71, Tucson, AZ 85712-2151 | 2006-09-11 |
| 1144244807 | Laine E Keahey | Allergy & Immunology | 705 S Dobson Road, Chandler, AZ 85224 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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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.