GARY W EDEN DO (NPI# 1134265226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134265226 |
| Entity Type | Organization |
| Organization Name | GARY W EDEN DO |
| Practice Address |
5440 E Southern Ave Suite 105 Mesa AZ 85206-2779 |
| Practice Telephone | 4806440424 |
| Practice Fax Number | 4806440926 |
| Mailing Telephone | 4806440424 |
| Mailing Fax Number | 4806440926 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-09-21 |
| Authorized Official Name | DR. GARY W EDEN (OWNER) |
| Authorized Official Telephone | 4806440424 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1795 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 274936 | 05 |
| Street Address |
5440 E SOUTHERN AVE SUITE 105 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144281759 | Yolanta Boese | Physical Therapist | 5440 E Southern Ave, Suite 101, Mesa, AZ 85206-2779 | 2006-03-31 |
| 1861634511 | Rebecca Wong | Physical Therapist | 5440 E Southern Ave, Suite 101, Mesa, AZ 85206-2779 | 2009-03-26 |
| 1124268453 | Rachel Claire Waddill | Dentist | 5440 E Southern Ave, Suite 107, Mesa, AZ 85206-2779 | 2009-02-26 |
| 1710166582 | Prisbrey PC | Chiropractor | 5440 E Southern Ave, Suite 104, Mesa, AZ 85206-2779 | 2007-10-30 |
| 1740485978 | Southern Square Dentistry Plc | Dentist | 5440 E Southern Ave, Suite 107, Mesa, AZ 85206-2779 | 2007-06-18 |
| 1922038439 | Keith Alan Shaull | Physical Therapist | 5440 E Southern Ave, Suite 101, Mesa, AZ 85206-2779 | 2006-07-03 |
| 1457313710 | Ted J Schwabenbauer | Physical Therapist | 5440 E Southern Ave, Suite 101, Mesa, AZ 85206-2779 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
| 1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1316468333 | Mesa Outpatient Treatment Center LLC | Surgery | 4540 E Baseline Rd Ste 119, Mesa, AZ 85206 | 2017-06-29 |
| 1770914228 | Minimally Invasive Spine,llc | Surgery | 4860 E Baseline Rd, Suite 101, Mesa, AZ 85206-4669 | 2013-12-10 |
| 1063755973 | Kambiz Kamrani | Surgery | 6553 E Baywood Ave Ste 101, Mesa, AZ 85206-1753 | 2013-03-28 |
| 1609024017 | Robert E Leber Md PC | Surgery | 1500 S Dobson Rd Ste 312, Mesa, AZ 85202-4752 | 2008-08-28 |
| 1528246352 | Patient First Assisting LLC | Surgery | 7329 E Milagro Ave, Mesa, AZ 85209-4966 | 2008-02-04 |
| 1720186851 | Charles Michael Garner | Surgery | 6553 E Baywood Ave Ste 210, Mesa, AZ 85206-1754 | 2006-09-20 |
| 1508885575 | Steven H. Miller | Surgery | 130 S 63rd St Ste 110, Mesa, AZ 85206-1620 | 2006-07-19 |
| 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.