DR. GENE DAVID PRENDERGAST (NPI# 1144370446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144370446 |
| Entity Type | Individual |
| Full Name | DR. GENE DAVID PRENDERGAST |
| Credential | D.O. |
| Practice Address |
4485 S 1-19 Frontage Road Suite 100 Green Valley AZ 85614 |
| Mailing Address |
18444 N 25th Ave Suite 310 Phoenix AZ 85023-1261 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A-1607-11 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
4485 S 1-19 FRONTAGE ROAD SUITE 100 |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
| 1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
| 1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
| 1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
| 1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
| 1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
| Find all providers in zip 85614 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619998267 | Olivia E. Morris | Orthopaedic Surgery | 4485 S. I-19 Frontage Rd. Suite 100, Green Valley, AZ 85614-4611 | 2006-07-21 |
| 1578526034 | Enes M. Kanlic | Orthopaedic Surgery | 4485 S I 19 Frontage Rd Ste 100, Green Valley, AZ 85614-5884 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945194 | John C. Medlen, M.d., P.C. | Orthopaedic Surgery | 1701 W St Marys Rd Ste 145, Tucson, AZ 85745-2683 | 2020-06-05 |
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1003455197 | Gough Surgical Pllc | Orthopaedic Surgery | 9571 E Nittany Dr, Scottsdale, AZ 85255-5555 | 2020-01-06 |
| 1053877464 | Sgl Holdings LLC | Orthopaedic Surgery | 3501 N Scottsdale Rd Ste 221, Scottsdale, AZ 85251-5649 | 2019-02-11 |
| 1588134449 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 14044 W Camelback Rd Ste 120, Litchfield Park, AZ 85340-9428 | 2018-12-04 |
| 1841770450 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 3645 S Rome St Ste 201, Gilbert, AZ 85297-7338 | 2018-08-14 |
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1457831059 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 2152 S Vineyard Ste 129, Mesa, AZ 85210-6882 | 2018-08-14 |
| 1780163030 | Larry J. Sanders, M.d., Pllc. | Orthopaedic Surgery | 8235 S Pecan Grove Cir, Tempe, AZ 85284-2311 | 2018-08-08 |
| 1992299499 | Arizona Advanced Surgical Assists LLC | Orthopaedic Surgery | 5235 E Southern Ave Ste D106-440, Mesa, AZ 85206-3626 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
| City | GREEN VALLEY |
| Zip Code | 85614 |
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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.