JOE BEZERRA (NPI# 1144772054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144772054 |
Entity Type | Individual |
Full Name | JOE BEZERRA |
Practice Address |
39818 N Bell Meadow Trl Phoenix AZ 85086 |
Practice Telephone | 6025736190 |
Mailing Telephone | 6025736190 |
Enumeration Date | 2016-10-26 |
Last Update Date | 2016-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
Street Address |
39818 N BELL MEADOW TRL |
City | PHOENIX |
State | AZ |
Zip Code | 85086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
1922350404 | A Touch of Desert Class L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 38718 N 29th Ave, Phoenix, AZ 85086 | 2012-10-09 |
Find all providers in zip 85086 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267346 | Chanel Gordon | Specialist | 1731 W Baseline Rd Ste 107, Mesa, AZ 85202-5730 | 2019-10-21 |
1942626486 | Sishana Janelle Gerald | Specialist | 4045 E Broadway Blvd, Tucson, AZ 85711-3454 | 2014-03-07 |
1023375516 | Edna Mae Harris | Specialist | 6970 E 22nd St, Suite #110, Tucson, AZ 85710-5121 | 2012-04-20 |
1295789196 | Gerald L Echols | Specialist | 1241 E. Broadway #28, Mesa, AZ 85204-2254 | 2006-05-22 |
1669907150 | Tommie Foxworth | Specialist | 1616 E Main St, Suite 102-103, Mesa, AZ 85203-9071 | 2017-04-22 |
1356718480 | Margo Grant-bryan | Specialist | 19395 N John Wayne Pkwy, Maricopa, AZ 85139-2833 | 2015-08-24 |
1154338440 | Shannon Cole Winn | Specialist | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2006-08-01 |
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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.