PHYSICIAN GROUP OF ARIZONA INC (NPI# 1174091698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174091698 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUP OF ARIZONA INC |
| Other Organization Name | STEWARD MEDICAL GROUP OF ARIZONA |
| Practice Address |
1800 E Van Buren St Phoenix AZ 85006-3742 |
| Mailing Address |
Po Box 281201 Atlanta GA 30384-1201 |
| Practice Telephone | 6022518100 |
| Practice Fax Number | 6022518685 |
| Mailing Telephone | 8662437104 |
| Mailing Fax Number | 3144329683 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | MICHELLE DINSDALE (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6027977070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Steward Medical Group of Arizona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1487294096 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10301 N 92nd St, Suite B 201, Scottsdale, AZ 85258-4511 | 2020-01-11 |
| 1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
| 1467092130 | Physician Group of Arizona Inc | Orthopaedic Surgery | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 | 2020-01-10 |
| 1992345664 | Physician Group of Arizona Inc | Orthopaedic Surgery | 7727 W Deer Valley Rd, Suite 210, Peoria, AZ 85382-2120 | 2020-01-10 |
| 1558901215 | Physician Group of Arizona Inc | Orthopaedic Surgery | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 | 2020-01-10 |
| 1851957195 | Physician Group of Arizona Inc | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2019-05-13 |
| 1518137520 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St, Suite 200, Phoenix, AZ 85034-2004 | 2008-03-05 |
| Street Address |
1800 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1932709342 | St Lukes Behavioral Hospital Lp | Clinic/Center | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-10-27 |
| 1841804481 | Envision Solutions Pllc | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-09-01 |
| 1932739539 | Mary Ndumbe | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-01-22 |
| 1275173205 | Joaquin B Bermudez Do PC | Psychiatric Hospital | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-01-07 |
| 1700420403 | Linda Jean Lieber | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-11-05 |
| 1306492046 | Christian M Azode | Registered Nurse | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-08-16 |
| 1649733981 | Pv Mountain Medical Pllc | Internal Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-04-12 |
| 1558827998 | Steward Emergency Physicians of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-02-11 |
| 1083181895 | Sky Harbor Radiologists, LLC | Radiology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2018-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627815 | Fep Ncch | Emergency Medicine | 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 | 2020-10-22 |
| 1669861423 | Arthur Barker | Emergency Medicine | 4205 W Reddie Loop, Phoenix, AZ 85083-1610 | 2015-01-16 |
| 1326481102 | Adrienne R Azurdia | Emergency Medicine | 4237 E Liberty Ln, Phoenix, AZ 85048-0537 | 2013-04-11 |
| 1538401930 | Hannah Malashock | Emergency Medicine | 129 W Coronado Rd, Phoenix, AZ 85003-1144 | 2013-03-23 |
| 1982977922 | Robert Ellis George | Emergency Medicine | 1011 W. Golden Ln., Phoenix, AZ 85021 | 2012-02-22 |
| 1588972889 | Glenn Richard Kunsman | Emergency Medicine | 3507 N Central Ave Ste 403, Phoenix, AZ 85012-2124 | 2010-09-21 |
| 1073849501 | Melissa Denny | Emergency Medicine | 4225 E Mcdowell Rd Apt 1039, Phoenix, AZ 85008-4418 | 2009-10-17 |
| 1700111689 | Rachel Levitan | Emergency Medicine | 2601 E. Roosevelt, Department of Emergency Medicine, Phoenix, AZ 85008 | 2009-10-09 |
| 1891029328 | Patrick Godwin | Emergency Medicine | 5045 E Oneida St, Phoenix, AZ 85044-3325 | 2009-09-30 |
| 1689802209 | Robert John Mintz | Emergency Medicine | 9225 N 3rd St Ste 307, Phoenix, AZ 85020-2466 | 2009-06-23 |
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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.