MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA (NPI# 1184896276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184896276 |
| Entity Type | Organization |
| Organization Name | MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA |
| Other Organization Name | MEDPRO |
| Practice Address |
2601 E Roosevelt St Phoenix AZ 85008-4973 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6023445532 |
| Practice Fax Number | 6023445859 |
| Mailing Telephone | 6024705000 |
| Mailing Fax Number | 6024705064 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | TERESA CORDEIRO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6024705043 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PEDS GROUP # | WMBGJ | 01 |
| Other Name | Type Code |
|---|---|
| MedPro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114180189 | Medical Professional Associates of Arizona | Counselor | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2008-07-09 |
| 1972763209 | Medical Professional Associates of Arizona | Pathology | 1800 E Florence Blvd, Casa Grande, AZ 85222-5303 | 2008-06-10 |
| 1174795264 | Medical Professional Associates of Arizona | Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1255503348 | Medical Professional Associates of Arizona | Pathology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1275705360 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1356513444 | Medical Professional Associates of Arizona | Orthopaedic Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1265604359 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1619149705 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1811169907 | Medical Professional Associates of Arizona | Family Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1447422530 | Medical Professional Associates of Arizona | Obstetrics & Gynecology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| Street Address |
2601 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1881293165 | Christina Wellman | Registered Nurse | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-10-19 |
| 1639786544 | Lindsey Tow | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-09-24 |
| 1003424102 | Susannamma Lijan | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-07-15 |
| 1184241705 | Katharine Witham | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-30 |
| 1417574435 | Vishal Ravella | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 | 2020-06-26 |
| 1841814894 | Anthony Howard Arnett | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-05 |
| 1053932277 | Bhavesh Shukla | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-28 |
| 1659991016 | Luis Francisco Meza | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-25 |
| 1396365839 | Nicholas Donahue Winter | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1033642830 | Sumeet Gill | Pediatrics | 3805 E Bell Rd Ste 5100, Phoenix, AZ 85032-2174 | 2017-04-07 |
| 1639619968 | Pediatrics Kare LLC | Pediatrics | 7611 W Thomas Rd #co64, Phoenix, AZ 85033-5469 | 2017-03-06 |
| 1508300013 | Pediatrics & Family Kare Pllc | Pediatrics | 13229 N 41st Pl, Phoenix, AZ 85032-6709 | 2016-12-19 |
| 1881058931 | Nima Sekhadia | Pediatrics | 16611 S 40th St Ste 160, Phoenix, AZ 85048-0565 | 2016-04-05 |
| 1134580970 | Pleasant Pediatrics | Pediatrics | 2613 W Campbell Ave, Phoenix, AZ 85017-3770 | 2016-03-08 |
| 1174913826 | Arizona Pediatric Pllc | Pediatrics | 22 E Mitchell Dr, Phoenix, AZ 85012-2340 | 2015-02-03 |
| 1316282288 | Robert Fredrick Beauchamp | Pediatrics | 1 E Washington St, Suite 17, Phoenix, AZ 85004-2492 | 2012-12-04 |
| 1558634212 | Vishwabandhu J. Jhaveri | Pediatrics | 8220 N 23rd Ave, Building # 1, Phoenix, AZ 85021-4872 | 2012-02-10 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA.
| 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.