ARIZONA SPORTS AND SPINE PHYSICIANS, P.C.


Address: 3033 W Bell Rd # 101a, Phoenix, AZ 85053-3000
Phone: 6023753333

ARIZONA SPORTS AND SPINE PHYSICIANS, P.C. (NPI# 1194973453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194973453
Entity Type Organization
Organization Name ARIZONA SPORTS AND SPINE PHYSICIANS, P.C.
Practice Address 3033 W Bell Rd # 101a
Phoenix
AZ 85053-3000
Practice Telephone 6023753333
Practice Fax Number 6023750435
Mailing Telephone 6023753333
Mailing Fax Number 6023750435
Enumeration Date 2008-08-28
Last Update Date 2008-08-28
Authorized Official Name DR. JOHN STEVEN CHAROCHAK (MEDICAL DIRECTOR)
Authorized Official Telephone 6023753333
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
2333 AZ Ambulatory Health Care Facilities

Office Location

Street Address 3033 W BELL RD # 101A
City PHOENIX
State AZ
Zip Code 85053-3000

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1366966434 Penny L Reamer Registered Nurse 17624 N. 31st Ave., Phoenix, AZ 85053 2017-08-01
1043749302 Jacob Stephen Lawrence Occupational Therapy Assistant 3116 W. Hartford Dr., Phoenix, AZ 85053 2017-06-08
1770022923 Horizon Dental Group West Valley Dentist 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 2017-02-21
1235594938 Linda Thi Trinh Optometrist 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 2015-12-22
1003230301 Continuum Group West, LLC. Clinic/Center 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 2014-02-07
1831539410 Michelle Lea Byers Nurse Practitioner 17624 North 31st Ave, Phoenix, AZ 85053 2013-06-27
1437446580 Candace Faith Gershkovich Dentist 4235 W. Thunderbird Rd, Phoenix, AZ 85053 2011-07-08
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1174905038 The Source Naturopathic Medical Clinic Clinic/Center 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 2015-06-26
1386033199 Greta M. Ivers, Md, Pllc Clinic/Center 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020 2015-01-16
1245667567 Viridian Health Management Clinic/Center 22601 N 19th Ave Ste 240, Phoenix, AZ 85027-1362 2013-10-01
1033361332 Concentra Health Services, Inc. Clinic/Center 3532 West Thomas Road, Phoenix, AZ 85019-4440 2008-10-17
1417143322 Us Medgroup, P.a. Clinic/Center 1818 East Sky Harbor Circle, Suite 150, Phoenix, AZ 85034 2007-09-25
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Competitor

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City PHOENIX
Zip Code 85053

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Dataset Information

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.

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