COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC (NPI# 1235616152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235616152 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC |
| Other Organization Name | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF |
| Practice Address |
2301 N 4th St Flagstaff AZ 86004 |
| Mailing Address |
4001 E Baseline Rd Ste 107 Gilbert AZ 85234-2744 |
| Practice Telephone | 9287197400 |
| Practice Fax Number | 4803711121 |
| Mailing Telephone | 4803747354 |
| Mailing Fax Number | 4803711121 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | JOEL R. RAINWATER (PRESIDENT) |
| Authorized Official Telephone | 4803747354 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Comprehensive Interventional Care Centers, PLLC - Flagstaff | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282400 | Comprehensive Interventional Care Centers, Pllc | Radiology | 6958 Sw Varns St, Portland, OR 97223-0000 | 2019-02-22 |
| 1629535091 | Comprehensive Interventional Care Centers, Pllc | Radiology | 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 | 2019-02-21 |
| 1568965697 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-03-15 |
| 1346707767 | Comprehensive Interventional Care Centers, Pllc | Podiatrist | 14642 N Del Webb Blvd Ste 200, Sun City, AZ 85351-2102 | 2019-02-21 |
| 1881197523 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 | 2018-03-08 |
| 1568803047 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 | 2013-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC | 6958 Sw Varns St, Portland, OR 97223 |
| Street Address |
2301 N 4TH ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392457 | Joshua Thomas Cady | Podiatrist | 2301 N 4th St, Flagstaff, AZ 86004-3708 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139958 | Banner Imaging Services LLC | Radiology | 10474 W Thunderbird Blvd Ste 100, Sun City, AZ 85351-3015 | 2019-08-14 |
| 1629535091 | Comprehensive Interventional Care Centers, Pllc | Radiology | 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 | 2019-02-21 |
| 1720542137 | Priority Interventional Radiology LLC | Radiology | 8787 N Scottsdale Rd Ste 105, Scottsdale, AZ 85253-2338 | 2019-01-30 |
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1134633837 | Association of University Radiologists, PC | Radiology | 3900 N Camino Ojo De Agua, Tucson, AZ 85749-7819 | 2017-11-17 |
| 1295262160 | Vein Ablation Specialists and Consultants LLC | Radiology | 7047 E Greenway Pkwy Ste 250, Scottsdale, AZ 85254-8113 | 2017-05-22 |
| 1588029672 | Advanced Vein Institute of Arizona, LLC | Radiology | 2155 E Conference Dr Ste 101, Tempe, AZ 85284-2604 | 2015-12-16 |
| 1649681842 | Vascular Vein & Imaging Center | Radiology | 2899 S Hope Dr, Yuma, AZ 85364-7487 | 2014-05-11 |
| 1255601613 | High Desert Radiology, P.C. | Radiology | 3439 Southern Vista Dr, Kingman, AZ 86401-0630 | 2012-01-03 |
| 1447316054 | Gnr Ventures, LLC | Radiology | 9440 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4569 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
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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.