MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA (NPI# 1265604359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265604359 |
| 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 | 6023445351 |
| Practice Fax Number | 6023441192 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE RHEUM GROUP # | 68762 | 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 |
| 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 |
| 1184896276 | Medical Professional Associates of Arizona | Pediatrics | 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134337918 | Thomas Frederick Disney | Internal Medicine | 4123 E Paradise Dr, Phoenix, AZ 85028-1511 | 2007-05-18 |
| 1780781732 | Theresa R Nieman | Internal Medicine | 650 E Indian School Rd # 111-d, Phoenix, AZ 85012-1839 | 2006-09-20 |
| 1255955191 | Kenneth G. Lawlor, Do, Pllc | Internal Medicine | 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085-2869 | 2020-06-06 |
| 1295095495 | Nikila V. Kumar | Internal Medicine | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032-9385 | 2012-05-22 |
| 1265712475 | Phyllis Sydney Reuss | Internal Medicine | 1300 N 12th St, Suite 618, Phoenix, AZ 85006-2877 | 2011-08-18 |
| 1538484993 | District Medical Group, Inc | Internal Medicine | 2601 E Roosevelt St, Rheumatology, Phoenix, AZ 85008-4973 | 2010-03-29 |
| 1689996886 | Arthritis Care Specialists PC | Internal Medicine | 1300 N 12th St, #618, Phoenix, AZ 85006-2848 | 2010-02-16 |
| 1982834321 | Joonhee Lim | Internal Medicine | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032 | 2009-07-20 |
| 1275789877 | Daniel Edward Kreutz | Internal Medicine | 4550 E Bell Rd, Suite 170, Phoenix, AZ 85032-9306 | 2008-08-14 |
| 1053588020 | Joseph M Kennedy | Internal Medicine | 650 East Indian School Road, Phoenix, AZ 85012 | 2008-05-09 |
| Find all providers in PHOENIX | ||||
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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.