DISTRICT MEDICAL GROUP, INC (NPI# 1265765374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765374 |
| Entity Type | Organization |
| Organization Name | DISTRICT MEDICAL GROUP, INC |
| Practice Address |
2525 E Roosevelt St Med Clinic - Hem/onc Phoenix AZ 85008-4948 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6023441095 |
| Mailing Telephone | 6024705000 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | TERESA CORDEIRO (CREDENTIALING DIRECTOR) |
| Authorized Official Telephone | 6024705000 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISTRICT MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667555 | District Medical Group, Inc | Family Medicine | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 | 2020-01-02 |
| 1366081705 | District Medical Group, Inc | Family Medicine | 3624 W Anthem Way Ste C116, Anthem, AZ 85086-0457 | 2020-01-02 |
| 1831722768 | District Medical Group, Inc | Surgery | 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 | 2020-02-19 |
| 1144860016 | District Medical Group, Inc | Internal Medicine | 6315 E Main St, Mesa, AZ 85205-8953 | 2020-01-08 |
| 1063052934 | District Medical Group, Inc | Family Medicine | 1805 N Scottsdale Rd, Tempe, AZ 85281-1556 | 2020-01-08 |
| 1538708979 | District Medical Group, Inc | Family Medicine | 10144 W Lake Pleasant Pkwy Ste 1110, Peoria, AZ 85382-9716 | 2020-01-02 |
| 1548653934 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Toxicology, Phoenix, AZ 85008-4973 | 2015-03-10 |
| 1144624339 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Emergency Medicine, Phoenix, AZ 85008-4973 | 2014-10-16 |
| 1407106719 | District Medical Group, Inc | Clinic/Center | 3141 N 3rd Ave, Phoenix, AZ 85013-4345 | 2012-09-13 |
| 1538484993 | District Medical Group, Inc | Internal Medicine | 2601 E Roosevelt St, Rheumatology, Phoenix, AZ 85008-4973 | 2010-03-29 |
| Street Address |
2525 E ROOSEVELT ST MED CLINIC - HEM/ONC |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083698955 | Surabhi Amar | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2005-12-02 |
| 1982202982 | Katherine Brown | Dietitian, Registered | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2020-10-12 |
| 1295360287 | Stephanie Nicole Steeves | Dietitian, Registered | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2020-03-10 |
| 1154967602 | Danielle Fleck | Occupational Therapist | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2019-11-19 |
| 1336614858 | Teresa Dejesus Loera | Registered Nurse | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2018-10-11 |
| 1518445519 | Ari Blechner | Counselor | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2018-08-01 |
| 1194211755 | Adrienne Anne Jean Robb | Student in an Organized Health Care Education/Training Program | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2018-07-06 |
| 1629575246 | Andrea Jeanne Klock | Nurse Practitioner | 2525 E Roosevelt St, Phoenix, AZ 85008 | 2018-04-10 |
| 1003320904 | Sarah Taraborelli | Physician Assistant | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2017-11-30 |
| 1538680079 | Tessa Bowie | Physician Assistant | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2017-07-06 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1972766772 | Foluso N Ogunleye | Internal Medicine | 9250 N 3rd St Ste 3010, Phoenix, AZ 85020 | 2008-07-02 |
| 1740392893 | Teresita Co Barnett | Internal Medicine | 14660 N Coral Gables Dr, Phoenix, AZ 85023-6285 | 2006-08-31 |
| 1972555688 | Jerry Alan Olshan | Internal Medicine | 334 E Hatcher Rd, Phoenix, AZ 85020-2536 | 2006-05-17 |
| 1033161757 | Southwest Oncology & Hematology, PC | Internal Medicine | 3411 N 5th Avenue, Suite 400, Phoenix, AZ 85013-3899 | 2006-05-17 |
| 1205804283 | Mazen Khattab | Internal Medicine | 19646 N 27th Ave Ste 406, Phoenix, AZ 85027-4028 | 2006-03-08 |
| 1083698955 | Surabhi Amar | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2005-12-02 |
| 1659363794 | Sucai Bi | Internal Medicine | 1441 N. 12th St, Phoenix, AZ 85006 | 2005-08-16 |
| 1093008336 | Amber L Flaherty | Internal Medicine | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2011-05-19 |
| 1215166335 | Debra A Wong | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004 | 2009-07-10 |
| 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.