DESERT RIDGE MEDICAL LLC (NPI# 1265930614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265930614 |
| Entity Type | Organization |
| Organization Name | DESERT RIDGE MEDICAL LLC |
| Practice Address |
26224 N Tatum Blvd Ste 11 Phoenix AZ 85050-7500 |
| Mailing Address |
3724 N 3rd St Ste 301 Phoenix AZ 85012-2035 |
| Practice Telephone | 4806346400 |
| Practice Fax Number | 4804049649 |
| Mailing Telephone | 4806346400 |
| Mailing Fax Number | 4804049649 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | MR. CHALLEN WAYCHOFF III (COO/MANAGER) |
| Authorized Official Telephone | 4806346400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
26224 N TATUM BLVD STE 11 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767969 | Trenton Fogelson | Physical Medicine & Rehabilitation | 3201 W Peoria Ave Ste D800, Phoenix, AZ 85029-4600 | 2020-07-21 |
| 1023579653 | Sheryl Lynn Viltrakis | Physical Medicine & Rehabilitation | 1321 E Thunderhill Pl, Phoenix, AZ 85048-6201 | 2019-03-27 |
| 1659764173 | Luke W Garcia Do Pllc | Physical Medicine & Rehabilitation | 9515 W. Camelback Rd., #126, Phoenix, AZ 85037 | 2015-03-09 |
| 1457755845 | Regenerative Spine & Joint, Pllc | Physical Medicine & Rehabilitation | 2338 W Sleepy Ranch Rd, Phoenix, AZ 85085-7038 | 2014-10-15 |
| 1003101635 | Samantha Arrow | Physical Medicine & Rehabilitation | 1661 E Camelback Rd Ste 152, Phoenix, AZ 85016-3921 | 2011-06-11 |
| 1265672067 | Luke W Garcia I | Physical Medicine & Rehabilitation | 530 E Mcdowell Rd Ste 107-428, Suite 107-428, Phoenix, AZ 85004-1549 | 2009-03-06 |
| 1508013707 | Arizona Pain and Rehabilitation Associates | Physical Medicine & Rehabilitation | 11011 S 48th St Ste 220, Phoenix, AZ 85044-1788 | 2008-08-19 |
| 1053583450 | Mountainside Wellness Center Inc | Physical Medicine & Rehabilitation | 4909 E Chandler Blvd Ste 502, Phoenix, AZ 85048-0863 | 2008-03-26 |
| 1285812214 | Arizona Pain Management and Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 13835 N Tatum Blvd Ste 9326, Phoenix, AZ 85032-0409 | 2008-01-31 |
| 1316003338 | John Geoffrey Sollenberger | Physical Medicine & Rehabilitation | 44 W Monroe St, #1907, Phoenix, AZ 85003-4553 | 2006-12-28 |
| 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.