MODERN SPORTS MEDICINE LLC (NPI# 1285295089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285295089 |
| Entity Type | Organization |
| Organization Name | MODERN SPORTS MEDICINE LLC |
| Practice Address |
10450 E Riggs Rd Ste 104 Sun Lakes AZ 85248-7759 |
| Practice Telephone | 5024152836 |
| Mailing Telephone | 5024152836 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | JOSH ADAMS (OWNER) |
| Authorized Official Telephone | 5024152836 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072387 | Modern Sports Medicine LLC | Physical Therapist | 1840 E Warner Rd Ste 121, Tempe, AZ 85284-3445 | 2020-08-06 |
| 1942810833 | Modern Sports Medicine LLC | Specialist | 6242 E Arbor Ave Unit 1, Mesa, AZ 85206-1309 | 2020-08-05 |
| 1700495892 | Modern Sports Medicine LLC | Preventive Medicine | 14821 N Del Webb Blvd, Sun City, AZ 85351-2145 | 2020-07-24 |
| Street Address |
10450 E RIGGS RD STE 104 |
| City | SUN LAKES |
| State | AZ |
| Zip Code | 85248-7759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790080 | Madison Medical Partners, LLC | Family Medicine | 911 W Las Palmaritas Dr, Phoenix, AZ 85021-5546 | 2020-08-11 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1962612069 | David G Carfagno | Family Medicine | 10133 N 92nd St, Suite 102, Scottsdale, AZ 85258-4556 | 2007-05-23 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1780732412 | Lynne Pirie | Family Medicine | 711 E Carefree Hwy Ste 208, North Phoenix Health Institute, Phoenix, AZ 85085-0109 | 2007-01-08 |
| 1174689988 | Summit Sports & Family Medicine PC | Family Medicine | 7717 W Deer Valley Rd, Suite 125, Peoria, AZ 85382-2102 | 2006-12-28 |
| 1942381611 | Thomas C Fiel Do PC | Family Medicine | 1840 E Baseline Rd # C-2, Tempe, AZ 85283-1527 | 2006-10-18 |
| 1477587335 | University Sports Medicine PC | Family Medicine | 15810 S 45th St Ste 101, Phoenix, AZ 85048-7695 | 2006-07-10 |
| 1760441174 | Robert Philip Luberto | Family Medicine | 7717 W. Deer Valley Rd., Suite 125, Peoria, AZ 85382 | 2006-03-23 |
| 1528039856 | Joel A. Morton | Family Medicine | 16222 N. 59th Ave, Suite A100, Glendale, AZ 85306-1705 | 2006-01-26 |
| 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.