MOSC, LLC (NPI# 1295015212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295015212 |
| Entity Type | Organization |
| Organization Name | MOSC, LLC |
| Practice Address |
4611 E Shea Blvd Suite 100 Phoenix AZ 85028-4254 |
| Practice Telephone | 6029964713 |
| Practice Fax Number | 6027956766 |
| Mailing Telephone | 6029964713 |
| Mailing Fax Number | 6027956766 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | DR. TAMIR MOSHARRAFA (MANAGING PARTNER) |
| Authorized Official Telephone | 6029964713 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AZ | Ambulatory Health Care Facilities |
| Street Address |
4611 E SHEA BLVD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457303471 | Ali M Mosharrafa | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2006-05-17 |
| 1639435886 | Mosharrafa Plastic Surgery Plc | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2012-04-02 |
| 1609163542 | Jason A Kayce | Podiatrist | 4611 E Shea Blvd, Suite 160, Phoenix, AZ 85028-4254 | 2011-06-29 |
| 1861782856 | Customceutical Compounding, LLC | Pharmacy | 4611 E Shea Blvd, Bldg 3, Ste 180, Phoenix, AZ 85028 | 2011-04-12 |
| 1497058143 | Susan K Oles Dmd Pllc | Dentist | 4611 E Shea Blvd, Suite 110, Phoenix, AZ 85028-4254 | 2010-12-17 |
| 1518273143 | Timothy C Schmidt | Dentist | 4611 E Shea Blvd, Ste 250 Bldg 1, Phoenix, AZ 85028-4254 | 2010-08-20 |
| 1467618850 | Kyle Vaughn | Podiatrist | 4611 E Shea Blvd, Suite 160, Phoenix, AZ 85028-4254 | 2008-08-05 |
| 1518161264 | Seivert Orthopedics and Sports Medicine,pc | Orthopaedic Surgery | 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 | 2007-06-14 |
| 1730232448 | Lauren Daniel Stegman | Radiology | 4611 E Shea Blvd, Ste 120, Phoenix, AZ 85028-4254 | 2007-01-18 |
| 1437175783 | Michael Anthony Seivert | Orthopaedic Surgery | 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| 1275198673 | Urology Asc- Phoenix, LLC | Clinic/Center | 1313 E Osborn Rd Ste 170b, Phoenix, AZ 85014-5678 | 2019-05-01 |
| 1053974592 | Maryvale Facility Group LLC | Clinic/Center | 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033-5518 | 2019-04-19 |
| 1831669522 | Cureteck Pain Center | Clinic/Center | 702 E Bell Rd Ste 103, Phoenix, AZ 85022-6648 | 2018-11-26 |
| 1194292730 | North Valley Pain Center Pllc | Clinic/Center | 15650 N Black Canyon Hwy # B121, Phoenix, AZ 85053-4064 | 2018-11-01 |
| 1578058897 | Uptown Surgery Center, LLC | Clinic/Center | 5133 N Central Ave Ste 200, Phoenix, AZ 85012-1438 | 2018-06-28 |
| 1083104186 | Valley Surgical Center LLC | Clinic/Center | 15601 N 28th Ave Ste 101, Phoenix, AZ 85053-4061 | 2018-05-14 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
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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.