DESERT VALLEY PEDIATRICS (NPI# 1336354984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336354984 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY PEDIATRICS |
| Practice Address |
4137 N 108th Ave Phoenix AZ 85037-5459 |
| Practice Telephone | 6238777337 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | CHRIS O'CONNELL (ADMINISTRATOR) |
| Authorized Official Telephone | 6238777337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
4137 N 108TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505097 | Lisa Marie Ring | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2005-06-01 |
| 1588209571 | Julia Rose Mackendrick | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2019-11-13 |
| 1598007817 | Kristen Stanley | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2013-03-25 |
| 1639481435 | Michelle Coit | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2010-07-08 |
| 1316113905 | Paul J Cluff | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2008-05-02 |
| 1629241401 | Victoria Campbell | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2008-04-11 |
| 1356469738 | Heather Mcferron | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| 1558489088 | Colleen Finan | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| 1376661819 | Julie Mccarthy | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| 1245358704 | Terry Bly | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
| 1952945313 | Arizona Primary Care & Regenerative Medicine LLC | Clinic/Center | 1611 W Silver Pine Dr, Phoenix, AZ 85086-1930 | 2019-10-29 |
| 1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
| 1568937407 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2018-10-08 |
| 1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
| 1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
| 1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
| 1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
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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.