SUNLIGHT MEDICAL SERVICES PLLC (NPI# 1336607746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336607746 |
Entity Type | Organization |
Organization Name | SUNLIGHT MEDICAL SERVICES PLLC |
Practice Address |
5750 W Thunderbird Rd Suite F-640 Glendale AZ 85306 |
Practice Telephone | 4803006065 |
Practice Fax Number | 8559230899 |
Mailing Telephone | 4803006065 |
Mailing Fax Number | 8559230899 |
Enumeration Date | 2019-03-05 |
Last Update Date | 2020-01-24 |
Authorized Official Name | VICKY DRAMARETSKA (OWNER/PROVIDER) |
Authorized Official Telephone | 4803006065 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Street Address |
5750 W THUNDERBIRD RD SUITE F-640 |
City | GLENDALE |
State | AZ |
Zip Code | 85306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437152436 | Parmjeet Kumar Banghar | Internal Medicine | 5750 W Thunderbird Rd, Ste C300, Glendale, AZ 85306-4660 | 2005-05-23 |
1366993685 | Pamela Joann Edwards Haire | Nurse Practitioner | 5750 W Thunderbird Rd, Ste. C-300, Glendale, AZ 85306-4660 | 2016-10-21 |
1760845978 | Peter S. Nelson, Dds, Pllc | Dentist | 5750 W Thunderbird Rd, H850, Glendale, AZ 85306-4660 | 2016-04-04 |
1043695018 | Sarah Christine Ontiveros | Nurse Practitioner | 5750 W Thunderbird Rd, Suite B200, Glendale, AZ 85306-4660 | 2015-07-20 |
1114355526 | Julie Christenson | Dietitian, Registered | 5750 W Thunderbird Rd, Suite G-790, Glendale, AZ 85306-4660 | 2013-10-22 |
1548507510 | Arizona Center for Hematology and Oncology, Plc | Urology | 5750 W Thunderbird Rd, Suite C300, Glendale, AZ 85306-4660 | 2013-01-11 |
1417216607 | Arizona Center for Hematology and Oncology, Plc | Internal Medicine | 5750 W Thunderbird Rd, C300, Glendale, AZ 85306-4660 | 2012-05-09 |
1467725945 | Hetal Trivedi | Nurse Practitioner | 5750 W Thunderbird Rd, Suite # C-300, Glendale, AZ 85306-4660 | 2012-02-15 |
1174893887 | Kirk Ira Moran | Dentist | 5750 W Thunderbird Rd, Suite H-800, Glendale, AZ 85306-4660 | 2012-01-11 |
1437434602 | Vicky Dramaretska | Physician Assistant | 5750 W Thunderbird Rd, Suite F-640, Glendale, AZ 85306-4691 | 2011-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235271180 | Western Pacific Med-corp | Clinic/Center | 4544 San Fernando Rd, Suite 201, Glendale, CA 91204-1987 | 2007-02-13 |
1508356593 | Thunderbird Treatment Center Inc | Clinic/Center | 13820 N 51st Ave, Suite 400, Glendale, AZ 85306 | 2018-05-15 |
1770922650 | Western Pacific Re-hab | Clinic/Center | 4544 San Fernando Rd, Suite 201, Glendale, CA 91204-1987 | 2013-06-24 |
1720279441 | Western Pacific Med/corp | Clinic/Center | 4632 San Fernando Rd, Glendale, CA 91204-1822 | 2007-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811514524 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2806 W Cactus Rd, Phoenix, AZ 85029-3347 | 2020-06-29 |
1477191153 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2525 S Rural Rd Ste 9-10n, Tempe, AZ 85282-2435 | 2019-12-13 |
1962069468 | Community Medical Services Arizona-private, LLC | Clinic/Center | 1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ 86401-6232 | 2019-05-21 |
1770147571 | Community Medical Services Arizona-private, LLC | Clinic/Center | 274 W View Point Dr, Nogales, AZ 85621-4114 | 2019-04-26 |
1013570589 | Community Medical Services Arizona-private, LLC | Clinic/Center | 10689 N 99th Ave, Peoria, AZ 85345-5402 | 2019-04-19 |
1396204921 | Community Medical Services Arizona-private, LLC | Clinic/Center | 329 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368 | 2019-03-13 |
1124596911 | Etano Consulting Pllc | Clinic/Center | 3956 E Pima St, Tucson, AZ 85712-3315 | 2018-11-09 |
1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
1104282771 | Addiction Resources, Inc. | Clinic/Center | 4337 W Indian School Rd, 107, Phoenix, AZ 85031-2982 | 2016-01-12 |
1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
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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.