DR. EUGENE F. THARALSON (NPI# 1346290442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346290442 |
| Entity Type | Individual |
| Full Name | DR. EUGENE F. THARALSON |
| Credential | M.D. |
| Practice Address |
349 E Coronado Rd Phoenix AZ 85004-1525 |
| Mailing Address |
3020 E Camelback Rd Suite 301 Phoenix AZ 85016-5095 |
| Practice Telephone | 6022665678 |
| Practice Fax Number | 6022645646 |
| Mailing Telephone | 6022649100 |
| Mailing Fax Number | 6022649101 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
28034 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 885413-02 | 05 | |
| AZ | GROUP MEDICAID NUMBER | 317047 | 01 |
| AZ | GROUP MEDICARE NUMBER | 120390 | 01 |
| Street Address |
349 E CORONADO RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265492060 | Shiva K Ratuapli | Internal Medicine | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2006-03-24 |
| 1376997130 | Brenda Lea Baker | Nurse Practitioner | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2016-04-19 |
| 1336569581 | Coronado Anesthesia Pllc | Anesthesiology | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2014-04-25 |
| 1649464827 | Digestive Health Center of Arizona | Specialist | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2007-08-30 |
| 1962607556 | Alyssa Simpson | Dietitian, Registered | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2007-06-15 |
| 1669695409 | Adam Charles Randolph | Internal Medicine | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2007-04-10 |
| 1174574610 | David J. Drewitz | Internal Medicine | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2006-05-12 |
| 1912958232 | Traci L Kelly | Nurse Practitioner | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2006-05-12 |
| 1659321297 | Fredrick I. Kenny | Internal Medicine | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2006-05-12 |
| 1811948359 | Michael R. Mills | Internal Medicine | 349 E Coronado Rd, Phoenix, AZ 85004-1525 | 2006-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1447763602 | Desert Gastroenterology Pllc | Internal Medicine | 20430 N 19th Ave Ste B-150, Phoenix, AZ 85027-3588 | 2017-11-09 |
| 1528292125 | Jcl Gastroenterology, LLC | Internal Medicine | 9237 N. 3rd Street, Suite 202, Phoenix, AZ 85020-0000 | 2009-05-11 |
| 1467696757 | Jcl Gastroenterology, LLC | Internal Medicine | 19646 N. 27th Ave., Suite201, Phoenix, AZ 85027-0000 | 2009-04-30 |
| 1992981583 | Arizona Digestive Health, PC | Internal Medicine | 3020 E Camelback Rd, Suite 301, Phoenix, AZ 85016-4417 | 2008-01-14 |
| 1508969122 | Vincent J Honan Md PC | Internal Medicine | 1300 12th Str, #518, Phoenix, AZ 85006-2849 | 2006-09-07 |
| 1649381922 | Associated Billing Services, Inc | Internal Medicine | 13430 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85029-1310 | 2006-08-31 |
| 1619081577 | Bassel Al-lahham | Internal Medicine | 19636 N 27th Ave Ste 408, Phoenix, AZ 85027 | 2006-08-18 |
| 1700898590 | James R Spivey | Internal Medicine | 500 W Thomas Rd Ste 100, Phoenix, AZ 85013-4255 | 2006-08-12 |
| 1790739266 | Masud S Shaukat | Internal Medicine | 2401 E Luke Ave, Phoenix, AZ 85016-2808 | 2006-05-20 |
| 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.