MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA (NPI# 1356513444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356513444 |
| Entity Type | Organization |
| Organization Name | MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA |
| Other Organization Name | MEDPRO |
| Practice Address |
2601 E Roosevelt St Phoenix AZ 85008-4973 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6023441317 |
| Practice Fax Number | 6023441311 |
| Mailing Telephone | 6024705000 |
| Mailing Fax Number | 6024705064 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | TERESA CORDEIRO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6024705043 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE ORTHO GROUP # | 66603 | 01 |
| Other Name | Type Code |
|---|---|
| MedPro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114180189 | Medical Professional Associates of Arizona | Counselor | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2008-07-09 |
| 1972763209 | Medical Professional Associates of Arizona | Pathology | 1800 E Florence Blvd, Casa Grande, AZ 85222-5303 | 2008-06-10 |
| 1174795264 | Medical Professional Associates of Arizona | Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1255503348 | Medical Professional Associates of Arizona | Pathology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1275705360 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1265604359 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1619149705 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1811169907 | Medical Professional Associates of Arizona | Family Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1184896276 | Medical Professional Associates of Arizona | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1447422530 | Medical Professional Associates of Arizona | Obstetrics & Gynecology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| Street Address |
2601 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1881293165 | Christina Wellman | Registered Nurse | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-10-19 |
| 1639786544 | Lindsey Tow | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-09-24 |
| 1003424102 | Susannamma Lijan | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-07-15 |
| 1184241705 | Katharine Witham | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-30 |
| 1417574435 | Vishal Ravella | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 | 2020-06-26 |
| 1841814894 | Anthony Howard Arnett | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-05 |
| 1053932277 | Bhavesh Shukla | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-28 |
| 1659991016 | Luis Francisco Meza | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-25 |
| 1396365839 | Nicholas Donahue Winter | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1467829184 | Az Sports Clinic, LLC | Orthopaedic Surgery | 7797 W. Paradise Lane Suite 130, Phoenix, AZ 85382-3588 | 2015-08-28 |
| 1275911620 | Scott Howard Conant | Orthopaedic Surgery | 475 N 5th St, Phoenix, AZ 85004-2157 | 2015-05-18 |
| 1831500172 | Paramjit Singh | Orthopaedic Surgery | 9305 W Thomas Rd Ste 305, Phoenix, AZ 85037-3366 | 2014-05-08 |
| 1831537414 | Seth Andrew Christensen | Orthopaedic Surgery | 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 | 2013-06-05 |
| 1679819304 | Integrated Medical Services Inc | Orthopaedic Surgery | 4550 E Bell Rd Ste 280, Phoenix, AZ 85032-9384 | 2012-12-28 |
| 1235494741 | Benjamin Albert | Orthopaedic Surgery | 6950 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5179 | 2012-07-10 |
| 1629349469 | Alfred Franklin D'anca | Orthopaedic Surgery | 4019 Trails End Ct, Phoenix, MD 21131-1860 | 2012-01-25 |
| 1922399088 | Patricia Ann Drace | Orthopaedic Surgery | 1919 E Thomas Rd Fl 2, Phoenix, AZ 85016 | 2011-04-25 |
| 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.