MONARCH MEDICAL GROUP PLLC (NPI# 1356754881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356754881 |
| Entity Type | Organization |
| Organization Name | MONARCH MEDICAL GROUP PLLC |
| Practice Address |
2730 S Val Vista Dr Suite 161 Gilbert AZ 85295-1675 |
| Mailing Address |
Po Box 2749 Gilbert AZ 85299-2749 |
| Practice Telephone | 4808576316 |
| Practice Fax Number | 4808576638 |
| Mailing Telephone | 4808576316 |
| Mailing Fax Number | 4808576638 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | FARAH R LOKEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4808576316 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 40350 | AZ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 364025 | 05 |
| Street Address |
2730 S VAL VISTA DR SUITE 161 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1740716489 | Keith Bradshaw | Social Worker | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2017-05-01 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1003293606 | Mark Wesbrock | Registered Nurse | 2730 S Val Vista Dr, Suite 137, Gilbert, AZ 85295-1675 | 2015-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
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| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1437565389 | The Eagle-watch Behavioral Health Services LLC | Preferred Provider Organization | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2014-07-10 |
| 1356590368 | Az-ahc, Inc | Preferred Provider Organization | 459 N Gilbert Rd, Suite C-120, Gilbert, AZ 85234-4591 | 2008-09-15 |
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| 1205258415 | Maggie Lam Pllc | Preferred Provider Organization | 1761 E Warner Rd # A-14, Tempe, AZ 85284-4558 | 2014-01-08 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1952741530 | Hms Dental Pllc | Preferred Provider Organization | 22717 S Ellsworth Rd Ste B102, Queen Creek, AZ 85142-7575 | 2013-06-27 |
| 1629319322 | Aa Physiotherapy Inc | Preferred Provider Organization | 11333 N. 92 St, 1029, Scottsdale, AZ 85260 | 2013-03-06 |
| 1982953840 | Health Choice Preferred Arizona Aco LLC | Preferred Provider Organization | 410 N. 44th Street, Suite 900, Phoenix, AZ 85008-6522 | 2012-09-06 |
| 1184971822 | Daniel Garcia | Preferred Provider Organization | 12410 N Golden Mirror Dr, Marana, AZ 85658-4745 | 2012-08-13 |
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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.