GLENDALE WEIGHTLOSS LLC (NPI# 1376925602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376925602 |
| Entity Type | Organization |
| Organization Name | GLENDALE WEIGHTLOSS LLC |
| Other Organization Name | MEDI-WEIGHTLOSS |
| Practice Address |
5310 W Thunderbird Rd Ste 308 Glendale AZ 85306-4706 |
| Mailing Address |
509 S Hyde Park Ave Tampa FL 33606-2266 |
| Practice Telephone | 6238257931 |
| Practice Fax Number | 6232402673 |
| Mailing Telephone | 8132286334 |
| Mailing Fax Number | 8132286763 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | EDWARD KALOUST (MANAGER MEMBER) |
| Authorized Official Telephone | 8132286334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
500010862 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medi-Weightloss | Doing Business As Name - Organization |
| Street Address |
5310 W THUNDERBIRD RD STE 308 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852205 | Scott M Gulinson | Specialist | 5310 W Thunderbird Rd, Suite 308, Glendale, AZ 85306-4706 | 2005-06-27 |
| 1619361599 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 5310 W Thunderbird Rd, Ste 200, Glendale, AZ 85306-4706 | 2015-03-27 |
| 1881017630 | Richard E Feldhake,dmd,pc | Dentist | 5310 W Thunderbird Rd, Suit 111, Glendale, AZ 85306-4706 | 2014-01-30 |
| 1114271152 | Kelly Jo Paulson | Physician Assistant | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2012-10-29 |
| 1215204383 | Ben-ora, Hansen & Vanesian Imaging | Clinic/Center | 5310 W Thunderbird Rd, #213, Glendale, AZ 85306-4706 | 2011-11-17 |
| 1437458098 | Jmm Ventures | Specialist | 5310 W Thunderbird Rd, Ste 308, Glendale, AZ 85306 | 2011-03-22 |
| 1083911929 | Axis Eye Center LLC | Clinic/Center | 5310 W Thunderbird Rd, Suite 103, Glendale, AZ 85306-4706 | 2011-02-11 |
| 1588969786 | Edward P Fink Md LLC | Orthopaedic Surgery | 5310 W Thunderbird Rd, Ste 110, Glendale, AZ 85306-4706 | 2011-01-19 |
| 1700101078 | Tamis J Thrasher | Nurse Practitioner | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2010-03-30 |
| 1962638254 | Tamara Zach | Pediatrics | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2009-06-01 |
| Find all providers in the same location | ||||
| 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 | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978967 | Novellus Health LLC | Family Medicine | 1138 N Oro Vis, Litchfield Park, AZ 85340-4548 | 2020-06-30 |
| 1093978207 | Milton Wright Do Plc | Family Medicine | 13825 N 7th St., Suite A, Phoenix, AZ 85022 | 2008-07-08 |
| 1164931754 | Take Back Your Life Weight Loss Solutions, LLC | Family Medicine | 6005 S 36th St, Phoenix, AZ 85042-4901 | 2017-09-26 |
| 1467763698 | Arizona Bariatric and Family Medicine Plc | Family Medicine | 2152 S Vineyard, Suite 102, Mesa, AZ 85210-6871 | 2010-06-22 |
| 1982838264 | Robert J Goodrich | Family Medicine | 1930 Mesquite Ave Ste 2, Lake Havasu City, AZ 86403-5772 | 2009-05-14 |
| 1689847717 | Flagstaff Medical Center | Family Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-04-09 |
| 1528256419 | Medicorp, Inc. | Family Medicine | 5225 S Highway 95, Suite 5, Fort Mohave, AZ 86426-9111 | 2007-10-04 |
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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.