SOUTHWEST PHYSIATRY PLLC (NPI# 1407367139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407367139 |
Entity Type | Organization |
Organization Name | SOUTHWEST PHYSIATRY PLLC |
Practice Address |
2000 W Bethany Home Rd Phoenix AZ 85015-2443 |
Mailing Address |
5302 N 42nd Pl Phoenix AZ 85018-1668 |
Practice Telephone | 6175383650 |
Mailing Telephone | 6175383650 |
Enumeration Date | 2017-10-20 |
Last Update Date | 2017-10-20 |
Authorized Official Name | DR. MICHAEL CRINCOLI (PRESIDENT) |
Authorized Official Telephone | 6175383650 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
44220 | Allopathic & Osteopathic Physicians |
Street Address |
2000 W BETHANY HOME RD |
City | PHOENIX |
State | AZ |
Zip Code | 85015-2443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063413524 | Ahmed K Agha | Pharmacist | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2005-08-09 |
1649897091 | Carolyne N Simiyu Karuku | Registered Nurse | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-07-01 |
1619592490 | Kyndall Elizabeth Cline | Nurse Practitioner | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-06-08 |
1629607924 | Elizabeth Ann Gaddi Nguyen | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-04-07 |
1104455989 | Ashley Marie Desmarais | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-04-03 |
1710514963 | Ann Therese Peer | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-26 |
1427685973 | Asta Brianna Jakobsson | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-25 |
1588291298 | Sandra Shi | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-24 |
1881221471 | Louis Justin Needleman | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-24 |
1659914018 | Interventional Neurology of Az LLC | Psychiatry & Neurology | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2019-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689233785 | Tara Anne Condon | Physical Medicine & Rehabilitation | 3300 W Camelback Rd Bldg 12, Phoenix, AZ 85017-3030 | 2019-06-12 |
1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
1821141250 | Sholom Gootzeit | Physical Medicine & Rehabilitation | 17233 N Holmes Blvd Ste 1640, 13761 W. Bell Road, Suite 203, Surprise, Az 85374, Phoenix, AZ 85053-2020 | 2007-01-19 |
1497728372 | Michael G. Crincoli | Physical Medicine & Rehabilitation | 1012 East Willetta Street, Phoenix, AZ 85006 | 2006-02-09 |
1457910416 | George Hackett | Physical Medicine & Rehabilitation | 3300 W Camelback Rd, Phoenix, AZ 85017-1097 | 2019-06-12 |
1194384172 | Rachael Marie Bode | Physical Medicine & Rehabilitation | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-06-12 |
1710546890 | Gregory Spence | Physical Medicine & Rehabilitation | 3300 W Camelback Rd, Phoenix, AZ 85017-1097 | 2019-06-11 |
1346764768 | Cruz Romero | Physical Medicine & Rehabilitation | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2017-07-27 |
1093182453 | Ncsrv, LLC | Physical Medicine & Rehabilitation | 7710 W Lower Buckeye Rd, Suite 115, Phoenix, AZ 85043-3439 | 2015-09-01 |
1992119986 | Az Health Centers, Pllc | Physical Medicine & Rehabilitation | 4530 E Ray Rd, Ste 110, Phoenix, AZ 85044-6094 | 2014-06-17 |
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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.