ARIZONA PM&R LLC (NPI# 1407498827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407498827 |
| Entity Type | Organization |
| Organization Name | ARIZONA PM&R LLC |
| Practice Address |
1303 S Longmore Ste 8 Mesa AZ 85202-9607 |
| Practice Telephone | 4806495297 |
| Practice Fax Number | 4806491790 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | BRADLEY FORBES (OWNER) |
| Authorized Official Telephone | 4802217054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1303 S LONGMORE STE 8 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508062225 | Clinton A Bennion Dc, Plc | Chiropractor | 1303 S Longmore Ste 8, Mesa, AZ 85202-9607 | 2007-06-21 |
| 1518382787 | Fiesta Health Services LLC | Family Medicine | 1303 S Longmore Ste 8, Mesa, AZ 85202-9607 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
| 1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1316468333 | Mesa Outpatient Treatment Center LLC | Surgery | 4540 E Baseline Rd Ste 119, Mesa, AZ 85206 | 2017-06-29 |
| 1770914228 | Minimally Invasive Spine,llc | Surgery | 4860 E Baseline Rd, Suite 101, Mesa, AZ 85206-4669 | 2013-12-10 |
| 1063755973 | Kambiz Kamrani | Surgery | 6553 E Baywood Ave Ste 101, Mesa, AZ 85206-1753 | 2013-03-28 |
| 1609024017 | Robert E Leber Md PC | Surgery | 1500 S Dobson Rd Ste 312, Mesa, AZ 85202-4752 | 2008-08-28 |
| 1528246352 | Patient First Assisting LLC | Surgery | 7329 E Milagro Ave, Mesa, AZ 85209-4966 | 2008-02-04 |
| 1720186851 | Charles Michael Garner | Surgery | 6553 E Baywood Ave Ste 210, Mesa, AZ 85206-1754 | 2006-09-20 |
| 1508885575 | Steven H. Miller | Surgery | 130 S 63rd St Ste 110, Mesa, AZ 85206-1620 | 2006-07-19 |
| Find all providers in MESA | ||||
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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.