CANYON PEDIATRICS, INC (NPI# 1407842669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407842669 |
| Entity Type | Organization |
| Organization Name | CANYON PEDIATRICS, INC |
| Practice Address |
455 E 6th St Ste 100 Mesa AZ 85203-7118 |
| Mailing Address |
Po Box 52713 Phoenix AZ 85072-2713 |
| Practice Telephone | 4805072213 |
| Practice Fax Number | 4805070677 |
| Mailing Telephone | 4805072213 |
| Mailing Fax Number | 4805070677 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DENNIS PICKERING (BUSINESS OWNER) |
| Authorized Official Telephone | 6028897550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 21729 | AZ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHEILD | AZ0729800 | 01 |
| AZ | 164351 | 05 | |
| AZ | HEALTH NET | 1Z9363 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831185362 | Canyon Pediatrics, Inc | Pediatrics | 2451 E Baseline Rd, Suite 200, Gilbert, AZ 85234-2471 | 2005-09-20 |
| Street Address |
455 E 6TH ST STE 100 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-7118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124330220 | Andrew R Adamson | Obstetrics & Gynecology | 455 E 6th St, Mesa, AZ 85203-7118 | 2010-07-07 |
| 1154456812 | Damon W. Cable | Nurse Practitioner | 455 E 6th St, Suite 103, Mesa, AZ 85203-7118 | 2007-02-22 |
| 1154388908 | Brigett Leigh Garner | Registered Nurse | 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 | 2006-04-26 |
| 1164405999 | Canyon Pediatrics Inc | Health Maintenance Organization | 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "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. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912969007 | David W. Harris | Health Maintenance Organization | 1803 N Estrada, Mesa, AZ 85207-4017 | 2006-04-04 |
| 1346677242 | Gateway Physical Therapy LLC | Health Maintenance Organization | 4566 E Inverness Ave, Suite 103, Mesa, AZ 85206-4633 | 2013-10-09 |
| 1265634174 | Elder Care Geriatric Services | Health Maintenance Organization | 1 N Macdonald, Suite 13, Mesa, AZ 85201-7339 | 2007-06-03 |
| 1164405999 | Canyon Pediatrics Inc | Health Maintenance Organization | 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 | 2005-11-25 |
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| 1174087407 | Valley Group Homes LLC | Health Maintenance Organization | 1951 W Camelback Rd Ste 130, Phoenix, AZ 85015-3470 | 2019-01-31 |
| 1124530217 | One Care By Care 1st Health Plan Arizona, Inc. | Health Maintenance Organization | 2355 E Camelback Rd Ste 300, Phoenix, AZ 85016-3406 | 2017-10-30 |
| 1265978522 | Gatmal, LLC | Health Maintenance Organization | 2432 W Romley Ave, Phoenix, AZ 85041-2943 | 2017-01-11 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| 1164887972 | Primebody | Health Maintenance Organization | 11611 E Sahuaro Dr, Suite 100, Scottsdale, AZ 85259-3163 | 2015-12-21 |
| 1710355599 | Quiet River Massage & Bodywork | Health Maintenance Organization | 132 N Washington Ave, Prescott, AZ 86301-3206 | 2015-09-09 |
| 1205213220 | Le Dental P.l.c | Health Maintenance Organization | 6544 W Thomas Rd Ste 8, Phoenix, AZ 85033-5739 | 2015-04-28 |
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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.