PHOENIX VA HEALTHCARE SYSTEM (NPI# 1417496811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496811 |
| Entity Type | Organization |
| Organization Name | PHOENIX VA HEALTHCARE SYSTEM |
| Practice Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Practice Telephone | 6022908185 |
| Mailing Telephone | 6022908185 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | MS. LYNN HAMBEL (RECREATION THERAPIST) |
| Authorized Official Telephone | 6022775551 |
| Authorized Official Credential | CTRS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841538071 | Phoenix Va Healthcare System | Military Hospital | 232 S 12th Ave, Phoenix, AZ 85007-3101 | 2013-01-23 |
| Street Address |
650 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222067 | Carl T. Hayden Va | Military Hospital | 2322 N 46th St, Phoenix, AZ 85008-2435 | 2016-09-02 |
| 1134512866 | Bonnie Susannah Mackey | Military Hospital | 18018 N 45th Pl, Phoenix, AZ 85032-1521 | 2015-03-05 |
| 1841538071 | Phoenix Va Healthcare System | Military Hospital | 232 S 12th Ave, Phoenix, AZ 85007-3101 | 2013-01-23 |
| 1255881330 | Phoenix Dva | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-10-12 |
| 1275080319 | Phoenix Veterans Hospital | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012 | 2016-09-07 |
| 1487993986 | Pvahcs | Military Hospital | 650 E Indian School Rd, L-104, Phoenix, AZ 85012-1839 | 2013-02-05 |
| 1366797334 | Departament of Veterans Affairs | Military Hospital | 650 East Indian School Road, Phoenix, AZ 85012-1892 | 2012-07-17 |
| 1013281096 | Department of Veterans Affairs | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2012-03-08 |
| 1083928063 | Carl T Hayden Medical Center | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2010-08-02 |
| 1417979899 | Carl T. Hayden Va Medical Center | Military Hospital | 650 E. Indian School Road, Phoenix, AZ 85012 | 2006-07-24 |
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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.