JACKRABBIT FAMILY MEDICINE INC (NPI# 1427258706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427258706 |
| Entity Type | Organization |
| Organization Name | JACKRABBIT FAMILY MEDICINE INC |
| Practice Address |
4141 N 32nd St Suite 105 Phoenix AZ 85018-4775 |
| Practice Telephone | 6022792337 |
| Practice Fax Number | 6024488321 |
| Mailing Telephone | 6022792337 |
| Mailing Fax Number | 6024488321 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | DR. GABRIELLE JULIE GOODRICK (PRESIDENT) |
| Authorized Official Telephone | 6022792337 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
22811 | AZ | Ambulatory Health Care Facilities |
| Street Address |
4141 N 32ND ST SUITE 105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-4775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861466146 | Matthew B Tonioli | Dentist | 4141 N 32nd St, Suite 100, Phoenix, AZ 85018 | 2006-02-14 |
| 1528248515 | Valley Oximetry Incorporated | Clinic/Center | 4141 N 32nd St, Suite 104, Phoenix, AZ 85018-4775 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
| 1952945313 | Arizona Primary Care & Regenerative Medicine LLC | Clinic/Center | 1611 W Silver Pine Dr, Phoenix, AZ 85086-1930 | 2019-10-29 |
| 1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
| 1568937407 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2018-10-08 |
| 1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
| 1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
| 1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
| 1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
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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.