GEORGE HACKETT (NPI# 1457910416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457910416 |
| Entity Type | Individual |
| Full Name | GEORGE HACKETT |
| Other Name | GEORDIE HACKETT |
| Credential | MS, ATC, CSCS |
| Practice Address |
3300 W Camelback Rd Phoenix AZ 85017-1097 |
| Practice Telephone | 6026396038 |
| Practice Fax Number | 6025892305 |
| Mailing Telephone | 6026396038 |
| Mailing Fax Number | 6025892305 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
000348 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922082239 | George Richard Hackett | Pharmacist | 1114 W High St, Orrville, OH 44667-1438 | 2005-11-30 |
| Street Address |
3300 W CAMELBACK RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85017-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474888 | Christy Marie Hawley | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2007-02-14 |
| 1245838853 | Conversations & More, LLC | Counselor | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2020-10-15 |
| 1073129417 | Lanae Nowatzki | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-1097 | 2020-09-21 |
| 1225642556 | Mini Cherian | Nurse Practitioner | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2020-09-03 |
| 1992340897 | Olivia Rivera-gutierrez | Student in an Organized Health Care Education/Training Program | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-11-14 |
| 1134760119 | Benjamin Andrew George | Student in an Organized Health Care Education/Training Program | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-10-01 |
| 1922656453 | Erick Giovanni Nova Sr. | Radiologic Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-28 |
| 1619525003 | Trent Preston Morris | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-28 |
| 1558919316 | Briana Danyelle Lakebrink | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-26 |
| 1174185128 | Mckenna Alexandra Newell | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1295259281 | Happy Home Care | Home Health | 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 | 2017-08-01 |
| 1851848493 | Horeb Transportation LLC | Non-emergency Medical Transport (VAN) | 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 | 2016-09-01 |
| 1932565942 | Urgent Pain, LLC | Contractor | 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 | 2016-01-06 |
| 1457766172 | Lindsay Allison Love | Social Worker | 3306 W. Catalina Dr., Phoenix, AZ 85017 | 2014-06-23 |
| 1437592433 | Maya Medical Services | Clinic/Center | 2908 W. Camelback Rd., Phoenix, AZ 85017 | 2013-04-10 |
| 1801089685 | Jonnie Arnold | Counselor | 3400 Grand Ave, Phoenix, AZ 85017 | 2007-08-24 |
| 1851414890 | Corpus Christi Home Care and Hospice LLC | Hospice Care, Community Based | 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 | 2007-04-06 |
| Find all providers in zip 85017 | ||||
| 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 |
| 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 |
| 1407367139 | Southwest Physiatry Pllc | Physical Medicine & Rehabilitation | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2017-10-20 |
| 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.