PEDIATRIC ADULT ENDOCRINE GILBERT (NPI# 1477004935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477004935 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ADULT ENDOCRINE GILBERT |
| Practice Address |
2730 S Val Vista Dr Bldg 10, Suite 161 Gilbert AZ 85295 |
| Mailing Address |
2730 S Val Vista Dr Bldg 10, Suite 161 Gilbert AZ 85295-1675 |
| Practice Telephone | 4808212883 |
| Practice Fax Number | 4802375799 |
| Mailing Telephone | 4808212883 |
| Mailing Fax Number | 4802375799 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | MR. KHALID HASAN (OWNER) |
| Authorized Official Telephone | 4808212883 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| Street Address |
2730 S VAL VISTA DR BLDG 10, SUITE 161 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1740716489 | Keith Bradshaw | Social Worker | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2017-05-01 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1003293606 | Mark Wesbrock | Registered Nurse | 2730 S Val Vista Dr, Suite 137, Gilbert, AZ 85295-1675 | 2015-05-03 |
| 1356728513 | Amanda Dewbray | Psychologist | 2730 S Val Vista Dr, Ste 146, Gilbert, AZ 85295-1675 | 2015-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316353873 | Soumya Nagaraja | Pediatrics | 1450s Dobsonrd, Ste B221, Mesa, AZ 85202-6770 | 2014-07-05 |
| 1174773717 | Aruna Divakaran Poduval | Pediatrics | 2204 S Dobson Rd Ste 103, Mesa, AZ 85202 | 2008-09-19 |
| 1164468328 | Mark D. Wheeler | Pediatrics | Arizona Health Sciences Center, 1501 N. Campbell Ave., #3341, Tucson, AZ 85724-0001 | 2006-06-22 |
| 1679535405 | Tala S Dajani | Pediatrics | 15600 N Black Canyon Hwy, Suite C-102, Phoenix, AZ 85053-4055 | 2006-04-05 |
| 1841262581 | Anna Binkiewicz | Pediatrics | 2916 E Broadway Blvd, Tucson, AZ 85716-5312 | 2006-02-06 |
| 1841721461 | Sonoran Pediatric Endocrinology & Diabetes Institute, Plc | Pediatrics | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2017-03-24 |
| 1619395357 | Robert Gonsalves IIi | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006 | 2014-03-31 |
| 1053653113 | Amanda Marie Campos | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-26 |
| 1518227016 | Melissa Anne Chambers | Pediatrics | 1919 E Thomas Rd, Phoenix Children's Hospital, Phoenix, AZ 85016-7710 | 2012-05-18 |
| 1962706317 | Payal S Patel | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2010-12-28 |
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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.