PHOENIX SPINE SURGEONS, LTD (NPI# 1477098432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477098432 |
| Entity Type | Organization |
| Organization Name | PHOENIX SPINE SURGEONS, LTD |
| Practice Address |
140 N Litchfield Rd Suite 110 Goodyear AZ 85338 |
| Mailing Address |
2525 E Arizona Biltmore Cir Suite D-142 Phoenix AZ 85016-2146 |
| Practice Telephone | 6022562525 |
| Practice Fax Number | 6022560795 |
| Mailing Telephone | 6022562525 |
| Mailing Fax Number | 6022560795 |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | HANNAH LIEBERMAN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6022562525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
22004 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 28519 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
140 N LITCHFIELD RD SUITE 110 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235174731 | Krista Deann Pellicore | Family Medicine | 140 N Litchfield Rd, Suite 200, Goodyear, AZ 85338-1277 | 2006-06-18 |
| 1114545449 | Jacqueline Godinez Lopez | Dietitian, Registered | 140 N Litchfield Rd, Suite 106, Goodyear, AZ 85338-1226 | 2020-07-13 |
| 1891175188 | Phoenix Spine Goodyear Asc, LLC | Clinic/Center | 140 N Litchfield Rd, Suite 110, Goodyear, AZ 85338 | 2015-06-02 |
| 1629302229 | Debra Iglesias | Nurse Practitioner | 140 N Litchfield Rd, Suite 200, Goodyear, AZ 85338-1277 | 2009-09-29 |
| 1982859674 | Planned Parenthood Arizona | Clinic/Center | 140 N Litchfield Rd, Ste 100, Goodyear, AZ 85338-1277 | 2008-11-21 |
| 1871667014 | Arizona Center for Neurosurgery, Ltd | Physical Medicine & Rehabilitation | 140 N Litchfield Rd, Suite 110, Goodyear, AZ 85338-1277 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016471 | Mahmood Hassan | Neurological Surgery | 3935 E Fort Lowell Rd, Tucson, AZ 85712-1009 | 2020-03-03 |
| 1215585435 | Valley Neuromonitoring Plc | Neurological Surgery | 15547 N Reems Rd Ste A, Surprise, AZ 85374-9583 | 2019-08-30 |
| 1326692005 | Sana Vitae Surgeons LLC | Neurological Surgery | 3900 E Camelback Rd Ste 195, Phoenix, AZ 85018-2614 | 2019-07-30 |
| 1558896720 | Cushing Neurosurgery & Spine Pllc | Neurological Surgery | 1530 E Captain Dreyfus Ave, Phoenix, AZ 85022-4931 | 2017-04-25 |
| 1689052664 | Leonardo B C Brasiliense | Neurological Surgery | 1501 N Campbell Ave Rm 4303, Tucson, AZ 85724-0001 | 2015-05-11 |
| 1083045637 | Coaxial Neurosurgical Specialists, Plc | Neurological Surgery | 9200 N Central Ave, Suite #3, Phoenix, AZ 85020-2463 | 2013-12-09 |
| 1144582248 | Whitney Allison Sheen James | Neurological Surgery | 3191 Stillwater Dr Ste B, Prescott, AZ 86305-7145 | 2012-06-13 |
| 1043577901 | Erik I Curtis | Neurological Surgery | 2222 E Highland Ave Ste 222, Phoenix, AZ 85016 | 2012-04-17 |
| 1013281740 | Western Regional Neurology, LLC | Neurological Surgery | 2005 Injo Dr, Suite 103, Lake Havasu City, AZ 86403-5874 | 2012-02-27 |
| 1578855524 | Colin Campbell Mcdonald | Neurological Surgery | 15426 W Echo Canyon Dr, Surprise, AZ 85374-2076 | 2011-05-10 |
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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.