JOSE IVAN RAGO (NPI# 1477714137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477714137 |
Entity Type | Individual |
Full Name | JOSE IVAN RAGO |
Other Name | JOVAN RAGO |
Credential | M.D. |
Practice Address |
287 E. Hunt Highway Suite 105 San Tan Valley AZ 85143-5096 |
Mailing Address |
8125 N Hayden Rd Scottsdale AZ 85258-2463 |
Practice Telephone | 4806778282 |
Practice Fax Number | 4806778283 |
Mailing Telephone | 6235841181 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2019-12-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
42140 | AZ | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | R70138 | AZ | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE-NPI | 1477714137 | 01 |
AZ | 463254 | 05 |
Street Address |
287 E. HUNT HIGHWAY SUITE 105 |
City | SAN TAN VALLEY |
State | AZ |
Zip Code | 85143-5096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326247339 | Good Health Urgent Care, Pllc | Clinic/Center | 287 E. Hunt Highway, Suite 104, San Tan Valley, AZ 85143-5096 | 2007-07-11 |
1497913594 | Cassandra J. Mclaughlin | Physician Assistant | 287 E. Hunt Highway, Suite 105, San Tan Valley, AZ 85143-5096 | 2008-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
Find all providers in zip 85143 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
1508496167 | Claudia Macias | Family Medicine | 4350 N 19th Ave Ste 3, Phoenix, AZ 85015-4602 | 2020-01-23 |
1992353312 | Az Premier Mobile Providers | Family Medicine | 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016-2170 | 2019-08-28 |
1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
1508338732 | Erin Leah Mickelson | Family Medicine | 1542 Marvin Gardens Ln, Prescott, AZ 86301-5528 | 2018-12-28 |
1437698107 | Edward A Carrington Md Pllc | Family Medicine | 2600 E Southern Ave Ste F4, Tempe, AZ 85282-7626 | 2017-02-14 |
1396123733 | Vital Health Care LLC | Family Medicine | 7707 W Deer Valley Rd Ste 115, Peoria, AZ 85382-2101 | 2015-05-18 |
1609267038 | Annual Wellness Centers LLC | Family Medicine | 116 Lake Havasu Ave S Ste 103, Lake Havasu City, AZ 86403-0811 | 2015-02-06 |
1518386929 | Valor Health Services, LLC | Family Medicine | 2990 N Campbell Avenue, Suite 230, Tucson, AZ 85719 | 2014-04-14 |
1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
Find all providers with the same taxonomy |
City | SAN TAN VALLEY |
Zip Code | 85143 |
Please comment or provide details below to improve the information on JOSE IVAN RAGO.
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.