PIVONKA HEALTH & WELLNESS LLC (NPI# 1497272298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497272298 |
| Entity Type | Organization |
| Organization Name | PIVONKA HEALTH & WELLNESS LLC |
| Practice Address |
1355 S Higley Rd Ste 103 Gilbert AZ 85296-4799 |
| Practice Telephone | 4808920022 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Authorized Official Name | ANTHONY JAMES PIVONKA (PRESIDENT) |
| Authorized Official Telephone | 4808920022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1355 S HIGLEY RD STE 103 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375654 | Kaitlin Laura-bennett Taylor | Physician Assistant | 1355 S Higley Rd Ste 103, Gilbert, AZ 85296-4799 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458205 | Ruth Cover | Family Medicine | 979 N Gilbert Rd Ste 102, Gilbert, AZ 85234-3307 | 2020-05-12 |
| 1659991461 | Charles Milton Combs IIi | Family Medicine | 3035 E Vernon St, Gilbert, AZ 85298-8757 | 2020-04-22 |
| 1316502750 | Shelley Campbell | Family Medicine | 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 | 2019-05-01 |
| 1689136830 | Master Mark Np, Pllc | Family Medicine | 4287 E Michelle Ave, Gilbert, AZ 85234-0117 | 2019-04-04 |
| 1841771904 | Farzam Afshar | Family Medicine | 829 S Adam Way, Gilbert, AZ 85296-1488 | 2018-08-27 |
| 1992295000 | Wade Reynolds | Family Medicine | 3061 E Vallejo Dr, Gilbert, AZ 85298-9059 | 2018-05-14 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1366813602 | Kyle Tisi | Family Medicine | 1489 S. Higley Rd, Suite 101, Gilbert, AZ 85296-4777 | 2015-10-13 |
| 1679857825 | Good Health Medical, P.C. | Family Medicine | 428 S. Gilbert Rd., Suite # 101, Gilbert, AZ 85296-2261 | 2011-10-06 |
| 1073807202 | Punyakam Pllc | Family Medicine | 690 E Warner Rd Ste 133, Gilbert, AZ 85296 | 2011-06-06 |
| Find all providers in GILBERT | ||||
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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.