DR. MICHAEL G. CRINCOLI


Address: 1012 East Willetta Street, Phoenix, AZ 85006
Phone: 6028392737

DR. MICHAEL G. CRINCOLI (NPI# 1497728372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497728372
Entity Type Individual
Full Name DR. MICHAEL G. CRINCOLI
Credential M.D.
Practice Address 1012 East Willetta Street
Phoenix
AZ 85006
Practice Telephone 6028392737
Practice Fax Number 6028395868
Mailing Telephone 6028392737
Mailing Fax Number 6028395868
Enumeration Date 2006-02-09
Last Update Date 2016-03-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
44220 AZ Allopathic & Osteopathic Physicians
N 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
82036 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 1012 EAST WILLETTA STREET
City PHOENIX
State AZ
Zip Code 85006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356949929 Teresa Louise Cox Pharmacist 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 2020-10-15
1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
1023638582 Supraja Prakash Genetic Counselor, MS 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 2020-04-24
1760017099 Phoenix Medical Psychiatric Hospital, LLC Psychiatric Hospital 1346 Mcdowell Road, Phoenix, AZ 85006 2020-03-06
1265093108 Zulianna Ibrahim Student in an Organized Health Care Education/Training Program Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 2019-06-21
1306318340 Leah Margaret Hillier Family Medicine 1300 N 12th St - Suite 500, Phoenix, AZ 85006 2018-12-31
1477032357 Joann Moskop Chiropractor 2719 N Greenfield Rd., Phoenix, AZ 85006 2018-08-10
1619464468 Ana Maria Lara Naturopath 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 2018-04-17
1194221770 Nisha Bharat Patel Student in an Organized Health Care Education/Training Program Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 2018-04-03
1710486352 Julia Cyr Registered Nurse 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 2018-02-09
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1457910416 George Hackett Physical Medicine & Rehabilitation 3300 W Camelback Rd, Phoenix, AZ 85017-1097 2019-06-12
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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City PHOENIX
Zip Code 85006

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Dataset Information

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.

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