CMG ALLERGY CLINIC (NPI# 1528170453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528170453 |
Entity Type | Organization |
Organization Name | CMG ALLERGY CLINIC |
Practice Address |
25500 N Norterra Dr Attn: Hcfs Phoenix AZ 85085-8200 |
Practice Telephone | 6023288400 |
Mailing Telephone | 6023288400 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-01-28 |
Authorized Official Name | KEVIN ELLIS (CHIEF MEDICAL DIRECTOR) |
Authorized Official Telephone | 6232772246 |
Authorized Official Credential | D.O |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
Street Address |
25500 N NORTERRA DR ATTN: HCFS |
City | PHOENIX |
State | AZ |
Zip Code | 85085-8200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699753525 | Ronald Cirullo | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085 | 2005-12-30 |
1669922324 | Connecticut General Life Insurance Company | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2016-10-06 |
1992259295 | Alegis Care Services LLC | General Practice | 25500 N Norterra Dr, Office #b-3b-200, Phoenix, AZ 85085-8200 | 2016-08-04 |
1972929248 | Hs Clinical Services PC | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2014-03-11 |
1063834323 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2014-01-06 |
1578900031 | Kenett Curtis Kelly | Pharmacist | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2013-05-23 |
1295094290 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2012-05-10 |
1295963338 | John Frederick Rausch Jr. | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2009-06-28 |
1952548315 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 25500 N Norterra Dr, Attn: Hcfs, Phoenix, AZ 85085-8200 | 2009-01-07 |
1578712329 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2008-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
Find all providers in zip 85085 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568460616 | Richard George Keightley | Allergy & Immunology | 20940 N Tatum Blvd, Ste 205, Phoenix, AZ 85050-7260 | 2005-07-12 |
1730185711 | Uday K. Reddy | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2005-06-23 |
1003991753 | Desert Center for Allergy and Chest Diseases | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2006-10-25 |
1245270230 | Allan M Wachter | Allergy & Immunology | 12020 S Warner Elliot Loop, Suite 124, Phoenix, AZ 85044-2700 | 2006-06-07 |
1285626374 | Stephen N Finberg | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922584812 | Northern Arizona Allergy Group LLC | Allergy & Immunology | 3130 Stillwater Dr Ste B, Prescott, AZ 86305-7199 | 2018-07-13 |
1356668644 | Hosea E Brown Md Inc | Allergy & Immunology | 3755 Karicio Ln, Suite 2a, Prescott, AZ 86303-6836 | 2010-04-26 |
1316263031 | Hosea E Brown Md Inc | Allergy & Immunology | 2901 N Stockton Hill Rd, Suite B, Kingman, AZ 86401-4121 | 2010-04-20 |
1255473872 | Jodi Leah Rubin | Allergy & Immunology | 9097 E Desert Cove Ave Ste 250, Scottsdale, AZ 85260-6278 | 2007-02-12 |
1801821152 | Todd Michael Hrabak | Allergy & Immunology | 5750 W. Thunderbird Rd #g780, Glendale, AZ 85306-4636 | 2006-07-12 |
1942268156 | Eddie Leon Gaines | Allergy & Immunology | 42145 N Fairgreen Ct, Anthem, AZ 85086-1066 | 2006-05-04 |
1487274791 | Forkela, LLC | Allergy & Immunology | 2001 N 4th St, Flagstaff, AZ 86004-4227 | 2020-04-17 |
1265996102 | Allergy & Immunology Specialists, LLC | Allergy & Immunology | 13575 W Indian School Rd Ste 200, Litchfield Park, AZ 85340-4906 | 2019-01-24 |
1144772195 | Julie A Wendt Md Pllc | Allergy & Immunology | 21803 N Scottsdale Rd, Ste 200, Scottsdale, AZ 85255-7438 | 2016-10-25 |
1215254503 | Hosea E Brown Md Inc | Allergy & Immunology | 255 W 24th St, Suite 1, Yuma, AZ 85364-8511 | 2010-04-26 |
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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.