DR MEDICAL GROUP, LLC (NPI# 1538633474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538633474 |
| Entity Type | Organization |
| Organization Name | DR MEDICAL GROUP, LLC |
| Practice Address |
21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 |
| Mailing Address |
2250 E Germann Rd Ste 8 Chandler AZ 85286-1575 |
| Practice Telephone | 4803067832 |
| Practice Fax Number | 4809262260 |
| Mailing Telephone | 4809267800 |
| Mailing Fax Number | 4809262266 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | MINOO RAHIMI (MANAGER) |
| Authorized Official Telephone | 4809267800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
21001 N TATUM BLVD STE 78-1640 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1427674118 | Matthew Robert Lemke | Physical Therapist | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-06-18 |
| 1073145801 | Dv Anesthesia Group LLC | Anesthesiology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1629600440 | Dv Pain Ventures LLC | Clinic/Center | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1083246805 | Dv Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1043850324 | Tatum Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1649810920 | Tatum Anesthesia Group LLC | Anesthesiology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1790325066 | Tatum Pain Ventures LLC | Clinic/Center | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1982255246 | Drps Iom Technical LLC | Psychiatry & Neurology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-09-26 |
| 1225689581 | Drps Iom Professional LLC | Psychiatry & Neurology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760261 | Mallory Jody Murray | General Practice | 7000 E Mayo Blvd Ste 1020, Phoenix, AZ 85054-6152 | 2017-06-21 |
| 1265972269 | Md Assist, Inc. | General Practice | 7117 N 3rd St, Phoenix, AZ 85020-4902 | 2017-02-24 |
| 1861872756 | Keith King | General Practice | 6210 W Earll Dr, Phoenix, AZ 85033-5843 | 2015-06-04 |
| 1659767887 | Samuel Michal Anderson | General Practice | Po Box 31581, Phoenix, AZ 85046-1581 | 2015-04-14 |
| 1982090338 | Arizona Bleeding Disorders Health and Wellness Center | General Practice | 821 N 5th Ave, Phoenix, AZ 85003-1315 | 2015-04-13 |
| 1205238896 | Svelte LLC | General Practice | 2211 E Highland Ave Ste 215, Phoenix, AZ 85016-4834 | 2014-09-25 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1699104539 | Richard Fink | General Practice | 1037 E Baseline Rd, Phoenix, AZ 85042-6618 | 2013-11-01 |
| 1982031795 | Latino Care, LLC | General Practice | 3140 N 35th Ave, Suite 7, Phoenix, AZ 85017-5270 | 2013-10-11 |
| 1669730156 | Lifelink Inc | General Practice | 3039 W Peoria Ave Ste 102-125, Phoenix, AZ 85029-5212 | 2012-05-02 |
| Find all providers in PHOENIX | ||||
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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.