TEMPE LAKES MEDICAL GROUP PLC (NPI# 1548529647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548529647 |
| Entity Type | Organization |
| Organization Name | TEMPE LAKES MEDICAL GROUP PLC |
| Other Organization Name | PREFERRED REHAB MEDICAL CENTER |
| Practice Address |
1855 E Guadalupe Rd Suite 112 Tempe AZ 85283-3273 |
| Practice Telephone | 4808398552 |
| Practice Fax Number | 4807527978 |
| Mailing Telephone | 4808398552 |
| Mailing Fax Number | 4807527978 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DR. DEREK C PRICE (PRESIDENT) |
| Authorized Official Telephone | 4808398552 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Preferred Rehab Medical Center | Doing Business As Name - Organization |
| Street Address |
1855 E GUADALUPE RD SUITE 112 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588610208 | Preferred Chiropractic One, PC | Chiropractor | 1855 E Guadalupe Rd, Ste. 112, Tempe, AZ 85283-3273 | 2006-05-25 |
| 1710357355 | Jann M Ford Petersen | Nurse Practitioner | 1855 E Guadalupe Rd, #112, Tempe, AZ 85283-3273 | 2015-09-25 |
| 1871971366 | Tempe Medical Group LLC | Chiropractor | 1855 E Guadalupe Rd, #112, Tempe, AZ 85283-3273 | 2015-05-15 |
| 1588080329 | Peter Hughes | Chiropractor | 1855 E Guadalupe Rd, Suite 112, Tempe, AZ 85283-3273 | 2014-03-17 |
| 1437499225 | Alexis Janella Sweet | Physical Therapy Assistant | 1855 E Guadalupe Rd, Suite 112, Tempe, AZ 85283-3273 | 2013-02-15 |
| 1558558403 | Price Ventures Inc | Chiropractor | 1855 E Guadalupe Rd, Suite 112, Tempe, AZ 85283-3273 | 2007-09-25 |
| 1558400754 | David Swan | Chiropractor | 1855 E Guadalupe Rd, Ste 112, Tempe, AZ 85283-3273 | 2007-02-05 |
| 1225104904 | William R Barnes Jr. | Physical Therapy Assistant | 1855 E Guadalupe Rd, Tempe, AZ 85283-3273 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1427544717 | Arizona Valley Diagnostics LLC | Clinic/Center | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-07-10 |
| 1386088904 | Angel Clinic LLC | Clinic/Center | 4515 S Mcclintock Dr, #120, Tempe, AZ 85282-7376 | 2013-04-25 |
| 1477802536 | Triad Pain Management Group, Pllc | Clinic/Center | 4515 S Mcclintock Dr Ste 120, Tempe, AZ 85282-7381 | 2012-09-05 |
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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.