DESERT ENDOVASCULAR CENTER, INC


Address: 1450 S Dobson Rd, Suite B120, Mesa, AZ 85202-4712
Phone: 4808331255

DESERT ENDOVASCULAR CENTER, INC (NPI# 1558576249) 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) 1558576249
Entity Type Organization
Organization Name DESERT ENDOVASCULAR CENTER, INC
Practice Address 1450 S Dobson Rd
Suite B120
Mesa
AZ 85202-4712
Practice Telephone 4808331255
Practice Fax Number 4803933395
Mailing Telephone 4808331255
Mailing Fax Number 4803933395
Enumeration Date 2007-05-14
Last Update Date 2020-08-22
Authorized Official Name DR. JAMES B LYONS (SITE DIRECTOR)
Authorized Official Telephone 4808331255
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 1450 S DOBSON RD
SUITE B120
City MESA
State AZ
Zip Code 85202-4712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548256548 Heather E. Mangam Specialist 1450 S Dobson Rd, Suite B221, Mesa, AZ 85202-4712 2005-09-25
1164875373 Jonathan Munns Physician Assistant 1450 S Dobson Rd, B122, Mesa, AZ 85202-4712 2016-07-22
1558717447 Center for Orthopedic Research and Education, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 2016-05-10
1255732558 Robert Steinmeyer Physical Therapist 1450 S Dobson Rd, Mesa, Mesa, AZ 85202-4712 2014-09-06
1760812770 Audiology Distribution, LLC Audiologist-Hearing Aid Fitter 1450 S Dobson Rd, Suite A-203, Mesa, AZ 85202-4712 2013-11-13
1275967408 Center for Orthopedic Research and Educatoin Occupational Therapist 1450 S Dobson Rd, Ste A302, Mesa, AZ 85202-4712 2013-08-23
1023358223 John D Holmes Md PC Obstetrics & Gynecology 1450 S Dobson Rd, A207, Mesa, AZ 85202-4712 2013-02-25
1427308899 Brook David Rogers Physician Assistant 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 2012-09-13
1487900817 Center for Orthopedic Research and Education, LLC Durable Medical Equipment & Medical Supplies 1450 S Dobson Rd, Suite B122, Mesa, AZ 85202-4712 2012-08-03
1225314115 April Marie Hofmann Physician Assistant 1450 S Dobson Rd, #320b, Mesa, AZ 85202-4712 2011-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275173536 Samuel A Wolde Counselor Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 2020-01-14
1912549171 Lauren Barbara Loges Occupational Therapist 2225 E. Southern Avenue, Mesa, AZ 85202 2019-10-09
1245724822 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 2018-06-18
1457843310 Jay Douglas Baumgardner Physical Therapist 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 2018-06-05
1144746215 Alyson Fix Physician Assistant 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 2017-08-20
1194108852 Robert Dale Labrum Counselor 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 2015-06-30
1114325677 John David Shull Jr. Physician Assistant 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 2014-12-16
1316356207 Embry Womens Health LLC Nurse Practitioner 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 2014-08-05
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1487903373 Jodi Lynn Mealer Pharmacist 1951 W. Baseline Rd., Mesa, AZ 85202 2012-09-06
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225361454 Smi Imaging, LLC Radiology 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 2009-09-04
1780817940 Smi Imaging, LLC Radiology 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862 2009-09-03
1801029103 Smi Imaging, LLC Radiology 130 S 63rd St Ste 123, Mesa, AZ 85206-1604 2009-09-02
1396701397 Michelle Lee Dorsey Radiology 3850 E Huber St, Unit 1, Mesa, AZ 85205-3912 2006-04-26
1942285531 Phoenix Diagnostic Imaging Inc Radiology 1111 S Dobson Rd, Mesa, AZ 85202-3902 2005-12-07
1306835020 Karen B. Garby Radiology 1457 W Southern Ave, Suite 26, Mesa, AZ 85202-4813 2005-10-14
1861481731 Monty D. Snow Radiology 1125 E Southern Ave, Suite 300, Mesa, AZ 85204-5045 2005-10-13
1609865559 Joseph E. Wagner Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2005-10-13
1336757699 Arizona Diagnostic Radiology Group, LLC Radiology 2653 W Guadalupe Rd, Mesa, AZ 85202-7200 2020-07-22
1063052793 Steward Radiology Physicians of Arizona Inc Radiology 1301 S Crismon Rd, Mesa, AZ 85209-3767 2020-01-10
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Competitor

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City MESA
Zip Code 85202

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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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