SANTA CRUZ VALLEY PHYSICIAN GROUP LLC (NPI# 1568943561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568943561 |
| Entity Type | Organization |
| Organization Name | SANTA CRUZ VALLEY PHYSICIAN GROUP LLC |
| Practice Address |
4455 S I 19 Frontage Rd Green Valley AZ 85614-5884 |
| Practice Telephone | 5203934700 |
| Practice Fax Number | 5203934923 |
| Mailing Telephone | 5203934700 |
| Mailing Fax Number | 5203934923 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | ZAMIA MOSMAN (HEALTH PLAN RELATIONS) |
| Authorized Official Telephone | 5204059687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4455 S I 19 FRONTAGE RD |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85614-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386096535 | Yuzhou Liu | Internal Medicine | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2016-07-11 |
| 1780220707 | Robert Kalonick | Nurse Practitioner | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2019-11-25 |
| 1649813585 | Terry L Goedecke | Registered Nurse | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2019-10-23 |
| 1164075545 | Jonathan Alvarez | Hospitalist | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2019-07-24 |
| 1396205886 | Scvrh LLC | General Acute Care Hospital | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2019-03-21 |
| 1144793464 | Four Corners Emergency Physicians Pllc | Emergency Medicine | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2019-01-09 |
| 1992278360 | Western Mountain Hospital Physicians Pllc | Hospitalist | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2019-01-08 |
| 1962988188 | Raul Leon | Respiratory Therapist, Registered | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2018-07-11 |
| 1588154819 | Ezinne Iroku | Nurse Practitioner | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2018-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
| 1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
| 1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
| 1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
| 1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
| 1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
| Find all providers in zip 85614 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801052220 | Charles William Swetnam | Family Medicine | 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-6338 | 2008-08-05 |
| 1295884336 | Jimmy Dean Emery | Family Medicine | 2475 E Glen Canyon Rd, Green Valley, AZ 85614-6361 | 2007-01-09 |
| 1932264843 | Michael Thomas Ammann | Family Medicine | 1055 E La Canada, Ste 135, Green Valley, AZ 85614 | 2006-12-22 |
| 1649209636 | Terry W. Lowry | Family Medicine | 1151 S La Canada Dr, Green Valley, AZ 85614-1943 | 2006-07-02 |
| 1972571602 | Steven Walter Geise | Family Medicine | 670 S Park Centre Ave, Green Valley, AZ 85614-2132 | 2006-03-09 |
| 1295711463 | Fredric D Leary | Family Medicine | 400 W Camino Casa Verde, Green Valley, AZ 85614-1945 | 2005-12-20 |
| 1992787790 | Donald R Smith | Family Medicine | 1260 S Campbell Ave, Building 2, Green Valley, AZ 85614-0503 | 2005-11-17 |
| 1013910751 | Rodolfo Jimenez | Family Medicine | 1260 S Campbell Rd, Green Valley, AZ 85614 | 2005-05-26 |
| 1083137038 | Synergy Clinical Pllc | Family Medicine | 250 W Continental Rd Ste 500, Green Valley, AZ 85622-3592 | 2017-07-21 |
| 1770894842 | Valerie Matthew | Family Medicine | 695 S Pecan Tree Ln, Green Valley, AZ 85614-5114 | 2010-06-23 |
| Find all providers in GREEN VALLEY | ||||
| City | GREEN VALLEY |
| Zip Code | 85614 |
Please comment or provide details below to improve the information on SANTA CRUZ VALLEY PHYSICIAN GROUP LLC.
| 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.