ARIZONA HEALTHY CLINIC LLC (NPI# 1588299176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588299176 |
| Entity Type | Organization |
| Organization Name | ARIZONA HEALTHY CLINIC LLC |
| Practice Address |
4344 W Indian School Rd Ste 8 Phoenix AZ 85031-2939 |
| Practice Telephone | 6235942432 |
| Practice Fax Number | 6235942438 |
| Mailing Telephone | 6235942432 |
| Mailing Fax Number | 6235942438 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | DIANA SUAREZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6235942432 |
| Authorized Official Credential | RMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1164867099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164867099 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd, Suite 8, Phoenix, AZ 85031-2939 | 2013-05-06 |
| Street Address |
4344 W INDIAN SCHOOL RD STE 8 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
| 1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
| 1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
| 1356857262 | Pgf Medical Services Pllc | Family Medicine | 5656 E Orange Blossom Ln Ste 5, Phoenix, AZ 85018-8139 | 2017-12-15 |
| 1134461270 | Caring for Humanity Inc | Family Medicine | 3333 E Indian School Rd, #4, Phoenix, AZ 85018-5015 | 2013-03-26 |
| 1972896520 | Simon Olstein | Family Medicine | 5656 E Orange Blossom Ln Ste 5, Phoenix, AZ 85018-8139 | 2011-05-16 |
| 1235304171 | Edmond Lowe Baker Jr. | Family Medicine | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2008-04-22 |
| 1255496469 | George Stavros | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| 1467517672 | Jerry Bains | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| 1225093008 | Napoleon Ortiz | Family Medicine | 1108 W Indian School Rd, Ste B, Phoenix, AZ 85013-3107 | 2006-04-17 |
| 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.