CTCA PHYSICIANS GROUP OF ARIZONA, INC. (NPI# 1609026806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609026806 |
| Entity Type | Organization |
| Organization Name | CTCA PHYSICIANS GROUP OF ARIZONA, INC. |
| Practice Address |
14200 Celebrate Life Way Goodyear AZ 85338 |
| Mailing Address |
6897 Paysphere Cir Chicago IL 60674-0068 |
| Practice Telephone | 8477464333 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CHARLES RIBBE (VP FINANCE) |
| Authorized Official Telephone | 6235124054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526472 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 3530 S Val Vista Dr Ste C203, Gilbert, AZ 85297-7318 | 2019-03-11 |
| 1184126344 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 9755 N 90th St Ste A105, Scottsdale, AZ 85258-5046 | 2018-03-05 |
| 1801397658 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 2925 W Rose Garden Ln, Phoenix, AZ 85027-3135 | 2018-02-27 |
| Street Address |
14200 CELEBRATE LIFE WAY |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013187301 | Nakia Lashawn Brooks | Physician Assistant | 14200 Celebrate Life Way, Goodyear, AZ 85338-2539 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477753903 | Nawazish Ali Khan | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2007-07-23 |
| 1770639353 | Glen Weiss | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526472 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 3530 S Val Vista Dr Ste C203, Gilbert, AZ 85297-7318 | 2019-03-11 |
| 1184126344 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 9755 N 90th St Ste A105, Scottsdale, AZ 85258-5046 | 2018-03-05 |
| 1174882690 | Douglas Robinson | Internal Medicine | 10624 N Crestview Dr, Fountain Hills, AZ 85268-6107 | 2012-05-04 |
| 1528258662 | Joshua Labaer | Internal Medicine | 1001 S Mcallister Ave, Tempe, AZ 85287-0001 | 2007-07-25 |
| 1548349707 | Morris H. Fine | Internal Medicine | 4090 N Painted Quail Pl, Tucson, AZ 85750-6140 | 2006-11-06 |
| 1013954858 | Cochise Oncology LLC | Internal Medicine | 5151 E Highway 90, Sierra Vista, AZ 85635-2436 | 2006-06-01 |
| 1205890530 | William Bruce Ethridge | Internal Medicine | 1951 W 25th Street, Ste F, Yuma, AZ 85364 | 2006-04-13 |
| 1255322871 | Robert Gary Gagliano | Internal Medicine | 203 S Candy Ln, Suite 9a, Cottonwood, AZ 86326-4120 | 2005-11-02 |
| 1417942905 | Nathaniel Fastenberg | Internal Medicine | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2005-09-12 |
| 1801397658 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 2925 W Rose Garden Ln, Phoenix, AZ 85027-3135 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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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.