INTERNAL MEDICINE OF THE VALLEY PLC (NPI# 1629264148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629264148 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE OF THE VALLEY PLC |
| Practice Address |
10585 N Tatum Blvd D-137 Paradise Valley AZ 85253-1073 |
| Practice Telephone | 6022772361 |
| Practice Fax Number | 6027139999 |
| Mailing Telephone | 6022772361 |
| Mailing Fax Number | 6027139999 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | DR. KEVIN THEODOROU (PRESIDENT) |
| Authorized Official Telephone | 6022772361 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
28436 | AZ | Ambulatory Health Care Facilities |
| Street Address |
10585 N TATUM BLVD D-137 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip Code | 85253-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458000 | Jack M Wolfson | Internal Medicine | 10585 N Tatum Blvd, Ste D135, Paradise Valley, AZ 85253-1073 | 2005-06-27 |
| 1184010852 | Grace Marie Mellen | Registered Nurse | 10585 N Tatum Blvd, Suite D130, Paradise Valley, AZ 85253-1073 | 2015-04-09 |
| 1093099855 | Larissa Nicole Anthony | Physician Assistant | 10585 N Tatum Blvd, Ste D130, Paradise Valley, AZ 85253 | 2011-09-28 |
| 1689819062 | Paradise Valley Endodontic Group, Pllc | Clinic/Center | 10585 N Tatum Blvd, D-132, Paradise Valley, AZ 85253-1073 | 2008-12-12 |
| 1871785378 | Joseph S. Dovgan, Dds, Ms. PC | Clinic/Center | 10585 N Tatum Blvd, Suite D132, Paradise Valley, AZ 85253-1073 | 2007-08-17 |
| 1033315601 | Cristian N Jivcu | Internal Medicine | 10585 N Tatum Blvd, Ste D130, Paradise Valley, AZ 85253-1073 | 2007-06-21 |
| 1790898880 | Kevin Philip Theodorou | Internal Medicine | 10585 N Tatum Blvd, D-137, Paradise Valley, AZ 85253-1073 | 2006-08-16 |
| 1407891559 | Benjamin M. Sucher, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 10585 N Tatum Blvd, Suite D135, Paradise Valley, AZ 85253-1073 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
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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.