DR. SAMUEL WILLIAM RODRIGUEZ (NPI# 1639667009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639667009 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL WILLIAM RODRIGUEZ |
| Practice Address |
1130 E Missouri Ave Ste 180 Phoenix AZ 85014-2736 |
| Practice Telephone | 6023587688 |
| Practice Fax Number | 6088837878 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8694 | AZ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110300 | Samuel Rodriguez | Private Vehicle | 100 Countryside Dr, Chagrin Falls, OH 44022-4104 | 2020-10-09 |
| 1023673001 | Samuel Rodriguez | Specialist | 205 Beach 77th St, Arverne, NY 11692-1269 | 2019-05-06 |
| 1912125394 | Samuel Rodriguez | Physician Assistant | 11106 Barrow Ln, Houston, TX 77065-5252 | 2007-04-23 |
| 1245515493 | Samuel Rodriguez | Pharmacist | 995 Sperry Ave, Patterson, CA 95363-9262 | 2011-10-19 |
| 1275817025 | Samuel Rodriguez Jr. | Counselor | 1460 E Holt Ave, #8, Pomona, CA 91767-5856 | 2011-09-28 |
| 1730245432 | Samuel Rodriguez | Internal Medicine | 1400 Forest Glen Rd, Suite 300, Silver Spring, MD 20910-1459 | 2006-12-28 |
| Street Address |
1130 E MISSOURI AVE STE 180 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300317 | Bethanie Demmitt | Nurse Practitioner | 1130 E Missouri Ave Ste 180, Phoenix, AZ 85014-2736 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628476 | The Wellness Way North Phoenix LLC | Chiropractor | 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 | 2020-07-31 |
| 1114535366 | Brian Anthony Romero | Chiropractor | 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 | 2020-07-14 |
| 1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
| 1609439645 | Danielle Stetzel | Chiropractor | 1130 E Missouri Ave Ste 402, Phoenix, AZ 85014-2724 | 2019-04-16 |
| 1447723598 | 28th Street Medical Group, LLC | Chiropractor | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 | 2019-01-10 |
| 1740753094 | Scott Mackenzie | Chiropractor | 4040 E Camelback Rd Ste 155, Phoenix, AZ 85018-8349 | 2019-01-09 |
| 1417437989 | Lone Star Health, LLC | Chiropractor | 10 E Ruth Ave, Phoenix, AZ 85020-3131 | 2018-08-15 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1932687969 | Trish Triemert | Chiropractor | 3415 W Glendale Ave Ste 3a, Phoenix, AZ 85051-8484 | 2018-08-01 |
| 1073001590 | Crotalus Chiropractic Centers, Plc | Chiropractor | 3540 E Baseline Rd Ste 117, Phoenix, AZ 85042-9628 | 2018-04-30 |
| 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.