ARIZONA DESERT ORTHOPAEDIC CENTER, INC. (NPI# 1649339615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649339615 |
| Entity Type | Organization |
| Organization Name | ARIZONA DESERT ORTHOPAEDIC CENTER, INC. |
| Practice Address |
13660 N 94th Dr Suite C1 Peoria AZ 85381-4836 |
| Practice Telephone | 6239746542 |
| Practice Fax Number | 6233211215 |
| Mailing Telephone | 6239746542 |
| Mailing Fax Number | 6233211215 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MR. THOMAS D. HAMM (PRESIDENT) |
| Authorized Official Telephone | 6239746542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO 0057 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 1Z7000 | 01 |
| AZ | BLUE CROSS & BLUE SHIELD OF ARIZONA | 1649339615 | 01 |
| AZ | CIGNA | 3231829 | 01 |
| Street Address |
13660 N 94TH DR SUITE C1 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156031 | Jeffrey C Kleiman | Dentist | 13660 N 94th Dr, Ste E3, Peoria, AZ 85381-4209 | 2005-06-28 |
| 1346851276 | Galaxy Anesthesia Services, LLC | Anesthesiology | 13660 N 94th Dr, D-1, Peoria, AZ 85381-8538 | 2020-08-13 |
| 1912338393 | Ashley Patricia Chung | Naturopath | 13660 N 94th Dr, Ste. C-4, Peoria, AZ 85381-4836 | 2013-12-10 |
| 1689939985 | Annie Jong | Podiatrist | 13660 N 94th Dr, Ste A3, Peoria, AZ 85381-4836 | 2012-07-12 |
| 1013216373 | Keith Thomas Bangart | Podiatrist | 13660 N 94th Dr, #f1, Peoria, AZ 85381-4836 | 2011-03-24 |
| 1205152022 | Sunshine Health Care Center | Family Medicine | 13660 N 94th Dr, Suite C4, Peoria, AZ 85381-4841 | 2010-04-19 |
| 1619290129 | Walker Dental | Dentist | 13660 N 94th Dr, Suite B-1, Peoria, AZ 85381-4836 | 2010-03-11 |
| 1104148741 | Pacific Footwear Company, Inc | Durable Medical Equipment & Medical Supplies | 13660 N 94th Dr, Suite F-2, Peoria, AZ 85381-4836 | 2010-02-24 |
| 1821221847 | Tiffany Nicole Mitchell | Naturopath | 13660 N 94th Dr, Ste C-4, Peoria, AZ 85381-4836 | 2009-08-25 |
| 1134359425 | Plaza Del Rio Dentistry, LLC | Dentist | 13660 N 94th Dr, Suite B1, Peoria, AZ 85381-4836 | 2009-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780715698 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 9165 W Thunderbird Road, Peoria, AZ 85381 | 2007-03-09 |
| 1265485973 | Heartland Home Health Care Inc. | Prosthetic/Orthotic Supplier | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2006-05-17 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1851389449 | Prosthetic Orthotic Specialist Inc | Prosthetic/Orthotic Supplier | 701 Ne Jefferson Ave, Peoria, IL 61603 | 2005-10-09 |
| 1346243946 | The Plaid Daisy Inc | Prosthetic/Orthotic Supplier | 1835 N Knoxville Ave, Peoria, IL 61603-3027 | 2005-05-27 |
| 1568658763 | Nassan and Associates | Prosthetic/Orthotic Supplier | 13260 N 94th Dr, Suite 102, Peoria, AZ 85381-4828 | 2007-09-20 |
| 1578694055 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1487785002 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13760 N 93rd Ave, Peoria, AZ 85381-4201 | 2007-03-07 |
| 1083647671 | Plattner Pedorthic Services | Prosthetic/Orthotic Supplier | 311 W Romeo B Garrett Ave, Suite B, Peoria, IL 61605-2504 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
| 1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
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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.