PV MOUNTAIN MEDICAL PLLC (NPI# 1649733981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649733981 |
| Entity Type | Organization |
| Organization Name | PV MOUNTAIN MEDICAL PLLC |
| Practice Address |
1800 E Van Buren St Phoenix AZ 85006-3742 |
| Mailing Address |
13350 N 94th Dr Ste B102 Peoria AZ 85381-4826 |
| Practice Telephone | 4069691283 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | JUNAID I QURESHI (OWNER) |
| Authorized Official Telephone | 6023779598 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13350 N 94th Dr Ste B102, Peoria, AZ 853814826 | 6236707772 | 6234442361 |
| 1500 S Mill Ave, Tempe, AZ 852816699 | 6022518316 |
| Street Address |
1800 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1932709342 | St Lukes Behavioral Hospital Lp | Clinic/Center | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-10-27 |
| 1841804481 | Envision Solutions Pllc | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-09-01 |
| 1932739539 | Mary Ndumbe | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-01-22 |
| 1275173205 | Joaquin B Bermudez Do PC | Psychiatric Hospital | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-01-07 |
| 1700420403 | Linda Jean Lieber | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-11-05 |
| 1306492046 | Christian M Azode | Registered Nurse | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-08-16 |
| 1558827998 | Steward Emergency Physicians of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-02-11 |
| 1174091698 | Physician Group of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2018-11-02 |
| 1083181895 | Sky Harbor Radiologists, LLC | Radiology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2018-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1801263033 | Akdhc, LLC | Internal Medicine | 2545 E. Thomas Rd., Suite 110/120, Phoenix, AZ 85016-7941 | 2015-08-24 |
| 1861889859 | Akdhc, LLC | Internal Medicine | 3815 E Bell Rd Ste 3500, Phoenix, AZ 85032-2165 | 2015-04-17 |
| 1730592171 | Joon Soo Kim | Internal Medicine | 9305 W Thomas Rd Ste 570, Phoenix, AZ 85037-3358 | 2014-06-03 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1790915684 | Bassam Syed Shakil | Internal Medicine | 5040 N 15th Ave Ste 107, Phoenix, AZ 85015-3329 | 2009-07-25 |
| 1336338789 | Akdhc, LLC | Internal Medicine | 15255 N 40th St Bldg 5, Phoenix, AZ 85032-4624 | 2007-10-22 |
| 1861681298 | Akdhc, LLC | Internal Medicine | 3003 N Central Ave Ste T100, Phoenix, AZ 85012-2929 | 2007-10-22 |
| 1801084835 | Akdhc, LLC | Internal Medicine | 7725 N 43rd Ave Ste 411, Phoenix, AZ 85051-5771 | 2007-10-03 |
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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.