SJ MEDICAL GROUP (NPI# 1669865408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669865408 |
Entity Type | Organization |
Organization Name | SJ MEDICAL GROUP |
Practice Address |
4622 N 35th Ave Phoenix AZ 85017-3403 |
Practice Telephone | 6027530667 |
Practice Fax Number | 6024412202 |
Mailing Telephone | 6027530667 |
Mailing Fax Number | 6024412202 |
Enumeration Date | 2015-03-17 |
Last Update Date | 2015-03-17 |
Authorized Official Name | IMMACULATA INYANG (PROVIDER) |
Authorized Official Telephone | 6027530667 |
Authorized Official Credential | DNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP7650 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4622 N 35TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85017-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
1295259281 | Happy Home Care | Home Health | 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 | 2017-08-01 |
1851848493 | Horeb Transportation LLC | Non-emergency Medical Transport (VAN) | 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 | 2016-09-01 |
1932565942 | Urgent Pain, LLC | Contractor | 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 | 2016-01-06 |
1457766172 | Lindsay Allison Love | Social Worker | 3306 W. Catalina Dr., Phoenix, AZ 85017 | 2014-06-23 |
1437592433 | Maya Medical Services | Clinic/Center | 2908 W. Camelback Rd., Phoenix, AZ 85017 | 2013-04-10 |
1801089685 | Jonnie Arnold | Counselor | 3400 Grand Ave, Phoenix, AZ 85017 | 2007-08-24 |
1851414890 | Corpus Christi Home Care and Hospice LLC | Hospice Care, Community Based | 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 | 2007-04-06 |
Find all providers in zip 85017 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
1538709415 | Bertha Nambuye Mbatau | Nurse Practitioner | 2332 W Calle Marita, Phoenix, AZ 85085-7064 | 2020-01-08 |
1790346443 | Elena Nickolaevna Klimova | Nurse Practitioner | 2218 E Wahalla Ln, Phoenix, AZ 85024-1231 | 2019-06-24 |
1306341748 | Kerry L Oliver | Nurse Practitioner | 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731 | 2018-03-28 |
1891294583 | Helena Taboy | Nurse Practitioner | 34975 N North Valley Pkwy Ste 138, Phoenix, AZ 85086-4030 | 2018-02-07 |
1528431152 | Judith Harmon | Nurse Practitioner | 12413 N 41st Pl, Phoenix, AZ 85032-7439 | 2015-11-04 |
1386032753 | Abcore Medical Group | Nurse Practitioner | 2023 W Bethany Home Rd, Phoenix, AZ 85015-2444 | 2015-01-07 |
1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
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.