ANTHEM TREATMENT CENTER LLC (NPI# 1679199186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679199186 |
| Entity Type | Organization |
| Organization Name | ANTHEM TREATMENT CENTER LLC |
| Practice Address |
3624 W Anthem Way Ste C106 Anthem AZ 85086-0454 |
| Mailing Address |
21001 N Tatum Blvd Ste 1630-606 Phoenix AZ 85050-4242 |
| Practice Telephone | 6232079216 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |
| Authorized Official Name | THOMAS MOSHIRI (MANAGER) |
| Authorized Official Telephone | 6022376340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
3624 W ANTHEM WAY STE C106 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086-0454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306049655 | Gavilan Peak Physical Therapy | Physical Therapist | 3624 W Anthem Way Ste C106, Anthem, AZ 85086-0454 | 2007-06-06 |
| 1548886773 | Daisy Mountain Treatment Center LLC | Clinic/Center | 3624 W Anthem Way Ste C106, Anthem, AZ 85086-0454 | 2020-06-23 |
| 1831751932 | Aprtc Anthem LLC | Clinic/Center | 3624 W Anthem Way Ste C106, Anthem, AZ 85086-0454 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886773 | Daisy Mountain Treatment Center LLC | Clinic/Center | 3624 W Anthem Way Ste C106, Anthem, AZ 85086-0454 | 2020-06-23 |
| 1831751932 | Aprtc Anthem LLC | Clinic/Center | 3624 W Anthem Way Ste C106, Anthem, AZ 85086-0454 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940274 | Arizona Centers for Orthobiologics, LLC | Clinic/Center | 610 E Baseline Rd Ste 103, Tempe, AZ 85283-1204 | 2020-10-21 |
| 1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
| 1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1952917445 | Aurora Surgical Center LLC | Clinic/Center | 1254 W University Ave Ste 130, Flagstaff, AZ 86001-7217 | 2020-09-20 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1780292110 | Buckeye South LLC | Clinic/Center | 23390 W Yuma Rd Ste 101, Buckeye, AZ 85326-3106 | 2020-07-22 |
| 1457976383 | Vhc-1 | Clinic/Center | 8900 E Raintree Dr Ste 100, Scottsdale, AZ 85260-7307 | 2020-06-16 |
| 1003439712 | Comprehensive Surgical Care of Sun City | Clinic/Center | 14642 N Del Webb Blvd Ste 100, Sun City, AZ 85351-2101 | 2020-05-28 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
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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.