PRIME MEDICAL CLINIC, PLC (NPI# 1679832729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679832729 |
| Entity Type | Organization |
| Organization Name | PRIME MEDICAL CLINIC, PLC |
| Practice Address |
3104 E Indian School Rd Suite 110 Phoenix AZ 85016-6889 |
| Mailing Address |
5150 N 16th St Suite B232 Phoenix AZ 85016-3925 |
| Practice Telephone | 6028403584 |
| Practice Fax Number | 6029572184 |
| Mailing Telephone | 6028403584 |
| Mailing Fax Number | 6029572184 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | DR. PATRIC SCHINE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6028403584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP1483 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 729130 | 05 |
| Street Address |
3104 E INDIAN SCHOOL RD SUITE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-6889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058144 | Grace Overcash | Occupational Therapist | 3104 E Indian School Rd, Suite 200, Phoenix, AZ 85016-6889 | 2006-01-19 |
| 1316330129 | Dht Hand Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 3104 E Indian School Rd, Suite 200a, Phoenix, AZ 85016-6889 | 2015-03-18 |
| 1265845374 | James Anthony Mccullom II | Specialist/Technologist, Other | 3104 E Indian School Rd, #200, Phoenix, AZ 85016-6889 | 2014-06-05 |
| 1154745941 | Andria Martinez | Occupational Therapist | 3104 E Indian School Rd, Ste 200, Phoenix, AZ 85016-6889 | 2014-02-13 |
| 1013330836 | Spooner Arcadia Hand Therapy, P.C. | Physical Therapist | 3104 E Indian School Rd, Ste 200, Phoenix, AZ 85016-6889 | 2014-01-30 |
| 1821244682 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 3104 E Indian School Rd, Suite 200, Phoenix, AZ 85016-6889 | 2008-08-13 |
| 1275716706 | Arizona Rehabilitation Associates, Ltd | Physical Therapist | 3104 E Indian School Rd, Suite 200, Phoenix, AZ 85016-6889 | 2007-12-06 |
| 1336254101 | William Tacchi | Occupational Therapist | 3104 E Indian School Rd, Suite 200, Phoenix, AZ 85016-6889 | 2006-08-20 |
| 1851345151 | Brian Christopher Thies | Occupational Therapist | 3104 E Indian School Rd, Suite 200, Phoenix, AZ 85016-6889 | 2006-05-20 |
| 1376509216 | Cheryl A Runge | Audiologist | 3104 E Indian School Rd, #120, Phoenix, AZ 85016-6889 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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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.