COOLIDGE PEDIATRICS (NPI# 1700373180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700373180 |
| Entity Type | Organization |
| Organization Name | COOLIDGE PEDIATRICS |
| Practice Address |
299 W Central Ave Ste B Coolidge AZ 85128-4726 |
| Mailing Address |
22707 S Ellsworth Rd Ste H101 Queen Creek AZ 85142-7568 |
| Practice Telephone | 4807929200 |
| Practice Fax Number | 4807929206 |
| Mailing Telephone | 4807929200 |
| Mailing Fax Number | 4807929206 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | EMILIA GOMEZ-VIEYTEZ (CEO) |
| Authorized Official Telephone | 4807929200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BETHESDA PEDIATRICS OF QUEEN CREEK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 43623 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
299 W CENTRAL AVE STE B |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85128-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636253 | Terhea A Smith | Physical Therapy Assistant | 2155 W Pima Ave, Coolidge, AZ 85128 | 2019-05-29 |
| 1912310913 | Josette Rossi | Counselor | 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 | 2014-06-06 |
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1346550878 | Laura Grace Lew | Registered Nurse | 800 W. Northern Ave., Coolidge, AZ 85128 | 2010-10-18 |
| 1962682203 | Douglas Santiago | Audiologist | 4713 West Ginger Avenue, Coolidge, AZ 85128 | 2007-11-04 |
| 1528113859 | Pinal County Arizona | Public Health or Welfare | 119 W. Central Avenue, Coolidge, AZ 85128 | 2007-01-25 |
| 1265085567 | The River's Edge Dental | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128 | 2019-07-17 |
| 1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
| 1407981384 | Max A Almodovar | Dentist | 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 | 2007-02-22 |
| 1093805160 | Michael Eugene Wilkinson | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2006-10-12 |
| Find all providers in zip 85128 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| 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.