CANTON PEDIATRICS,PC (NPI# 1710213244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710213244 |
| Entity Type | Organization |
| Organization Name | CANTON PEDIATRICS,PC |
| Practice Address |
303 E Baseline Rd 203 Phoenix AZ 85042-6530 |
| Practice Telephone | 6022322737 |
| Practice Fax Number | 6022322736 |
| Mailing Telephone | 6022322737 |
| Mailing Fax Number | 6022322736 |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | MR. SCOTT ROGERS (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 6022322737 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4498 | AZ | Ambulatory Health Care Facilities |
| Street Address |
303 E BASELINE RD 203 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962474668 | Mary Elizabeth Vaughan | Nurse Practitioner | 303 E Baseline Rd, Suite 203, Phoenix, AZ 85042-6530 | 2006-02-06 |
| 1801362892 | Sarah Joyce Tucker | Nurse Practitioner | 303 E Baseline Rd, Phoenix, AZ 85042-6530 | 2018-10-17 |
| 1811490881 | Mountain Park Health Center | Clinic/Center | 303 E Baseline Rd, Phoenix, AZ 85042-6530 | 2018-03-15 |
| 1457720765 | Rachel Kennamer | Nurse Practitioner | 303 E Baseline Rd, Phoenix, AZ 85042-6530 | 2015-09-16 |
| 1558773028 | Bobby Jean Mickens | Nurse Practitioner | 303 E Baseline Rd, Phoenix, AZ 85042-6530 | 2014-06-02 |
| 1124441944 | Spooner Physical Therapy & Hand Rehab, PC | Physical Therapist | 303 E Baseline Rd, Ste 101, Phoenix, AZ 85042-6530 | 2014-01-30 |
| 1144642653 | Trent Brooke | Physical Therapist | 303 E Baseline Rd, Ste 110, Phoenix, AZ 85042-6530 | 2014-01-17 |
| 1144658154 | Matthew Getz | Physical Therapist | 303 E Baseline Rd, Suite 110, Phoenix, AZ 85042-6530 | 2013-10-30 |
| 1831434620 | Amy Mainelli | Physical Therapist | 303 E Baseline Rd, Suite 110, Phoenix, AZ 85042-6530 | 2012-12-05 |
| 1477807485 | Spooner Phoenix Physical Therapy, Inc. | Physical Therapist | 303 E Baseline Rd, Suite 110, Phoenix, AZ 85042-6530 | 2012-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
| 1952945313 | Arizona Primary Care & Regenerative Medicine LLC | Clinic/Center | 1611 W Silver Pine Dr, Phoenix, AZ 85086-1930 | 2019-10-29 |
| 1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
| 1568937407 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2018-10-08 |
| 1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
| 1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
| 1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
| 1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
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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.