CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC (NPI# 1710445481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710445481 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC |
| Other Organization Name | THE CORE INSTITUTE |
| Practice Address |
1500 S Dobson Rd Ste 202 Mesa AZ 85202-4724 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | DAVID JOSEPH JACOFSKY (CEO) |
| Authorized Official Telephone | 8669742673 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| The CORE Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1548893365 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 10484 W Thunderbird Blvd Ste 100, Sun City, AZ 85351-6019 | 2020-02-20 |
| 1861435422 | Center for Orthopedic Research and Education LLC | Prosthetic/Orthotic Supplier | 14520 W Granite Valley Dr, Ste210, Sun City West, AZ 85375-5855 | 2006-06-13 |
| Street Address |
1500 S DOBSON RD STE 202 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790729903 | Brian Walter Buck | Orthopaedic Surgery | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2006-06-16 |
| 1700419181 | Samuel Kobina Desouza Jr. | Physician Assistant | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2020-02-13 |
| 1275170839 | Brooke Mansfield | Physician Assistant | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2019-12-03 |
| 1851863740 | Justine Wang | Physician Assistant | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2018-12-18 |
| 1912474149 | Kristen Lynn Bilstad | Physician Assistant | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2018-10-25 |
| 1902329550 | Caleb Crocker | Physician Assistant | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2017-07-25 |
| 1689930927 | Kurt Adam Lundberg | Anesthesiology | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189765 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd Ste 101, Mesa, AZ 85204-7290 | 2020-09-23 |
| 1528678901 | Maurice Valeriano | Durable Medical Equipment & Medical Supplies | 505 W 8th Ave Ste 12a, Mesa, AZ 85210-3541 | 2020-07-31 |
| 1356966105 | Wound Pros Arizona | Durable Medical Equipment & Medical Supplies | 1910 S. Stapley Drive, Suite 221, Mesa, AZ 85204-6680 | 2020-06-08 |
| 1457972010 | K & K Investments Inc | Durable Medical Equipment & Medical Supplies | 5540 E Broadway Rd Ste 8, Mesa, AZ 85206-1440 | 2020-05-05 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1679125009 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 2140 W Broadway Rd Bldg 7, Mesa, AZ 85202-1895 | 2019-07-16 |
| 1861058810 | Rita Marie Burnette | Durable Medical Equipment & Medical Supplies | 323 E Brown Rd Ste 204, Mesa, AZ 85201-3544 | 2019-05-15 |
| 1023673472 | First Choice Respiratory | Durable Medical Equipment & Medical Supplies | 1940 W Baseline Rd Ste 8, Mesa, AZ 85202-9066 | 2019-05-01 |
| 1063980662 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 1121 S Gilbert Rd Ste 103, Mesa, AZ 85204-5235 | 2018-11-13 |
| 1811404254 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 2225 W Southern Ave Bldg 100, Mesa, AZ 85202-4716 | 2018-01-08 |
| Find all providers in MESA | ||||
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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.