DR. GLORIA C EDREIRA-GREEN (NPI# 1720014608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720014608 |
| Entity Type | Individual |
| Full Name | DR. GLORIA C EDREIRA-GREEN |
| Credential | MD |
| Practice Address |
943 Hualapai Way Peach Springs AZ 86434 |
| Practice Telephone | 9287692900 |
| Mailing Telephone | 9287692900 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 25MA06551000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 25MA06551000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8887501 | 05 |
| Street Address |
943 HUALAPAI WAY |
| City | PEACH SPRINGS |
| State | AZ |
| Zip Code | 86434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104389451 | Kelly Jo Lewis | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2019-04-12 |
| 1669833794 | Rebecca Anne Fox | Registered Nurse | 943 Hualapai Way, Peach Springs Health Center, Peach Springs, AZ 86434 | 2016-03-17 |
| 1720454226 | Rebecca Ann Rice | Health Educator | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2015-08-19 |
| 1427446137 | Katrina Green | Pharmacist | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2015-01-05 |
| 1700121480 | Claudia J Shultz | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-12-06 |
| 1083967715 | Leslie Mcguire | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2012-10-18 |
| 1649531377 | Peach Springs Health Center | Clinical Medical Laboratory | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-29 |
| 1023378825 | Peach Springs Indian Health Center | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-25 |
| 1265719934 | Dhhs Ihs Phoenix Area | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2011-11-09 |
| 1811274574 | Glenn S Foster | Pharmacist | 943 Hualapai Way, Peach Springs, AZ 86434 | 2011-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871983742 | Jenifer Bowles | Registered Nurse | 938 Hualapai Way, Peach Springs, AZ 86434 | 2015-01-30 |
| 1427398353 | All One People Chiropractic, Inc. | Chiropractor | 900 Route 66, Suite 201 Hualapai Lodge, Peach Springs, AZ 86434 | 2013-03-01 |
| 1982957619 | Sean P Kennedy | Technician | 943 Indian Way, Peach Springs, AZ 86434 | 2012-10-18 |
| 1124211016 | Peach Springs Unified School District #8 | Case Management | 16500 E. Highway 66, Peach Springs Jr./sr. High, Peach Springs, AZ 86434 | 2007-08-23 |
| 1366640724 | Robyn Lee Ann Purdum | Chiropractor | 900 W. Route 66, Suite 201, Peach Springs, AZ 86434 | 2007-07-06 |
| 1740497874 | Hualapai Tribe | Ambulance | 921 Hualapai Way, Peach Springs, AZ 86434 | 2007-05-17 |
| 1407061971 | Katie John | Technician, Other | 943 Haulapai Way, Peach Springs, AZ 86434 | 2007-05-10 |
| 1356554315 | Lisa Christine Gaudet | Psychologist | 960 Rodeo Way, Peach Springs, AZ 86434 | 2007-05-07 |
| 1558489120 | Ernestine Alva Crozier | Technician, Pathology | 940 Hualapai Way, Peach Springs, AZ 86434 | 2007-03-26 |
| 1295976660 | Roger Orazio Cangialosi | Counselor | 960 Rodeo Way, Hualapai Health Department, Peach Springs, AZ 86434 | 2009-03-16 |
| Find all providers in zip 86434 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1841801735 | Usaholistics | Internal Medicine | 6614 E Aster Dr, Scottsdale, AZ 85254-4549 | 2020-08-13 |
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1396363594 | Cabaluna Medical Pllc | Internal Medicine | 2001 Excellence Way Ste 200, Prescott, AZ 86301-8410 | 2020-07-14 |
| 1285252510 | Sun City Internal Medicine Pllc | Internal Medicine | 10503 W Thunderbird Blvd Ste 108, Sun City, AZ 85351-3047 | 2020-07-13 |
| 1619598398 | Ur Doc, LLC | Internal Medicine | 1847 E. Southern Ave., #4, Tempe, AZ 85282-5881 | 2020-05-04 |
| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1326676800 | Arizona Physicians Group | Internal Medicine | 13771 N Fountain Hills Blvd # 114-146, Fountain Hills, AZ 85268-3762 | 2020-03-30 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
| City | PEACH SPRINGS |
| Zip Code | 86434 |
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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.