CORY ANDERSON (NPI# 1720050727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720050727 |
| Entity Type | Individual |
| Full Name | CORY ANDERSON |
| Credential | MD |
| Practice Address |
1840 S Stapley Dr Mesa AZ 85204-6681 |
| Practice Telephone | 4804648500 |
| Mailing Telephone | 4804648500 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25911 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 440678 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611874 | Cory Anderson | Physical Therapy Assistant | 2665 Daisy Ln, Richardson, TX 75082-3421 | 2016-11-04 |
| 1134552698 | Cory Anderson | Marriage & Family Therapist | 2333 Camino Del Rio S, Suite 250, San Diego, CA 92108-3607 | 2013-08-19 |
| 1588998371 | Cory Dale Anderson | Physician Assistant | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2009-09-25 |
| 1104994698 | Cory J Anderson | Counselor | 628 Circle Dr, Aberdeen, SD 57401-2615 | 2006-12-01 |
| Street Address |
1840 S STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909076 | Cigna Health Care of Arizona Inc | Pharmacy | 1840 S Stapley Dr, Ste 101, Mesa, AZ 85204-6681 | 2005-08-16 |
| 1467924704 | Kari Vosika | Registered Nurse | 1840 S Stapley Dr, Mesa, AZ 85204-6681 | 2018-12-27 |
| 1285881052 | Corina Kay Grancorvitz | Pharmacist | 1840 S Stapley Dr, Suite 101, Mesa, AZ 85204-6681 | 2008-08-25 |
| 1881860021 | Patricia Kao-hutt | Audiologist | 1840 S Stapley Dr, #101, Mesa, AZ 85204-6681 | 2008-05-07 |
| 1528139953 | Cigna Health Care of Arizona Inc | Clinic/Center | 1840 S Stapley Dr, Suite 101, Mesa, AZ 85204-5015 | 2006-11-09 |
| 1124131248 | Maureen Lee | Obstetrics & Gynecology | 1840 S Stapley Dr, Suite 131, Mesa, AZ 85204-6681 | 2006-08-15 |
| 1831151562 | Jean M Moon | Obstetrics & Gynecology | 1840 S Stapley Dr, Suite 131, Mesa, AZ 85204-6681 | 2006-04-06 |
| 1699755827 | Lakshmi Naidu | Pediatrics | 1840 S Stapley Dr, Mesa, AZ 85204-5015 | 2006-01-23 |
| 1366412504 | John A Kuss | Family Medicine | 1840 S Stapley Dr, Mesa, AZ 85204-6681 | 2006-01-23 |
| 1619957339 | Sudha Kamineni | Internal Medicine | 1840 S Stapley Dr, 101, Mesa, AZ 85204-6681 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1457987679 | Az Med 4u | Family Medicine | 1136 E Harmony Ave Ste 101, Mesa, AZ 85204-5844 | 2020-03-19 |
| 1619500089 | Elizabeth Lapioli | Family Medicine | 5422 S St Claire, Mesa, AZ 85212-5420 | 2020-02-13 |
| 1003448952 | M.g.t Rn LLC | Family Medicine | 7117 E Peralta Cir, Mesa, AZ 85212-9825 | 2020-02-09 |
| 1144793126 | Health and Wellness Clinic LLC | Family Medicine | 1155 S Country Club Dr, Mesa, AZ 85210-4615 | 2019-01-02 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1447725189 | Adam Craig Turner | Family Medicine | 925 N Nina Dr, Mesa, AZ 85201-3935 | 2018-10-09 |
| 1235620170 | Stephanie Deborah Kotsur | Family Medicine | 7334 E Plata Ave, Mesa, AZ 85212-9754 | 2018-05-26 |
| 1902308042 | Andrew Jason Wood | Family Medicine | 10902 E Sunland Ave, Mesa, AZ 85208-3938 | 2018-03-05 |
| 1871002683 | Verve Wellness Center, LLC. | Family Medicine | 4838 E Baseline Rd Ste 110, Mesa, AZ 85206-4674 | 2017-09-25 |
| 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.