ALLIANCE MEDICAL CLINIC, LLC (NPI# 1740224054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740224054 |
| Entity Type | Organization |
| Organization Name | ALLIANCE MEDICAL CLINIC, LLC |
| Practice Address |
42104 N Venture Dr Suite D118 Anthem AZ 85086-3823 |
| Mailing Address |
42104 N Venture Dr Suite D 118 Anthem AZ 85086-3823 |
| Practice Telephone | 6235054479 |
| Practice Fax Number | 6238791876 |
| Mailing Telephone | 6235056565 |
| Mailing Fax Number | 6235056565 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-05-13 |
| Authorized Official Name | LILIANA PEREZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6235059880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
42104 N VENTURE DR SUITE D118 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871094 | Brian J Dorfman | Dentist | 42104 N Venture Dr, Ste A106, Anthem, AZ 85086-3824 | 2005-06-14 |
| 1780179218 | Jh Dental | Clinic/Center | 42104 N Venture Dr, Anthem, AZ 85086-3823 | 2018-06-27 |
| 1871013524 | Anthem Oral Surgery & Implant Center | Dentist | 42104 N Venture Dr, Anthem, AZ 85086-3823 | 2017-06-23 |
| 1013466192 | Ternion Physician Group, Pllc | Internal Medicine | 42104 N Venture Dr, Suite D118, Anthem, AZ 85086-3823 | 2016-09-29 |
| 1588912646 | Frank W Wolf | Dentist | 42104 N Venture Dr, B134, Anthem, AZ 85086-3823 | 2012-08-21 |
| 1902132343 | Janel Marie Fairchild | Counselor | 42104 N Venture Dr, Building D, Unit 3, Anthem, AZ 85086-3823 | 2009-10-20 |
| 1013161819 | Better Health Chiropractic | Chiropractor | 42104 N Venture Dr, Ste A102, Anthem, AZ 85086-3823 | 2008-11-06 |
| 1174774475 | Ginger Leigh Teasley | Marriage & Family Therapist | 42104 N Venture Dr, Buildng D, Ste 102-106, Unit 3, Anthem, AZ 85086-3823 | 2008-10-06 |
| 1013188770 | Calvo Naturopathic Healthcare | Clinic/Center | 42104 N Venture Dr, Stec126, Anthem, AZ 85086-3823 | 2008-03-20 |
| 1154504009 | Anthem Dental Care | Dentist | 42104 N Venture Dr, Suite B134, Anthem, AZ 85086 | 2007-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558543678 | Linda Brown | Internal Medicine | 3655 W Anthem Way Ste A109, Anthem, AZ 85086-0430 | 2007-11-30 |
| 1700068855 | Nirmalji Odedra | Internal Medicine | 3655 W. Anthem Wy Ste A-109 Pmb313, Anthem, AZ 85086 | 2007-11-30 |
| 1548233141 | John Boccia | Internal Medicine | 40417 N Capra Way, Anthem, AZ 85086-1704 | 2006-02-13 |
| 1013466192 | Ternion Physician Group, Pllc | Internal Medicine | 42104 N Venture Dr, Suite D118, Anthem, AZ 85086-3823 | 2016-09-29 |
| 1609153733 | Nisarg Sheth | Internal Medicine | 3655 W Anthem Way, Suite A109 Pmb 313, Anthem, AZ 85086 | 2011-11-03 |
| 1215221940 | Dustin Ray Everett | Internal Medicine | 3655 W Anthem Way, Suite A109 Pmb 313, Anthem, AZ 85086-0430 | 2011-05-28 |
| 1720388127 | Glick Family Medicine LLC | Internal Medicine | 41810 N Venture Dr, Suite E-160, Anthem, AZ 85086-3169 | 2010-11-01 |
| 1396052254 | Sadaf Jamil | Internal Medicine | 3655 W Anthem Way, Suite A-109 Pmb 313, Anthem, AZ 85086-0430 | 2010-09-13 |
| 1386964674 | Ronald Allen Charles | Internal Medicine | 3655 W Anthem Way, A:109 Pmb 313, Anthem, AZ 85086-0430 | 2010-06-09 |
| 1194977405 | Nezar N Dahdal | Internal Medicine | 3655 W Anthem Way, A-109; Pmb313, Anthem, AZ 85086-0430 | 2008-10-17 |
| Find all providers in ANTHEM | ||||
Please comment or provide details below to improve the information on ALLIANCE MEDICAL CLINIC, LLC.
| 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.