CENTRAL ARIZONA ENDOSCOPY LLC (NPI# 1750312435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750312435 |
| Entity Type | Organization |
| Organization Name | CENTRAL ARIZONA ENDOSCOPY LLC |
| Practice Address |
2158 N Gilbert Rd Building 1 Suite 103 Mesa AZ 85203-2112 |
| Mailing Address |
2500 York Rd Ste 300 Jamison PA 18929-1098 |
| Practice Telephone | 4807513002 |
| Practice Fax Number | 4807513003 |
| Mailing Telephone | 2155899024 |
| Mailing Fax Number | 2155899039 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | SHARON HOHLFELD (CO-TREASURER) |
| Authorized Official Telephone | 2155899024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC 4093 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AAAHC | 74203 | 01 | |
| CLIA WAIVER | 03D1057109 | 01 | |
| DEA | BJ9973721 | 01 | |
| AZ | ARIZONA LICENSE | OSC 4093 | 01 |
| AZ | 217237 | 05 |
| Street Address |
2158 N GILBERT RD BUILDING 1 SUITE 103 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568416790 | Rcdc of Mesa Plc | Dermatology | 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 | 2006-05-20 |
| 1093314775 | Naioom Dentistry Pllc | Dentist | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2020-10-22 |
| 1457708786 | Brasiliopuntia, LLC | Dentist | 2158 N Gilbert Rd, Suite 123, Mesa, AZ 85203-2109 | 2016-05-17 |
| 1386020519 | Central Arizona Endoscopy, LLC | Anesthesiology | 2158 N Gilbert Rd, Bldg 1 Suite 103, Mesa, AZ 85203-2109 | 2015-08-11 |
| 1235526906 | Stenopuntia LLC | Dentist | 2158 N Gilbert Rd, Suite 123, Mesa, AZ 85203-2109 | 2015-04-21 |
| 1033508031 | Tephrocactus LLC | Dentist | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2015-01-13 |
| 1457791774 | Nicole Desiree Lattanzio | Dietitian, Registered | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2013-07-01 |
| 1730490228 | North Groves Dental Group | Clinic/Center | 2158 N Gilbert Rd, Ste 123, Mesa, AZ 85203 | 2010-06-29 |
| 1083893911 | Lori J Olsen | Counselor | 2158 N Gilbert Rd, Suite 110, Mesa, AZ 85203-2109 | 2007-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1760960405 | Bertha, LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2018-08-03 |
| 1164930731 | Rembrandt Outpatient Surgery Center Pllc | Clinic/Center | 6859 E Rembrandt Ave Ste 114, Mesa, AZ 85212-3629 | 2018-01-17 |
| 1770093270 | Az Facility Services | Clinic/Center | 1839 S Alma School Rd Ste 354, Mesa, AZ 85210-3028 | 2017-10-10 |
| 1417479635 | Tcsc Ev LLC | Clinic/Center | 1114 S Higley Rd Ste 101, Mesa, AZ 85206-3000 | 2017-07-10 |
| 1972024917 | Trusted Care East Valley Az, LLC | Clinic/Center | 1114 S Higley Road Ste 101, Mesa, AZ 85206 | 2017-06-29 |
| 1477000602 | Discover Surgical Center LLC | Clinic/Center | 135 S Power Rd Ste 110, Mesa, AZ 85206-5245 | 2016-09-06 |
| 1275914186 | Verve Surgical Institute, Inc. | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 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.