CHOICE MEDICAL WALK IN PLLC (NPI# 1801041264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801041264 |
| Entity Type | Organization |
| Organization Name | CHOICE MEDICAL WALK IN PLLC |
| Practice Address |
12262 E Bradshaw Mountain Rd Dewey AZ 86327-6032 |
| Mailing Address |
39612 N Belfair Way Anthem AZ 85086-3663 |
| Practice Telephone | 9287721673 |
| Mailing Telephone | 6235515635 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | DR. DAVID BRYAN FOY (PHYSICIAN PRACTITIONER) |
| Authorized Official Telephone | 6233269588 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
3834 | AZ | Ambulatory Health Care Facilities |
| Street Address |
12262 E BRADSHAW MOUNTAIN RD |
| City | DEWEY |
| State | AZ |
| Zip Code | 86327-6032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215316468 | Stacia Stickney | Physician Assistant | 12262 E Bradshaw Mountain Rd, Dewey, AZ 86327-6032 | 2015-05-20 |
| 1063651420 | Mobile Healthcare Solutions, LLC | Nurse Practitioner | 12262 E Bradshaw Mountain Rd, Sutie #2, Dewey, AZ 86327-6032 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791577 | Sarabeth Zurbano Roberto | Nurse Practitioner | 12075 Arizona 69, Dewey, AZ 86327 | 2018-08-23 |
| 1194224493 | Danielle Barbaro | Nurse Practitioner | 12075 Az - 69, Dewey, AZ 86327 | 2018-02-02 |
| 1437669504 | Caroline Bingham | Registered Nurse | 12075 Az State Route 69, Dewey, AZ 86327 | 2017-10-03 |
| 1245778323 | Copper Basin Healthcare, Inc. | Hospice Care, Community Based | 13207 E State Route 169 Ste A, Dewey, AZ 86327 | 2017-02-08 |
| 1346790748 | Holly Engelman | Nurse Practitioner | 150 Az-69 #1a, Dewey, AZ 86327 | 2016-10-10 |
| 1902262272 | Bradshaw Mountain Family Medicine LLC | Nurse Practitioner | 1163 E Old Chisholm Trail Suite C, Dewey, AZ 86327 | 2016-01-02 |
| 1255703229 | Clarence & Jeanne Kinsley, Dba | Respite Care | 17100 E. Lions Crossing Rd, Dewey, AZ 86327 | 2015-10-29 |
| 1003060534 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 14410 E. Blue Ridge Road, Dewey, AZ 86327 | 2008-11-11 |
| 1740431196 | Andrew Gregory Bowers | Speech-Language Pathologist | 422 N. La Paz St., Dewey, AZ 86327 | 2008-10-03 |
| 1114090925 | Mingus Mountain Estate Residential Center Inc | Assisted Living Facility | 100 Dewey Road, Farrington Home, Dewey, AZ 86327 | 2006-11-17 |
| Find all providers in zip 86327 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.