TERESA JUNE PATIN (NPI# 1801135108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801135108 |
| Entity Type | Individual |
| Full Name | TERESA JUNE PATIN |
| Practice Address |
635 E Baseline Rd Phoenix AZ 85042-6551 |
| Mailing Address |
2702 N 3rd St Ste 4020 Phoenix AZ 85004-1130 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022431235 |
| Mailing Telephone | 6023233345 |
| Mailing Fax Number | 6023233399 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2014-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
AP7512 | AZ | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 572302 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
635 E BASELINE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414892 | Neil Trachtenberg | Obstetrics & Gynecology | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2005-08-18 |
| 1548884240 | Heather E Weninger | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2020-05-29 |
| 1245863786 | Katherine Marie Bear | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2020-02-12 |
| 1841821642 | Manyil Dashe | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2020-01-30 |
| 1962045112 | Natasha Burrell | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2019-10-21 |
| 1215404652 | Heather Diane Hargrave | Physician Assistant | 635 E Baseline Rd, Phoenix, AZ 85042 | 2018-10-24 |
| 1700351475 | Robert Eugene Carter | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2018-10-09 |
| 1134605132 | Philsy Jaison | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2018-07-13 |
| 1891208948 | Samantha Thompson | Pharmacist | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2017-11-12 |
| 1295259075 | Evelyn Coronado | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144498692 | Chloe Obstetrics & Gynecology, P.l.l.c. | Obstetrics & Gynecology | 500 W. Thomas Rd, Suite 670, Phoenix, AZ 85013-4224 | 2008-02-19 |
| 1932325073 | Sylvia C Castro | Obstetrics & Gynecology | 15255 N 40th St Suite 105, Phoenix, AZ 85032-4636 | 2007-04-17 |
| 1336104108 | Jan D Watson | Obstetrics & Gynecology | 2030 W Baseline Rd, Suite 182-235, Phoenix, AZ 85041-6574 | 2006-04-17 |
| 1477915213 | Kaitlin Nelson Elsenheimer | Obstetrics & Gynecology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2016-03-22 |
| 1407262777 | Westridge, Ob/gyn | Obstetrics & Gynecology | 8410 W Thomas Rd Ste 134, Phoenix, AZ 85037-3374 | 2014-07-08 |
| 1992065601 | Kristina Suntay | Obstetrics & Gynecology | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2012-05-29 |
| 1891960738 | Maria Dolores Hernandez | Obstetrics & Gynecology | 2601 E Roosevelt St, Attn: Stella Garcia, Phoenix, AZ 85008-4973 | 2008-04-22 |
| 1528267994 | Rochelle R Orr | Obstetrics & Gynecology | 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 | 2007-07-16 |
| 1336270834 | Britt D Michie | Obstetrics & Gynecology | 10240 W Indian School Rd, Bld 2 Ste 140, Phoenix, AZ 85037 | 2007-03-08 |
| 1356491989 | David L Greenspan Md Pllc | Obstetrics & Gynecology | 600 W Thomas Rd, Phoenix, AZ 85013-4213 | 2007-01-12 |
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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.