RAUL J RODRIGUEZ-SORA (NPI# 1811097538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811097538 |
| Entity Type | Individual |
| Full Name | RAUL J RODRIGUEZ-SORA |
| Credential | MD |
| Practice Address |
2075 S Cottonwood Dr Tempe AZ 85282-3040 |
| Practice Telephone | 4807180568 |
| Practice Fax Number | 5202904881 |
| Mailing Telephone | 4807180568 |
| Mailing Fax Number | 5202904881 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
21047 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 116005 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 E Baseline Rd Ste D104, Tempe, AZ 852831291 | 4807180568 | |
| 5700 E Pima St, Ste 1, Tucson, AZ 857125601 | 5207501739 | 5202904881 |
| Street Address |
2075 S COTTONWOOD DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124058466 | Linda S Macconnell | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2006-07-03 |
| 1770195612 | Ctb Az, LLC | Physical Therapist | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2020-08-21 |
| 1487265278 | Derrick Kai-hung Tang | Psychiatry & Neurology | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2020-08-14 |
| 1730748435 | Next Gen Medicus | Psychologist | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2019-06-07 |
| 1851950521 | Mohamed Khalil | Psychologist | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2019-06-06 |
| 1285106872 | Roxanna Donan | Nurse Practitioner | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-12-20 |
| 1568938280 | Shane Doty | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-10-19 |
| 1154897494 | Ashley Meghan Wanzer | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-10-14 |
| 1760962823 | Casandra Ray Hamlin | Nurse Practitioner | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-08-17 |
| 1972007300 | Tasha Marie Wood | Nurse Practitioner | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
| 1801823026 | Niraja T Patel | Psychiatry & Neurology | 1150 S Forest, #334, Tempe, AZ 85287-1012 | 2006-06-26 |
| 1083640924 | Laurie Ramsbacher | Psychiatry & Neurology | 1501 W Fountainhead Pkwy, Suite 295, Tempe, AZ 85282-1868 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
| 1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
| 1316160476 | Patricia M Tagle Levy | Psychiatry & Neurology | 7510 E First St, Scottsdale, AZ 85251 | 2007-04-10 |
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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.