BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC (NPI# 1811372345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811372345 |
| Entity Type | Organization |
| Organization Name | BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC |
| Practice Address |
2451 E Baseline Rd Suite 425 Gilbert AZ 85234-2471 |
| Practice Telephone | 4804942770 |
| Practice Fax Number | 4804942771 |
| Mailing Telephone | 4804942770 |
| Mailing Fax Number | 4804942771 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | MR. W RICHARD HORN (MANAGER) |
| Authorized Official Telephone | 4804942770 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 12739741 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 041844 | 05 | |
| AZ | CAQH | 12739741 | 01 |
| AZ | DEA | MH1927423 | 01 |
| AZ | ANCC | 2015015625 | 01 |
| Street Address |
2451 E BASELINE RD SUITE 425 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844006 | Christopher Todd Mayhew | Chiropractor | 2451 E Baseline Rd, Suite 410, Gilbert, AZ 85234-2471 | 2005-07-07 |
| 1821604950 | Tatum Nicole Toribio | Physical Therapy Assistant | 2451 E Baseline Rd, Gilbert, AZ 85234-2471 | 2020-09-23 |
| 1093339731 | Michael Lewis Simmons | Occupational Therapist | 2451 E Baseline Rd, Gilbert, AZ 85234-2471 | 2020-05-28 |
| 1720596828 | Nicole Deopere | Behavioral Analyst | 2451 E Baseline Rd, Gilbert, AZ 85234-2471 | 2018-01-11 |
| 1609311182 | Chanel Elizabeth Wright | Specialist/Technologist | 2451 E Baseline Rd, Gilbert, AZ 85201 | 2016-12-20 |
| 1588114151 | Heart 2 Heart Radian Reflexions Wellness & Aesthetics Center | Reflexologist | 2451 E Baseline Rd, Ste 310, Gilbert, AZ 85234-2471 | 2016-10-07 |
| 1932654274 | Pamela Guard | Acupuncturist | 2451 E Baseline Rd, Suite 310, Gilbert, AZ 85234-2471 | 2016-08-16 |
| 1578017661 | Heart 2 Heart Radiant Reflexions Wellness & Aesthetics Center, LLC | Reflexologist | 2451 E Baseline Rd, Ste 310, Gilbert, AZ 85234-2471 | 2016-08-07 |
| 1811441124 | Stonegate Development, LLC | Clinic/Center | 2451 E Baseline Rd, Suite 240, Gilbert, AZ 85234-2471 | 2016-08-04 |
| 1023466869 | A Broader Approach, L.L.C. | Nutritionist | 2451 E Baseline Rd, Ste 300, Gilbert, AZ 85234-2471 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083276992 | Kt Integrative Medicine LLC | Clinic/Center | 633 E Ray Rd Ste 131, Gilbert, AZ 85296-4206 | 2019-07-01 |
| 1124495403 | Balance Hormone Center | Clinic/Center | 2730 S Val Vista Dr Bldg 5, Suite 127, Gilbert, AZ 85295-1675 | 2015-08-21 |
| 1790075208 | Neuro Focus Center LLC | Clinic/Center | 1400 North Gilbert Road, Suite H, Gilbert, AZ 85234-2726 | 2011-04-18 |
| 1871085902 | Ocotillo Treatment Center, LLC | Clinic/Center | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2018-06-04 |
| 1194222786 | Az Medical Resources LLC | Clinic/Center | 235 E Warner Rd Ste 106, Gilbert, AZ 85296-2972 | 2018-04-10 |
| 1316308059 | Southwest Anesthesia Services LLC | Clinic/Center | 2223 E Baseline Rd, Suite B, Gilbert, AZ 85234-2325 | 2016-03-08 |
| 1558683714 | Arizona Center for Digestive Health, Pllc | Clinic/Center | 3420 S Mercy Rd, Suite 211, Gilbert, AZ 85297-0419 | 2010-02-15 |
| 1588804280 | Cigna Healthcare of Arizona | Clinic/Center | 3530 S Val Vista Dr, Suite 101, Gilbert, AZ 85297-7318 | 2009-02-20 |
| 1942371505 | Cigna Health Care of Arizona Inc. | Clinic/Center | 4001 E Baseline Rd, Ste 107, Gilbert, AZ 85234-2726 | 2006-11-13 |
| 1750450987 | Cigna Health Care of Arizona Inc. | Clinic/Center | 2483 S Market St, Suite 103, Gilbert, AZ 85297-6306 | 2006-11-06 |
| Find all providers in GILBERT | ||||
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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.