JOHN MODRZEJEWSKI (NPI# 1831439413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831439413 |
Entity Type | Individual |
Full Name | JOHN MODRZEJEWSKI |
Credential | NP-C |
Practice Address |
15920 S Rancho Sahuarita Blvd Ste 120 Sahuarita AZ 85629-8013 |
Practice Telephone | 5205751175 |
Enumeration Date | 2013-02-19 |
Last Update Date | 2020-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4843 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2178 N Pantano Rd, #230, Tucson, AZ 857156905 | 5208926395 | |
4790 S. Calle Santa Cruz, Tucson, AZ 85714 | 5207772277 | 5207772280 |
Street Address |
15920 S RANCHO SAHUARITA BLVD STE 120 |
City | SAHUARITA |
State | AZ |
Zip Code | 85629-8013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548369937 | John Spencer | Family Medicine | 15920 S Rancho Sahuarita Blvd Ste 120, Sahuarita, AZ 85629-8013 | 2006-09-21 |
1508108671 | Diane Esther Trotter | Nurse Practitioner | 15920 S Rancho Sahuarita Blvd Ste 120, Sahuarita, AZ 85629-8013 | 2013-03-26 |
1487972477 | Elsi Maria Diaz | Family Medicine | 15920 S Rancho Sahuarita Blvd Ste 120, Sahuarita, AZ 85629-8013 | 2010-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
1134622590 | United Community Health Center-maria Auxiliadora, Inc. | Clinic/Center | 18857 S. Lacanada Dr., Sahuarita, AZ 85629 | 2018-03-13 |
1689114324 | Barbara Scheidel | Contractor | 15600 S Avenida Haley, Sahuarita, AZ 85629 | 2017-02-28 |
1477953891 | Green Valley Fire District | Nurse Practitioner | 898 N. Campbell, Sahuarita, AZ 85629 | 2014-09-04 |
1477952844 | Stacey Abbott | Pharmacist | 18680 N Nogales Hwy, Sahuarita, AZ 85629 | 2014-08-21 |
1386078087 | Mary Yvonne Hinojosa | Pharmacist | 17235 S Irving Ave, Sahuarita, AZ 85629 | 2013-08-29 |
1174965628 | Gaetan Ntezeh Nkemzi | Pharmacist | 1301 W. Duval Mine Rd, Sahuarita, AZ 85629 | 2013-07-25 |
1487964490 | Caring Hearts of Sahuarita | Home Health | 336 E Camino Rancho Seguro, Sahuarita, AZ 85629 | 2010-10-13 |
1821230160 | Elisha Wintch | Psychologist | 350 W. Sahuarita Rd, Sahuarita, AZ 85629 | 2009-04-01 |
1205099116 | Gordon H Marrs | Pharmacist | 15950 S. Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2008-07-10 |
Find all providers in zip 85629 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699386813 | Keri A Green | Nurse Practitioner | 15009 S Theodore Roosevelt Way, Sahuarita, AZ 85629-8996 | 2020-08-11 |
1922631209 | Aimee Ramos | Nurse Practitioner | 221 W Calle La Bolita, Sahuarita, AZ 85629-8695 | 2020-02-15 |
1730671140 | William Gene Lucas | Nurse Practitioner | 7640 W Maverick Rd, Sahuarita, AZ 85629-6781 | 2018-05-31 |
1477953891 | Green Valley Fire District | Nurse Practitioner | 898 N. Campbell, Sahuarita, AZ 85629 | 2014-09-04 |
1366542193 | William Clyde Lucas | Nurse Practitioner | 7640 W. Maverick Rd., Sahuarita, AZ 85629 | 2006-09-22 |
1689167397 | Elizabeth Silva | Nurse Practitioner | 2875 E Sahuarita Rd, Sahuarita, AZ 85629-9434 | 2018-06-08 |
1164859195 | Hannah Morse Vogan-darezzo | Nurse Practitioner | 2875 E Sahuarita Rd, Sahuarita, AZ 85629-9434 | 2013-10-04 |
1386987717 | Rebekah Lewis | Nurse Practitioner | 17450 S La Canada Dr, Sahuarita, AZ 85629-9718 | 2013-04-04 |
1508108671 | Diane Esther Trotter | Nurse Practitioner | 15920 S Rancho Sahuarita Blvd Ste 120, Sahuarita, AZ 85629-8013 | 2013-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
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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.