DR. AARON RANDALL DEGROOT (NPI# 1841360484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841360484 |
| Entity Type | Individual |
| Full Name | DR. AARON RANDALL DEGROOT |
| Credential | DO |
| Practice Address |
1515 W Deer Valley Rd Ste B106 Phoenix AZ 85027 |
| Mailing Address |
1515 W Deer Valley Rd Ste B106 Phoenix AZ 85027-2041 |
| Practice Telephone | 6232484025 |
| Practice Fax Number | 6023912617 |
| Mailing Telephone | 6232484025 |
| Mailing Fax Number | 6023912617 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4105 | AZ | Allopathic & Osteopathic Physicians |
| N | 209800000X | Legal Medicine | 4105 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | 4105 | 01 |
| AZ | 945462 | 05 | |
| AZ | MEDICARE | Z204694 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 W Deer Valley Rd Ste B106, Phoenix, AZ 850272041 | 6232484025 | 6023912617 |
| 16960 W Bell Rd Ste 501, Surprise, AZ 853748946 | 6024669664 | 6023912617 |
| 26224 N Tatum Blvd Ste 11, Phoenix, AZ 850507500 | 6024669664 | 6023912617 |
| 3050 N Navajo Dr, Prescott Valley, AZ 863148663 | 9289104424 | 9284413573 |
| 3367 S Mercy Rd Ste 201, Gilbert, AZ 852977604 | 6024669664 | 6023912617 |
| Street Address |
1515 W DEER VALLEY RD STE B106 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760261 | Mallory Jody Murray | General Practice | 7000 E Mayo Blvd Ste 1020, Phoenix, AZ 85054-6152 | 2017-06-21 |
| 1265972269 | Md Assist, Inc. | General Practice | 7117 N 3rd St, Phoenix, AZ 85020-4902 | 2017-02-24 |
| 1861872756 | Keith King | General Practice | 6210 W Earll Dr, Phoenix, AZ 85033-5843 | 2015-06-04 |
| 1659767887 | Samuel Michal Anderson | General Practice | Po Box 31581, Phoenix, AZ 85046-1581 | 2015-04-14 |
| 1982090338 | Arizona Bleeding Disorders Health and Wellness Center | General Practice | 821 N 5th Ave, Phoenix, AZ 85003-1315 | 2015-04-13 |
| 1205238896 | Svelte LLC | General Practice | 2211 E Highland Ave Ste 215, Phoenix, AZ 85016-4834 | 2014-09-25 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1699104539 | Richard Fink | General Practice | 1037 E Baseline Rd, Phoenix, AZ 85042-6618 | 2013-11-01 |
| 1982031795 | Latino Care, LLC | General Practice | 3140 N 35th Ave, Suite 7, Phoenix, AZ 85017-5270 | 2013-10-11 |
| 1669730156 | Lifelink Inc | General Practice | 3039 W Peoria Ave Ste 102-125, Phoenix, AZ 85029-5212 | 2012-05-02 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. AARON RANDALL DEGROOT.
| 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.