NORTHERN ARIZONA ONCOLOGY CENTERS LLC (NPI# 1841503885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841503885 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA ONCOLOGY CENTERS LLC |
| Practice Address |
1100 Gail Gardner Way Prescott AZ 86305-1690 |
| Mailing Address |
Po Box 60990 Los Angeles CA 90060-0990 |
| Practice Telephone | 9287761040 |
| Practice Fax Number | 9287761041 |
| Mailing Telephone | 3103354000 |
| Mailing Fax Number | 3103354098 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | MARK SHALVARJIAN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 3103354000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Street Address |
1100 GAIL GARDNER WAY |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773893 | Dhirendra Jashbhai Patel | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-10-12 |
| 1457753592 | Vantage Cancer Care Network of Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-19 |
| 1962804302 | Vantage Cancer Care - Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-17 |
| 1821210048 | Dhirendra J. Patel, Md, PC | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2007-05-03 |
| 1003899816 | Donn Marshall Davis | Specialist | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-11-25 |
| 1164411724 | Mukundkumar V Patel | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639332802 | New Hope Ultimate | Clinic/Center | 13735 E Brookhart Way, Scottsdale, AZ 85262 | 2008-07-08 |
| 1841535655 | Integrative Oncology Strategies,llc | Clinic/Center | 2010 Injo Dr, Lake Havasu City, AZ 86403-5707 | 2012-12-05 |
| 1518264829 | Tri-state Radiation Oncology, Inc. | Clinic/Center | 2755 Silver Creek Rd, Suite 115, Bullhead City, AZ 86442-7904 | 2011-02-22 |
| 1083736128 | Summit Healthcare Association | Clinic/Center | 2500 E Hunt St, Suite H, Show Low, AZ 85901-7954 | 2007-04-06 |
| 1306983739 | Arizona Oncology Services Surgicenter | Clinic/Center | 300 W Clarendon Ave, Suite 350, Phoenix, AZ 85013-3420 | 2007-02-01 |
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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.