PHYSICIAN GROUP OF ARIZONA INC (NPI# 1851957195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851957195 |
Entity Type | Organization |
Organization Name | PHYSICIAN GROUP OF ARIZONA INC |
Practice Address |
1620 S Stapley Dr Ste 132 Mesa AZ 85204-6655 |
Mailing Address |
Po Box 24573 Belfast ME 04915-4496 |
Practice Telephone | 4808348804 |
Practice Fax Number | 4804648287 |
Mailing Telephone | 8556600300 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-05-13 |
Authorized Official Name | MICHELLE DINSDALE (EXECUTIVE DIRECTOR, OPERATIONS) |
Authorized Official Telephone | 6027977070 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
STEWARD MEDICAL GROUP OF ARIZONA | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
1487294096 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10301 N 92nd St, Suite B 201, Scottsdale, AZ 85258-4511 | 2020-01-11 |
1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
1467092130 | Physician Group of Arizona Inc | Orthopaedic Surgery | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 | 2020-01-10 |
1992345664 | Physician Group of Arizona Inc | Orthopaedic Surgery | 7727 W Deer Valley Rd, Suite 210, Peoria, AZ 85382-2120 | 2020-01-10 |
1558901215 | Physician Group of Arizona Inc | Orthopaedic Surgery | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 | 2020-01-10 |
1174091698 | Physician Group of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2018-11-02 |
1518137520 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St, Suite 200, Phoenix, AZ 85034-2004 | 2008-03-05 |
Street Address |
1620 S STAPLEY DR STE 132 |
City | MESA |
State | AZ |
Zip Code | 85204-6655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144680505 | Thornridge Medical and Management Inc | Podiatrist | 6104 E Brown Rd Ste 101, Mesa, AZ 85205-4953 | 2016-02-28 |
1326408782 | Kraemer Medical Inc | Podiatrist | 6104 E Brown Rd Ste 102, Mesa, AZ 85205-4953 | 2016-02-28 |
1255715579 | Patrick Gillihan | Podiatrist | 10238 E Hampton Ave Ste 107, Mesa, AZ 85209-3317 | 2015-07-16 |
1912313875 | Jordan Frank Hirschi | Podiatrist | 2147 N 30th St, Mesa, AZ 85213-3179 | 2014-07-10 |
1568705952 | Socorro Gabriela Montes | Podiatrist | 1520 S Dobson Rd Ste 307, Mesa, AZ 85202-4700 | 2013-04-03 |
1922395821 | Brandon Mecham | Podiatrist | 6116 E Arbor Ave Ste 118, Mesa, AZ 85206-6104 | 2011-06-30 |
1467786228 | Advanced Center for Foot & Ankle | Podiatrist | 2815 S Alma School Rd Ste 119b, Mesa, AZ 85210-4031 | 2009-09-28 |
1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
1043445091 | Blair James Sandall | Podiatrist | 1347 N. Greenfield Rd, Suite 101, Mesa, AZ 85205-4072 | 2009-05-20 |
1295714525 | Cameron Rafael Mckay | Podiatrist | 220 N Stapley Dr, Mesa, AZ 85203-8057 | 2006-01-13 |
Find all providers in MESA |
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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.