SOUTH VAL VISTA MEDICAL GROUP LLC (NPI# 1861855462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861855462 |
Entity Type | Organization |
Organization Name | SOUTH VAL VISTA MEDICAL GROUP LLC |
Practice Address |
754 S. Val Vista Dr. #105 Gilbert AZ 85296 |
Mailing Address |
1450 W Guadalupe Rd #120 Gilbert AZ 85233-3042 |
Practice Telephone | 4804972900 |
Practice Fax Number | 4809262260 |
Mailing Telephone | 4809267800 |
Mailing Fax Number | 4809262260 |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |
Authorized Official Name | DR. GREG J VOGEL (OWNER MANAGER) |
Authorized Official Telephone | 4804972900 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
754 S. VAL VISTA DR. #105 |
City | GILBERT |
State | AZ |
Zip Code | 85296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
Find all providers in zip 85296 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245746379 | Rachael Bither | Physician Assistant | 1520 W Guadalupe Rd Ste 108, Gilbert, AZ 85233-3049 | 2017-12-27 |
1972976371 | Christopher Consolino | Physician Assistant | 3303 E Baseline Rd Ste 208, Gilbert, AZ 85234-2728 | 2015-11-06 |
1023484201 | Jennifer Bagby | Physician Assistant | 625 N Gilbert Rd Ste 104, Gilbert, AZ 85234-4511 | 2015-08-11 |
1720485147 | Elise W Ballou | Physician Assistant | 275 E Rivulon Blvd Ste 201, Gilbert, AZ 85297-0008 | 2014-12-01 |
1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
1194126425 | Kevin B Main | Physician Assistant | 3303 E Baseline Rd., Ste #208, Desert Pulmonary & Sleep Consultants, Plc, Gilbert, AZ 85234-2738 | 2014-09-05 |
1285057265 | Kristina Marie Todd | Physician Assistant | 4915 E Baseline Rd Ste 124, Gilbert, AZ 85234-2969 | 2014-01-28 |
1285885863 | Jane E Stevenson | Physician Assistant | 428 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2261 | 2008-10-01 |
1124278254 | Janice Renee Morasch | Physician Assistant | 3645 South Rome Street, Suite 204, Gilbert, AZ 85297 | 2008-09-25 |
1043336787 | Martha M Gurgel | Physician Assistant | 1410 W Guadalupe, Bldg 4 Ste 125, Gilbert, AZ 85233 | 2007-03-22 |
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.