EMERGENCY PHYSICIANS SOUTHWEST, PC (NPI# 1912053752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912053752 |
| Entity Type | Organization |
| Organization Name | EMERGENCY PHYSICIANS SOUTHWEST, PC |
| Practice Address |
6644 E Baywood Ave Mesa AZ 85206-1747 |
| Mailing Address |
Po Box 635623 Cincinnati OH 45263-0001 |
| Practice Telephone | 4803212000 |
| Practice Fax Number | 4803214198 |
| Mailing Telephone | 9259241600 |
| Mailing Fax Number | 9259240506 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | SHARON HARDY (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9252516901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE RR | DF7231 | 01 |
| AZ | 443747 | 05 |
| Street Address |
6644 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060233 | Ashley M Reed | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2005-08-12 |
| 1215546882 | Kylee A Read | Occupational Therapist | 6644 E Baywood Ave, Mesa, AZ 85206 | 2020-07-29 |
| 1629696638 | Barbara Izabela Rutkowski | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-07-07 |
| 1518580844 | Aisha Bales | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-21 |
| 1366064156 | Michael Martin Moreau | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-14 |
| 1316568454 | Bhagyashree Barlingay M D P C | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-04-29 |
| 1255967394 | Garet Joshua Powell | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-03-20 |
| 1912547597 | Derek Ryan Allen | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-01-10 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| 1891250759 | Alison Renae Arpaia | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889636 | Michael Steven Prescott | Emergency Medicine | 2747 E University Dr # 32016, Mesa, AZ 85213-8437 | 2007-05-13 |
| 1538371752 | Betty Hadji Momenian Dinarte | Emergency Medicine | 6644 E Baywood Avenue, Mesa, AZ 85206 | 2007-05-03 |
| 1164642963 | Mountain Vista Emergency Physicians | Emergency Medicine | 1301 South Crismon Rd, Emergency Department, Mesa, AZ 85209 | 2007-04-26 |
| 1609807031 | Mary L. Mazza | Emergency Medicine | Banner Mesa Medical Center, 1010 N. Country Club Drive, Mesa, AZ 85201-3309 | 2006-07-05 |
| 1194754341 | Scott H Gulbranson | Emergency Medicine | 9903 E Monterey Ave, Mesa, AZ 85209-2597 | 2006-07-01 |
| 1801824925 | Bruce Keith Adams | Emergency Medicine | Banner Baywood Medical Center, 6644 Baywood Avenue, Mesa, AZ 85253 | 2006-06-29 |
| 1427085141 | Robert Scott Orava | Emergency Medicine | 1660 S Alma School Rd, Mesa, AZ 85210-3069 | 2006-06-27 |
| 1962453514 | Emergency & Acute Care Medical Company - Az | Emergency Medicine | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2006-05-16 |
| 1104889294 | Diane L. Elmore | Emergency Medicine | 450 N Dobson Rd Ste 108, Mesa, AZ 85201-5278 | 2006-04-10 |
| 1467432245 | Allan M Soo | Emergency Medicine | 1265 W Guadalupe Rd, Ste Nppes, Mesa, AZ 85202-9101 | 2006-01-18 |
| 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.