VILLA MINCH, LLC (NPI# 1912357401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912357401 |
| Entity Type | Organization |
| Organization Name | VILLA MINCH, LLC |
| Practice Address |
1212 N Spencer Suite 3 Mesa AZ 85203-4347 |
| Practice Telephone | 4807267792 |
| Mailing Telephone | 4807267792 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | CHRISTINE MINCH (OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 4805438400 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1212 N SPENCER SUITE 3 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505881 | Villaraza Corporation | Home Health | 1212 N Spencer, Suite 1, Mesa, AZ 85203-4347 | 2005-08-10 |
| 1407481013 | Robert Brian Tejada | Nurse Practitioner | 1212 N Spencer, Mesa, AZ 85203-4347 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535828 | Katrina E Folkerts | Family Medicine | 5602 E Main St, Mesa, AZ 85205-8813 | 2019-02-23 |
| 1639360944 | George M Obrien Do Pllc | Family Medicine | 1840 E University Dr, #6, Mesa, AZ 85203-8237 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073148326 | Team Select Mobile Physicians Az LLC | Family Medicine | 2999 N 44th St Ste 110, Phoenix, AZ 85018-7247 | 2020-03-06 |
| 1770023129 | Comprehensive Ambulatory Healthcare L.l.c | Family Medicine | 18362 N 94th Pl, Scottsdale, AZ 85255-6001 | 2017-03-05 |
| 1336514116 | Angela Paniagua-vega Md PC | Family Medicine | 3063 E Placita Santa Lucia, Tucson, AZ 85716-0814 | 2015-12-05 |
| 1609201078 | Rise Wellness Center PC | Family Medicine | 15300 N 90th St Ste 950, Scottsdale, AZ 85260-2774 | 2013-09-04 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1750653705 | Carol L Howe | Family Medicine | 1501 N Cambell Ave, Tucson, AZ 85724-5079 | 2012-02-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1417181348 | Keyamed, Inc A P C | Family Medicine | 198 S Coronado Drive, Suite B, Sierra Vista, AZ 85635 | 2009-05-06 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1922282920 | Jerome J Kastrul Md Ltd | Family Medicine | 13000 N 103rd Ave #97, Sun City, AZ 85351-3060 | 2007-12-27 |
| Find all providers with the same taxonomy | ||||
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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.