LUIS QUINTANA (NPI# 1952308264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952308264 |
| Entity Type | Individual |
| Full Name | LUIS QUINTANA |
| Credential | NP |
| Practice Address |
6309 E Baywood Ave Mesa AZ 85206-1744 |
| Mailing Address |
Po Box 13550 Mesa AZ 85216-3550 |
| Practice Telephone | 4803253801 |
| Practice Fax Number | 4803253805 |
| Mailing Telephone | 4803253801 |
| Mailing Fax Number | 4803253805 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN109891 AP1969 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SN0800X |
Clinical Nurse Specialist Specialization: Neuroscience |
RN109891 AP1969 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 958407 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528569126 | Luis Manuel Quintana | Specialist | 204 Bradley Ave, Mount Vernon, NY 10552-3805 | 2018-02-28 |
| Street Address |
6309 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983645 | Sarah Zavala | Nurse Practitioner | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2020-02-06 |
| 1518459478 | Christopher Matthew Adam | Physical Therapist | 6309 E Baywood Ave, Mesa, AZ 85206 | 2018-06-05 |
| 1245755404 | Bryce Fitzpatrick | Nurse Practitioner | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2017-08-09 |
| 1790128700 | Comprehensive Interventional Care | Radiology | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2013-04-09 |
| 1396060562 | Valerie L Rice | Physical Therapy Assistant | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2010-03-31 |
| 1720232705 | Ashley A Absmeier-koppenhafer | Physical Therapist | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2008-11-04 |
| 1962698654 | Karl Seth Hurst-wicker | Anesthesiology | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2007-09-17 |
| 1548397748 | Nicole Elizabeth Holthouse | Nurse Practitioner | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2007-02-27 |
| 1609930676 | Baywood Medical Associates, Pllc | Durable Medical Equipment & Medical Supplies | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2006-12-21 |
| 1417011495 | Baywood Medical Associates, Pllc | Occupational Therapist | 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 2006-12-21 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1750995858 | Hayley Madler | Nurse Practitioner | 1061 N Omaha Cir, Mesa, AZ 85205-5023 | 2020-09-04 |
| 1043823800 | Nancy Lynn Mitchell | Nurse Practitioner | 1535 N 26th St, Mesa, AZ 85213-4151 | 2020-08-30 |
| 1003429218 | Krista Ann Clevenger | Nurse Practitioner | 3155 E Southern Ave Ste 203, Mesa, AZ 85204-5521 | 2020-08-26 |
| 1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
| 1790395531 | Kelly C Banonis | Nurse Practitioner | 3322 N Brighton, Mesa, AZ 85207-0997 | 2020-08-06 |
| 1689284911 | Katie Keil | Nurse Practitioner | 1061 N Dobson Rd Ste 107, Mesa, AZ 85201-7576 | 2020-08-02 |
| 1831711670 | Saraswati Hamal | Nurse Practitioner | 4850 S Curie Way, Mesa, AZ 85212-9582 | 2020-05-14 |
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1659992436 | Elizabeth Erb | Nurse Practitioner | 1361 S Alma School Rd, Mesa, AZ 85210-2085 | 2020-05-02 |
| 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.