MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA (NPI# 1972763209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972763209 |
| Entity Type | Organization |
| Organization Name | MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA |
| Other Organization Name | MEDPRO |
| Practice Address |
1800 E Florence Blvd Casa Grande AZ 85222-5303 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 5204266320 |
| Practice Fax Number | 5203816391 |
| Mailing Telephone | 6024705043 |
| Mailing Fax Number | 6024705064 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | TERESA CORDEIRO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6024705043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PATH (P) GROUP # | 83244 | 01 |
| Other Name | Type Code |
|---|---|
| MedPro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114180189 | Medical Professional Associates of Arizona | Counselor | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2008-07-09 |
| 1174795264 | Medical Professional Associates of Arizona | Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1255503348 | Medical Professional Associates of Arizona | Pathology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1275705360 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1356513444 | Medical Professional Associates of Arizona | Orthopaedic Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1265604359 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1619149705 | Medical Professional Associates of Arizona | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1811169907 | Medical Professional Associates of Arizona | Family Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1184896276 | Medical Professional Associates of Arizona | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1447422530 | Medical Professional Associates of Arizona | Obstetrics & Gynecology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| Street Address |
1800 E FLORENCE BLVD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000486 | Anne Borik | Internal Medicine | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2005-08-21 |
| 1952915449 | Maria Kojs | Nurse Practitioner | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2020-09-02 |
| 1265065288 | Aesk LLC | Internal Medicine | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2020-02-18 |
| 1013567361 | Rustom Araia | Pharmacist | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2019-09-18 |
| 1164919056 | East Valley Infectious Diseases LLC | Internal Medicine | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2018-04-17 |
| 1609222827 | Cassandra Koontz | Nurse Practitioner | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2016-05-06 |
| 1144694266 | Earl Asante | Pharmacist | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2015-12-01 |
| 1922475698 | Soniyasri Koochana | Internal Medicine | 1800 E Florence Blvd, Attn: Hospitalist Team, Casa Grande, AZ 85122-5303 | 2015-08-28 |
| 1851785968 | Banner Pharmacy Services LLC | Pharmacy | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2015-03-26 |
| 1538553227 | Sheridan Childrens Healthcare Services of Arizona, Inc. | Pediatrics | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2015-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669688719 | Irene Aguilera-barrantes | Pathology | 1800 E Florence Blvd, Casa Grande, AZ 85122 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200632 | Eric David Peters | Pathology | 11545 E Quiet Valley Pl, Tucson, AZ 85749-8884 | 2020-09-17 |
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1144638008 | Michael Moore | Pathology | 8796 N Western Red Cedar Dr, Tucson, AZ 85743-7146 | 2014-07-23 |
| 1356683155 | Belinda Liu Sun | Pathology | 1501 N Campbell Ave Rm 5205, Tucson, AZ 85724-7232 | 2013-03-20 |
| 1669717815 | Guadalupe Hortencia Manriquez | Pathology | 7601 N Calle Sin Envidia, 31, Tucson, AZ 85718-1271 | 2012-11-29 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1336471846 | Peter Salomon | Pathology | 6344 E Miramar Dr, Tucson, AZ 85715-3115 | 2010-02-08 |
| 1427387372 | Meryl Harold Haber | Pathology | 8464 E Charter Oak Dr, Scottsdale, AZ 85260-5315 | 2009-12-23 |
| 1538492400 | Paul Boschen Visconti | Pathology | 33619 N 79th Way, Scottsdale, AZ 85266-4241 | 2009-09-10 |
| 1417186305 | Brent J Bedke | Pathology | 1740 Sycamore Ave Ste C, Kingman, AZ 86409-1039 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
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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.