COMPLETE CARE MEDICAL GROUP LLC (NPI# 1982179297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982179297 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE MEDICAL GROUP LLC |
| Practice Address |
1350 E Mckellips Rd Ste 5 Mesa AZ 85203-2739 |
| Practice Telephone | 4808784561 |
| Mailing Telephone | 4808784561 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | MARIE KNASAS (COMPLIANCE OFFIER) |
| Authorized Official Telephone | 4808784561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982152906 | Complete Care Medical Group LLC | Internal Medicine | 1413 Highway 17 S, Suite 1200, Surfside Beach, SC 29575-6040 | 2016-09-19 |
| 1982151577 | Complete Care Medical Group LLC | Podiatrist | 41 Peach Grove Ln, Montross, VA 22520-2756 | 2016-09-01 |
| Street Address |
1350 E MCKELLIPS RD STE 5 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568705929 | Valley Hospice of Arizona Inc. | Hospice Care, Community Based | 1350 E Mckellips Rd Ste 5, Mesa, AZ 85203 | 2013-04-03 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053320390 | Louis G Greco | Internal Medicine | 55 S 63rd St Ste 6, Mesa, AZ 85206-1605 | 2006-08-05 |
| 1093760936 | Associated Geriatric Clinics of Arizona Inc | Internal Medicine | 5602 E Main St, Mesa, AZ 85205-8813 | 2006-05-22 |
| 1871855072 | James Nicholas Yarusso | Internal Medicine | 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206-4678 | 2012-06-13 |
| 1346499324 | Century Care Inc | Internal Medicine | 1106 N Gilbert Rd, Suite 2 Pmb 188, Mesa, AZ 85203-5136 | 2008-09-15 |
| 1013932870 | Robert P Tully | Internal Medicine | 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208-1154 | 2006-07-13 |
| 1194740969 | Ronald C Sampson | Internal Medicine | 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208-1154 | 2006-07-13 |
| 1104850288 | Gamal Aboul-nasr | Internal Medicine | 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208-1154 | 2006-07-11 |
| 1477591741 | Chikal A Patel | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1669942645 | Golden Trinity Healthcare LLC | Internal Medicine | 40616 W Art Pl, Maricopa, AZ 85138-5221 | 2018-12-03 |
| 1013485762 | Todd Charles Coslett | Internal Medicine | 4149 W Kaler Dr, Phoenix, AZ 85055 | 2018-11-09 |
| 1689126971 | Azmobilemd | Internal Medicine | 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 | 2016-11-02 |
| 1699190777 | Matthew D Skinner, Md, P.C. | Internal Medicine | 6740 W Deer Valley Rd Ste D107, Pmb 105, Glendale, AZ 85310-5952 | 2014-02-26 |
| 1114218088 | Toh-hoai W. Lim, I | Internal Medicine | 24407 S Agate Dr, Sun Lakes, AZ 85248-0878 | 2011-04-27 |
| 1437457058 | Southwest Geriatrics & Internal Medicine Pllc | Internal Medicine | 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 | 2011-03-06 |
| 1538473483 | Wissam Fayad Md PC | Internal Medicine | 1841 W 25th Street, Ste A, Yuma, AZ 85364 | 2010-08-03 |
| 1417103599 | D & M Medical Clinic, PC | Internal Medicine | 10503 W Thunderbird Blvd Ste 202, Sun City, AZ 85351-2746 | 2008-08-08 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
| 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.