1ST ALLEGIANT LLC (NPI# 1982194387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982194387 |
Entity Type | Organization |
Organization Name | 1ST ALLEGIANT LLC |
Practice Address |
21798 E Cherrywood Dr Queen Creek AZ 85142-4886 |
Practice Telephone | 4803328436 |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |
Authorized Official Name | CANDICE REED (OWNER) |
Authorized Official Telephone | 4803328436 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
Street Address |
21798 E CHERRYWOOD DR |
City | QUEEN CREEK |
State | AZ |
Zip Code | 85142-4886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
Find all providers in zip 85142 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447861125 | Kelly Moritz | Pediatrics | 2007 E Rockwood Dr, Phoenix, AZ 85024-3075 | 2020-08-14 |
1942319090 | Robin K Blitz | Pediatrics | 1919 E Thomas, Phoenix, AZ 85016 | 2006-08-30 |
1235109612 | Victoria L Sheppard-labrecque | Pediatrics | 4848 E Cactus Rd Ste 940, Scottsdale, AZ 85254-4164 | 2006-01-26 |
1144562224 | Dannah Geclewicz Raz | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-03-26 |
1073892329 | Psf Arizona Office | Pediatrics | 5020 E Shea Blvd, Ste 100, Scottsdale, AZ 85254-4603 | 2011-08-04 |
1518085539 | Raun D. Melmed | Pediatrics | 5020 E Shea Blvd, Suite 100, Scottsdale, AZ 85254-4603 | 2007-03-27 |
1558489807 | Agnes Ocampo Bilog | Pediatrics | 5020 E Shea Blvd, Suite 100, Scottsdale, AZ 85254-4603 | 2007-03-26 |
1437277795 | Shabana Jawed Jessani | Pediatrics | 5020 E Shea Blvd, Suite 100, Scottsdale, AZ 85254-4603 | 2007-03-26 |
1972621225 | Mark Stephen Ruggiero | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2007-03-26 |
1740327071 | Sharon Mcdonough Means | Pediatrics | 1601 N Tucson Blvd, Suite 20, Tucson, AZ 85716-3425 | 2007-01-30 |
Find all providers with the same taxonomy |
City | QUEEN CREEK |
Zip Code | 85142 |
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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.