JAMES N. BOGERT (NPI# 1982868519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982868519 |
| Entity Type | Individual |
| Full Name | JAMES N. BOGERT |
| Credential | MD |
| Practice Address |
500 W Thomas Rd Ste 400 Phoenix AZ 85013 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6024063874 |
| Mailing Telephone | 6024064786 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 49183 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
49183 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
49183 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 923213 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2601 E Roosevelt St, Phoenix, AZ 850084973 | 6023445011 | 6023445048 |
| 350 W Thomas Rd, Phoenix, AZ 850134409 | 6024063874 |
| Street Address |
500 W THOMAS RD STE 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750347563 | Jordan A Weinberg | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2006-04-21 |
| 1417431818 | Nicole Marie Torres | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2018-09-20 |
| 1871950980 | Sidney Shane Mangelsdorf | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2016-01-20 |
| 1356769459 | Jeanne Yvonne Parrish | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2014-04-04 |
| 1629492236 | Erin Wilkinson | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2014-02-18 |
| 1679825004 | Claire J Johnson | Physician Assistant | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2012-10-09 |
| 1306169313 | Derik Michael Alexander | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2010-03-04 |
| 1215160379 | Jordan Vernon Jacobs | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2009-08-24 |
| 1811121403 | Kathryn Elise Coan | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2009-05-11 |
| 1689871188 | Conrad Dizon Ballecer IIi | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2007-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205095817 | Andrews C Ninan | Surgery | 2601e Roosevelt Street, Maricopa Medical Center, Phoenix, AZ 85008 | 2008-06-09 |
| 1437206562 | Nicole P Piscatelli | Surgery | 3141 N 48th St, Phoenix, AZ 85018-6564 | 2007-01-04 |
| 1154438133 | Michael Corneille | Surgery | 9250 N 3rd Sreet, Suite 3015, Phoenix, AZ 85020-2425 | 2006-08-24 |
| 1972575504 | Alicia Mangram | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2006-02-07 |
| 1447729975 | Valley Associates Prs Pllc | Surgery | 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 | 2018-11-14 |
| 1114400314 | Kma Surgical Assist LLC | Surgery | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2018-09-13 |
| 1619200722 | District Medical Group, Inc | Surgery | 2525 E Roosevelt St, Surgery Clinic, Phoenix, AZ 85008-4948 | 2009-09-09 |
| 1831324383 | Scottsdale Acute Care Surgery, LLC | Surgery | 9250 N 3rd St, Suite 3000, Phoenix, AZ 85020-2437 | 2009-05-27 |
| 1447430491 | Francis Reginald Ali-osman | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2007-11-07 |
| 1669590543 | Mark Steven Molitor Jr. | Surgery | 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 | 2007-03-27 |
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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.