ARIZONA GRAND MEDICAL CENTER PLLC (NPI# 1992751952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992751952 |
| Entity Type | Organization |
| Organization Name | ARIZONA GRAND MEDICAL CENTER PLLC |
| Practice Address |
4225 W Glendale Ave Suite B 200 Phoenix AZ 85051-8194 |
| Mailing Address |
Po Box 47729 Phoenix AZ 85068-7729 |
| Practice Telephone | 6239345600 |
| Mailing Telephone | 6239345600 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | SATTY BHOWRA (ADMIN) |
| Authorized Official Telephone | 6239345600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | CK3166 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427224443 | Arizona Grand Medical Center Pllc | Clinic/Center | 7900 E Florentine Rd, Prescott Valley, AZ 86314-2218 | 2008-04-30 |
| 1720497258 | Arizona Grand Medical Center Pllc | Clinic/Center | 3773 Crossings Dr, Suite B, Prescott, AZ 86305-7140 | 2014-08-08 |
| 1003111378 | Arizona Grand Medical Center Pllc | Clinic/Center | 3777 Crossings Dr, Prescott, AZ 86305-7121 | 2011-01-18 |
| 1619998705 | Arizona Grand Medical Center Pllc | Clinic/Center | 3777 Crossings Dr, Prescott, AZ 86305-7121 | 2006-07-22 |
| Street Address |
4225 W GLENDALE AVE SUITE B 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750486114 | Mark Austein | Family Medicine | 4225 W Glendale Ave, Suite E119, Phoenix, AZ 85051-8194 | 2006-09-13 |
| 1841556073 | Community Bridges, Inc. | Clinical Medical Laboratory | 4225 W Glendale Ave, Suite 100a, Phoenix, AZ 85051-8194 | 2012-04-02 |
| 1013241314 | Arizona Medical Equipment & Supply LLC | Durable Medical Equipment & Medical Supplies | 4225 W Glendale Ave, C106, Phoenix, AZ 85051-8194 | 2009-09-21 |
| 1356576334 | Humaira Shafi | Internal Medicine | 4225 W Glendale Ave, Suite B 200, Phoenix, AZ 85051-8194 | 2009-05-20 |
| 1003003583 | Judith A Wiseman | Counselor | 4225 W Glendale Ave, E119, Phoenix, AZ 85051 | 2007-09-28 |
| 1942420419 | Moise Joseph | Psychiatry & Neurology | 4225 W Glendale Ave, E119, Phoenix, AZ 85051-8194 | 2007-04-26 |
| 1093881484 | Youn Ryoo | Chiropractor | 4225 W Glendale Ave, Ste A103, Phoenix, AZ 85051-8195 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1164031365 | Healthworks Med Group of Arizona P C | Clinic/Center | 2727 N Central Ave, Phoenix, AZ 85004-1120 | 2020-07-24 |
| 1093339202 | Right Path Treatment Center LLC | Clinic/Center | 8222 S 48th St Unit 180, Phoenix, AZ 85044-5364 | 2020-06-03 |
| 1871148254 | Bescare Home LLC | Clinic/Center | 5320 S 34th Dr, Phoenix, AZ 85041-7415 | 2019-08-02 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1043790801 | United Rcm LLC | Clinic/Center | 1202 E Alta Vista Rd, Phoenix, AZ 85042-4432 | 2018-08-20 |
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Please comment or provide details below to improve the information on ARIZONA GRAND MEDICAL CENTER PLLC.
| 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.