GARY A RADA (NPI# 1992793335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992793335 |
| Entity Type | Individual |
| Full Name | GARY A RADA |
| Credential | M.D. |
| Practice Address |
18404 N Tatum Blvd Suite 101 Phoenix AZ 85032-1510 |
| Mailing Address |
2500 W Utopia Rd Ste. 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 6029921900 |
| Practice Fax Number | 6024857450 |
| Mailing Telephone | 6022146148 |
| Mailing Fax Number | 6022146149 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4731 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | 080100694 | 01 |
| AS | CCN | 5028029 | 01 |
| AZ | CIGNA | 1070141 | 01 |
| AZ | DEPT OF LABOR | 378583200 | 01 |
| AZ | MAYO | 99209 | 01 |
| AZ | AETNA | 4071670 | 01 |
| AZ | FIRST HEALTH | 73522 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0805140 | 01 |
| AZ | UNITED HEALTH CARE | 01-00255 | 01 |
| AZ | HEALTHNET | 1Z1035 | 01 |
| AZ | 224048 | 05 |
| Street Address |
18404 N TATUM BLVD SUITE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658175 | Luis M Irizarry | Family Medicine | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032 | 2005-06-09 |
| 1245591718 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18404 N Tatum Blvd, Ste 202, Phoenix, AZ 85032-1508 | 2012-05-31 |
| 1598040347 | John C. Lincoln, LLC | Family Medicine | 18404 N Tatum Blvd, Ste. 102, Phoenix, AZ 85032-1510 | 2011-10-12 |
| 1700182979 | North Mountain Imaging Specialists, LLC | Radiology | 18404 N Tatum Blvd, Suite 103, Phoenix, AZ 85032-1510 | 2011-02-04 |
| 1174846281 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18404 N Tatum Blvd, Suite 202, Phoenix, AZ 85032-1510 | 2010-03-03 |
| 1013167642 | Arizona Advanced Internal Medicine, Pllc | Internal Medicine | 18404 N Tatum Blvd, 206, Phoenix, AZ 85032-1510 | 2008-09-18 |
| 1649469586 | Bunnie F Richie Do Plc | Psychiatry & Neurology | 18404 N Tatum Blvd, Suite 207, Phoenix, AZ 85032-1510 | 2007-10-16 |
| 1538366018 | North Valley Physicians Group, LLC | Internal Medicine | 18404 N Tatum Blvd, Suite 206, Phoenix, AZ 85032-1510 | 2007-06-28 |
| 1720284441 | Rutvik Patel | Family Medicine | 18404 N Tatum Blvd, Ste 100, Phoenix, AZ 85032-1510 | 2007-06-21 |
| 1497832620 | Constantia A Abarikwu I | Family Medicine | 18404 N Tatum Blvd, Suite 102, Phoenix, AZ 85032-1510 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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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.