GILA VALLEY MEDICAL GROUP LLC (NPI# 1992929004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992929004 |
| Entity Type | Organization |
| Organization Name | GILA VALLEY MEDICAL GROUP LLC |
| Practice Address |
1951 West 25th Street Suite D Yuma AZ 85364 |
| Practice Telephone | 9283446263 |
| Practice Fax Number | 9287859572 |
| Mailing Telephone | 9283446263 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | RONALD D BROOKSHER (OWNER) |
| Authorized Official Telephone | 9283446263 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2125 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 20396 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AACCS | 076275001 | 01 |
| Street Address |
1951 WEST 25TH STREET SUITE D |
| City | YUMA |
| State | AZ |
| Zip Code | 85364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| 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 |
|---|---|---|---|---|
| 1487274247 | Kemell Health LLC | Family Medicine | 3970 W. 24th Street, Ste. 210, Yuma, AZ 85364-9263 | 2020-04-22 |
| 1548780273 | Jean-phillippe Gagnon | Family Medicine | 2451 S Avenue A Ste C101, Yuma, AZ 85364-7360 | 2017-06-23 |
| 1295115145 | Ndidi Ogechi Ivy Abara | Family Medicine | 2500 S 8th Ave, Yuma, AZ 85364-7108 | 2015-06-05 |
| 1952743726 | Bridgett B Allen | Family Medicine | 2270 S Ridgeview Dr Ste 303, Yuma, AZ 85364-8866 | 2013-07-22 |
| 1982045423 | Natalia Varenka Galarza Carrazco | Family Medicine | 2400 S. Ave A, Yuma, AZ 85364-7170 | 2013-07-12 |
| 1023459583 | Simi K. Dhillon | Family Medicine | Yuma Regional Medical Center, 2400s. Ave A, Yuma, AZ 85364-7170 | 2013-07-12 |
| 1881955169 | Jose Luis Vega IIi | Family Medicine | 675 S Avenue B, Yuma, AZ 85364-2749 | 2012-06-04 |
| 1487926002 | Harry Richard Tennant | Family Medicine | 1457 E. Palo Verde St, Yuma, AZ 85365-3532 | 2012-01-27 |
| 1386961563 | Humberto Rosado Medical, Pllc | Family Medicine | 1763 W. 24th St., Suite 102, Yuma, AZ 85364-6219 | 2010-04-27 |
| 1295968584 | Evangelista Medical Group, PC | Family Medicine | 2435 S Ave A Ste A, Yuma, AZ 85364-7176 | 2009-09-02 |
| Find all providers in YUMA | ||||
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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.