DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM (NPI# 1003083551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003083551 |
| Entity Type | Organization |
| Organization Name | DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM |
| Other Organization Name | PIMC - AMBULATORY SURGICAL CENTER |
| Practice Address |
4212 North 16th Street Phoenix Indian Medical Center Ambulatory Surgical Cent Phoenix AZ 85016-5319 |
| Mailing Address |
Pimc Asc P.o.box 31001-0698 Pasadena CA 91110-0001 |
| Practice Telephone | 6022631200 |
| Practice Fax Number | 6022631618 |
| Mailing Telephone | 6022631200 |
| Mailing Fax Number | 6022631618 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MISS DEANNA J. DICK ((CEO) CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6022631567 |
| Authorized Official Credential | MSW., MHA. |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX INDIAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PIMC - Ambulatory Surgical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1932360054 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 6822 E 1000 South, Fort Duchesne, UT 84026 | 2008-06-20 |
| 1205859618 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 2121 West Reservation Loop Road, Camp Verde, AZ 86322 | 2006-07-26 |
| 1619377942 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 9010 Magnolia Ave, Riverside, CA 92503-4431 | 2014-08-22 |
| 1831245661 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Psychologist | 100 North Gila Boulevard, Gila Bend, AZ 85227-2658 | 2007-01-26 |
| 1831244169 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Psychologist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322 | 2007-01-25 |
| 1578618831 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 | 2007-01-24 |
| 1679628531 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Family Medicine | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2007-01-23 |
| 1730255639 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Durable Medical Equipment & Medical Supplies | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-11-24 |
| 1932274214 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-11-21 |
| Street Address |
4212 NORTH 16TH STREET PHOENIX INDIAN MEDICAL CENTER AMBULATORY SURGICAL CENT |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255399648 | Jonathan A Krakoff | Internal Medicine | 4212 North 16th Street, Phoenix, AZ 85016 | 2006-05-03 |
| 1316494917 | Heather Lynn Gerle | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2016-09-01 |
| 1639428196 | Melissa P Miller | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2012-08-30 |
| 1184983512 | Todd Evan Novick | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-05-04 |
| 1871850636 | Carlos Jesse Rubalcava | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-04-18 |
| 1629340195 | Melinda Jill Bechtol | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-31 |
| 1841562501 | Branden Elaine Watkins | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-27 |
| 1952600892 | Kelly Elizabeth Owens | Pharmacist | 4212 North 16th Street, Phoenix, AZ 85016 | 2011-03-17 |
| 1598068587 | Jennifer Marie Lee | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2010-12-13 |
| 1881891257 | David John Abbott | Ophthalmology | 4212 North 16th Street, Phoenix, AZ 85016 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
| 1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| 1275198673 | Urology Asc- Phoenix, LLC | Clinic/Center | 1313 E Osborn Rd Ste 170b, Phoenix, AZ 85014-5678 | 2019-05-01 |
| 1053974592 | Maryvale Facility Group LLC | Clinic/Center | 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033-5518 | 2019-04-19 |
| 1831669522 | Cureteck Pain Center | Clinic/Center | 702 E Bell Rd Ste 103, Phoenix, AZ 85022-6648 | 2018-11-26 |
| 1194292730 | North Valley Pain Center Pllc | Clinic/Center | 15650 N Black Canyon Hwy # B121, Phoenix, AZ 85053-4064 | 2018-11-01 |
| 1578058897 | Uptown Surgery Center, LLC | Clinic/Center | 5133 N Central Ave Ste 200, Phoenix, AZ 85012-1438 | 2018-06-28 |
| 1083104186 | Valley Surgical Center LLC | Clinic/Center | 15601 N 28th Ave Ste 101, Phoenix, AZ 85053-4061 | 2018-05-14 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 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.