ADVANCED MEDICAL SPECIALIST-PHO PHOENIX (NPI# 1013103043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013103043 |
Entity Type | Organization |
Organization Name | ADVANCED MEDICAL SPECIALIST-PHO PHOENIX |
Practice Address |
901 E Jefferson St Phoenix AZ 85034-2219 |
Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
Practice Telephone | 6022562281 |
Practice Fax Number | 6022566199 |
Mailing Telephone | 8002323550 |
Mailing Fax Number | 8004016728 |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |
Authorized Official Name | DR. TOM FOGARTY (EVP, CMO) |
Authorized Official Telephone | 8002323550 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
901 E JEFFERSON ST |
City | PHOENIX |
State | AZ |
Zip Code | 85034-2219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942303565 | Robert James Lanier | Chiropractor | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2006-09-07 |
1114400314 | Kma Surgical Assist LLC | Surgery | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2018-09-13 |
1518460872 | One Health Accident and Injury LLC | Clinic/Center | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2018-03-13 |
1568974657 | Jennifer Steel | Psychologist | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2017-10-29 |
1326587213 | One Health Primary Care LLC | Chiropractor | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2017-02-13 |
1598207581 | Amy Basch | Nurse Practitioner | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2016-11-08 |
1356779862 | Occupational Health Centers of The Southwest, Pa | Clinic/Center | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2013-10-18 |
1780951707 | Harmoni Peebles | Physician Assistant | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2011-11-18 |
1780709980 | Charles E Gagnon | Preventive Medicine | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2007-03-20 |
1356466353 | Abigail Villodas | Physical Therapist | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2007-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
Find all providers in zip 85034 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
1467953588 | Acupuncture At Work LLC | Clinic/Center | 3411 Sweet Air Rd Ste A, Phoenix, MD 21131-1825 | 2018-02-23 |
1104359397 | Ahavah Incorporated | Clinic/Center | 112 N Central Ave Fl 1, Phoenix, AZ 85004-2309 | 2017-04-05 |
1174905038 | The Source Naturopathic Medical Clinic | Clinic/Center | 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 | 2015-06-26 |
1386033199 | Greta M. Ivers, Md, Pllc | Clinic/Center | 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020 | 2015-01-16 |
1245667567 | Viridian Health Management | Clinic/Center | 22601 N 19th Ave Ste 240, Phoenix, AZ 85027-1362 | 2013-10-01 |
1033361332 | Concentra Health Services, Inc. | Clinic/Center | 3532 West Thomas Road, Phoenix, AZ 85019-4440 | 2008-10-17 |
1194973453 | Arizona Sports and Spine Physicians, P.C. | Clinic/Center | 3033 W Bell Rd # 101a, Phoenix, AZ 85053-3000 | 2008-08-28 |
1417143322 | Us Medgroup, P.a. | Clinic/Center | 1818 East Sky Harbor Circle, Suite 150, Phoenix, AZ 85034 | 2007-09-25 |
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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.