ADVANCED MEDICAL SPECIALIST-PHO PHOENIX


Address: 901 E Jefferson St, Phoenix, AZ 85034-2219
Phone: 6022562281

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 901 E JEFFERSON ST
City PHOENIX
State AZ
Zip Code 85034-2219

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

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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Competitor

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City PHOENIX
Zip Code 85034

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Dataset Information

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.

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