COMPREHENSIVE BREAST CENTER OF ARIZONA PLC (NPI# 1023207131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023207131 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE BREAST CENTER OF ARIZONA PLC |
| Practice Address |
9179 W Thunderbird Rd # 103 Peoria AZ 85381-4875 |
| Practice Telephone | 4805452610 |
| Practice Fax Number | 4805452673 |
| Mailing Telephone | 4805452610 |
| Mailing Fax Number | 4805452673 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | SIVAKAMI BRENDA MOORTHY (OWNER) |
| Authorized Official Telephone | 4805452610 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
9179 W THUNDERBIRD RD # 103 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760406 | Star Surgery Center, LLC | Surgery | 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 | 2020-01-28 |
| 1093008237 | Jordan J Glenn | Surgery | 6750 W Thunderbird Rd Ste B-108, Peoria, AZ 85381-5026 | 2011-05-20 |
| 1659589653 | Matthew Lawrence Lynch | Surgery | 26900 N Lake Pleasant Pkwy, Peoria, AZ 85383-1558 | 2007-05-21 |
| 1457480063 | Lorin Dixon Whittaker Jr. | Surgery | 624 Ne Glen Oak Ave, 2686, Peoria, IL 61603-3135 | 2007-03-02 |
| 1639132087 | Brian Edward Prebil | Surgery | 14155 N. 83rd Ave., Ste. A-105, Peoria, AZ 85381 | 2006-04-07 |
| 1073584470 | Eric L Thomas | Surgery | 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 | 2006-02-01 |
| 1801874565 | Maqbool B Ali | Surgery | 4930 N Executive Dr, Peoria, IL 61614-4894 | 2006-01-04 |
| 1518956465 | Leann Cari Allgood | Surgery | 9159 W Thunderbird Rd, Peoria, AZ 85381-4910 | 2005-10-13 |
| 1225037310 | John J Brothwell | Surgery | 9856 W Villa Lindo Dr, Peoria, AZ 85383-1339 | 2005-07-20 |
| 1962401117 | Allen A Agapay | Surgery | 6750 W Thunderbird Rd, Ste B108, Peoria, AZ 85381-5026 | 2005-07-19 |
| Find all providers in PEORIA | ||||
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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.