PHOENIX VA HOSPITAL (NPI# 1023358983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023358983 |
| Entity Type | Organization |
| Organization Name | PHOENIX VA HOSPITAL |
| Practice Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Mailing Address |
650 E Indian School Rd Physical Therapy Phoenix AZ 85012-1839 |
| Practice Telephone | 6022775511 |
| Mailing Telephone | 6022775511 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | LI LI (CHEIF OF PMRS) |
| Authorized Official Telephone | 6022775551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 3021 | AZ | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477893402 | Phoenix Va Hospital | Rehabilitation Hospital | 605 E Indian School Rd, Phoenix, AZ 85012-1845 | 2013-02-28 |
| Street Address |
650 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871912238 | Rachel Schider | Rehabilitation Hospital | 18202 N 45th St, Phoenix, AZ 85032-1584 | 2014-04-14 |
| 1114240785 | Caremeridian, LLC | Rehabilitation Hospital | 15032 N. 37th Ave., Phoenix, AZ 85053-4620 | 2010-03-10 |
| 1598390056 | Reunion Rehabilitation Hospital Phoenix, LLC | Rehabilitation Hospital | 417 N 16th St, Phoenix, AZ 85006-3710 | 2020-03-05 |
| 1548629306 | Dignity Health | Rehabilitation Hospital | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2016-02-22 |
| 1477893402 | Phoenix Va Hospital | Rehabilitation Hospital | 605 E Indian School Rd, Phoenix, AZ 85012-1845 | 2013-02-28 |
| 1902145766 | Supplemental Healthcare | Rehabilitation Hospital | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-4823 | 2013-02-13 |
| 1720360233 | Matthew Ronald Gordon | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-09-12 |
| 1588715122 | Centerre Rehabilitation Hospital of Arizona, LLC | Rehabilitation Hospital | 2601 E Roosevelt St, 7th Floor, Phoenix, AZ 85008-4973 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649725193 | Dignity-kindred Rehabilitation Hospital East Valley, LLC | Rehabilitation Hospital | 1515 W. Chandler Blvd, Chandler, AZ 85224-6141 | 2016-08-24 |
| 1598012783 | Globalrehab-scottsdale, LLC | Rehabilitation Hospital | 8850 E. Pima Center Parkway, Scottsdale, AZ 85258 | 2012-08-07 |
| 1366762296 | Mentor Abi | Rehabilitation Hospital | 6512 E Ludlow Dr, Scottsdale, AZ 85254-3311 | 2010-06-02 |
| 1205076528 | Encompass Health Rehabilitation Hospital of East Valley, LLC | Rehabilitation Hospital | 5652 East Baseline Road, Mesa, AZ 85206 | 2009-02-26 |
| 1790921765 | Frances Anne Wright | Rehabilitation Hospital | 710 Pittsburg Ave, Bisbee, AZ 85603-1239 | 2008-12-22 |
| 1245273853 | Mountain Valley Regional Rehabilitation Hospital Inc | Rehabilitation Hospital | 3700 North Windsong Dr, Prescott, AZ 86314-1253 | 2006-06-13 |
| 1295709954 | Yuma Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 901 W 24th St, Yuma, AZ 85364 | 2006-02-16 |
| 1376517508 | Encompass Health Valleyofthesun Rehabilitation Hospital, LLC | Rehabilitation Hospital | 13460 N 67th Ave, Glendale, AZ 85304 | 2006-02-14 |
| 1851921571 | Bhsm Rehabilitation, LLC | Rehabilitation Hospital | 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381-8100 | 2020-01-22 |
| 1316463276 | Rehabilitation Hospital of Northern Arizona LLC | Rehabilitation Hospital | 1851 N Gemini Dr, Flagstaff, AZ 86001-1607 | 2017-08-22 |
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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.