19TH AVENUE CLINIC LLC (NPI# 1033466651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033466651 |
| Entity Type | Organization |
| Organization Name | 19TH AVENUE CLINIC LLC |
| Other Organization Name | ADVANCED URGENT CARE |
| Practice Address |
2301 N 44th St Phoenix AZ 85008-2420 |
| Mailing Address |
Po Box 32950 Phoenix AZ 85064-2950 |
| Practice Telephone | 6028088786 |
| Practice Fax Number | 6028088704 |
| Mailing Telephone | 6022756110 |
| Mailing Fax Number | 6022423519 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | MS. RENEE L BISKUPSKI (VP OF OPERATIONS) |
| Authorized Official Telephone | 6024331822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADVANCED URGENT CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053667709 | 19th Avenue Clinic LLC | Clinic/Center | 835 W University Dr, Mesa, AZ 85201-5555 | 2012-07-31 |
| 1225384985 | 19th Avenue Clinic LLC | Clinic/Center | 401 E Bell Rd Ste 18, Phoenix, AZ 85022-2395 | 2012-07-31 |
| 1407102163 | 19th Avenue Clinic LLC | Clinic/Center | 3302 W Thomas Rd Ste 10, Phoenix, AZ 85017-5605 | 2012-07-31 |
| 1275889933 | 19th Avenue Clinic LLC | Clinic/Center | 8260 W Indian School Rd Ste 1, Phoenix, AZ 85033-2980 | 2012-07-31 |
| 1154606945 | 19th Avenue Clinic LLC | Clinic/Center | 5201 N 19th Ave Ste 100, Phoenix, AZ 85015-2951 | 2011-10-12 |
| 1811244601 | 19th Avenue Clinic LLC | Clinic/Center | 1804 W Elliot Rd, Tempe, AZ 85284-1004 | 2012-08-10 |
| Street Address |
2301 N 44TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134106727 | Oak Medical LLC | Clinic/Center | 2301 N 44th St, Phoenix, AZ 85008-2420 | 2005-12-27 |
| 1942817523 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2301 N 44th St, Phoenix, AZ 85008-2420 | 2020-09-28 |
| 1811406655 | Gabrielle Wudarski | Physician Assistant | 2301 N 44th St, Phoenix, AZ 85008-2420 | 2017-09-25 |
| 1750708392 | Tri-city Espress Care, Pllc | Clinic/Center | 2301 N 44th St, Phoenix, AZ 85008-2420 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1700493343 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3131 E Thunderbird Rd Ste 73, Phoenix, AZ 85032-5642 | 2020-09-28 |
| 1366059982 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 5259 W Indian School Rd Ste 100, Phoenix, AZ 85031-2651 | 2020-09-28 |
| 1376154625 | Memd Provider Network LLC | Clinic/Center | 6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054-5162 | 2020-08-11 |
| 1801431465 | Us Careways PC LLC | Clinic/Center | 3800 E Sky Harbor Blvd # L-r12, Phoenix, AZ 85034-3712 | 2019-11-07 |
| 1245886795 | Banner Urgent Care Services, LLC | Clinic/Center | 1 N Central Ave Ste 105, Phoenix, AZ 85004-4416 | 2019-08-12 |
| 1972069417 | Honorhealth Urgent Care, LLC | Clinic/Center | 1515 E Bethany Home Rd Ste 120b, Phoenix, AZ 85014-2495 | 2019-02-20 |
| 1649736380 | Honorhealth Urgent Care, LLC | Clinic/Center | 18404 N Tatum Blvd Ste 101c, Phoenix, AZ 85032-1511 | 2019-02-19 |
| 1063984680 | Banner Urgent Care Services, LLC | Clinic/Center | 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 2018-12-20 |
| 1750853388 | Banner Urgent Care Services, LLC | Clinic/Center | 3247 E Bell Rd Ste 1, Phoenix, AZ 85032-2707 | 2018-12-20 |
| 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.