PEDIATRIC CARDIAC CARE OF ARIZONA (NPI# 1043686207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043686207 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARDIAC CARE OF ARIZONA |
| Practice Address |
7505 S Mcclintock Dr Ste 103 Tempe AZ 85283-5042 |
| Practice Telephone | 4807551000 |
| Mailing Telephone | 4807551000 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | JOHN STOCK (OWNER/MD) |
| Authorized Official Telephone | 6025108081 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25426 | AZ | Other Service Providers |
| Street Address |
7505 S MCCLINTOCK DR STE 103 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366467094 | John Henry Stock | Pediatrics | 7505 S Mcclintock Dr, Suite 103, Tempe, AZ 85283-5042 | 2006-07-13 |
| 1396759510 | Sharon Kaye Pfeiffer | Nurse Practitioner | 7505 S Mcclintock Dr, #103, Tempe, AZ 85283-5042 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113538 | Wound Care Associates LLC | Specialist | 2600 E Southern Ave Ste F2, Tempe, AZ 85282-7626 | 2018-11-16 |
| 1013342922 | Frank P Caserta Md PC | Specialist | 2600 S Rural Rd Suite B, Tempe, AZ 85282-2448 | 2013-09-10 |
| 1801160007 | Abbie Stewart | Specialist | 600 E Baseline Rd Ste B-6, Tempe, AZ 85283-1266 | 2012-03-06 |
| 1740513241 | Hemali Tushar Jambusaria | Specialist | 1500 E Broadway Rd, Apt 2083, Tempe, AZ 85282-1640 | 2009-09-15 |
| 1245450980 | Healthwaves Corporation | Specialist | 1615 W University Dr, Ste. 137, Tempe, AZ 85281-3257 | 2007-04-26 |
| 1508996224 | Andrew Thomas Marchesi | Specialist | 3322 S Mill Ave, Tempe, AZ 85282-4933 | 2007-03-06 |
| 1386714822 | Jean Ludger Amazan Md Plc | Specialist | 1976 E Baseline Rd, Ste 102, Tempe, AZ 85283-1533 | 2006-11-09 |
| 1457386013 | Gordon E Genta, M.d. P.C. | Specialist | 2600 E Southern Ave Ste J2, Tempe, AZ 85282-7742 | 2006-07-12 |
| 1316904402 | Hwa Ing Kang | Specialist | 1642 S Priest Dr Ste 101, Tempe, AZ 85281-6204 | 2006-05-01 |
| 1326007402 | Katie M Strasser | Specialist | 500 E Veterans Way, Tempe, AZ 85233 | 2006-03-19 |
| Find all providers in TEMPE | ||||
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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.