ADVANCED IOM SPECIALISTS, LLC (NPI# 1043728801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043728801 |
Entity Type | Organization |
Organization Name | ADVANCED IOM SPECIALISTS, LLC |
Practice Address |
2535 W Plata Ave Mesa AZ 85202-7860 |
Practice Telephone | 7753183995 |
Enumeration Date | 2018-01-15 |
Last Update Date | 2018-01-15 |
Authorized Official Name | ELISE KILMER (MANAGER) |
Authorized Official Telephone | 7753183995 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
Street Address |
2535 W PLATA AVE |
City | MESA |
State | AZ |
Zip Code | 85202-7860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780946426 | Elise Kilmer | Specialist/Technologist, Other | 2535 W Plata Ave, Mesa, AZ 85202 | 2012-06-08 |
1528401577 | Brenna Grace Moore | Contractor | 2535 W Plata Ave, Mesa, AZ 85202-7860 | 2013-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891073573 | William Wagner Md PC | Psychiatry & Neurology | 4135 S Power Rd Ste 120, Mesa, AZ 85212-3626 | 2011-07-28 |
1144480682 | Win Toe | Psychiatry & Neurology | 6553 E Baywood Ave Ste 212, 2nd Floor, Mesa, AZ 85206-1754 | 2008-06-09 |
1063479707 | Julius Ray Charlie | Psychiatry & Neurology | 6944 E Broadway Rd, Mesa, AZ 85208-1916 | 2006-04-27 |
1053309245 | Gilbert J. Toffol, D.o., Pllc | Psychiatry & Neurology | 1134 E University Dr, Ste 114, Mesa, AZ 85203-8027 | 2005-10-11 |
1699771600 | David Charles Marzulo | Psychiatry & Neurology | 1919 E Mckellips Rd, Ste 102, Mesa, AZ 85203-2844 | 2005-06-23 |
1669095394 | Tonto Tech LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
1124641857 | Pine Monitoring LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
1184135980 | Iom Technologist Rem LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-19 |
1801307814 | Intraoperative Neurology Preventative Services LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-17 |
1386154219 | Mag7 Neurology LLC | Psychiatry & Neurology | 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 | 2017-10-05 |
Find all providers in MESA |
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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.