MAYO CLINIC ARIZONA (NPI# 1083079099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083079099 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC ARIZONA |
| Other Organization Name | MAYO CLINIC STORE - PHOENIX |
| Practice Address |
5881 E. Mayo Blvd #3-105 Phoenix AZ 85054-4504 |
| Mailing Address |
21 2nd St Sw Suite 1-18 Rochester MN 55902-3026 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 5072843390 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | JEFFREY FROISLAND (CFO) |
| Authorized Official Telephone | 4803018940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Store - Phoenix | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099663 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 2120 E Rio Salado Pkwy, Tempe, AZ 85281-3002 | 2018-04-02 |
| 1255796496 | Mayo Clinic Arizona | Pharmacy | 5881 E Mayo Blvd., #1-304, Phoenix, AZ 85054-4505 | 2015-12-15 |
| 1487663332 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-08-07 |
| 1750399895 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13737 N 92nd St, Scottsdale, AZ 85260-7434 | 2006-08-04 |
| 1134190093 | Mayo Clinic Arizona | Pharmacy | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1508837469 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
| 1265403133 | Mayo Clinic Arizona | Rehabilitation Unit | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
| 1427029396 | Mayo Clinic Arizona | Clinic/Center | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1528039484 | Mayo Clinic Arizona | Clinical Medical Laboratory | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1255302113 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| Street Address |
5881 E. MAYO BLVD #3-105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1013536630 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 10844 N 23rd Ave Ste P125, Phoenix, AZ 85029-4924 | 2020-04-14 |
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1689293367 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1515 E Osborn Rd Ste P1, Phoenix, AZ 85014-5309 | 2020-04-13 |
| 1619596319 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1840 N 95th Ave Ste 132p, Phoenix, AZ 85037-4445 | 2020-04-13 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1659915908 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2311 W Royal Palm Rd Ste P, Phoenix, AZ 85021-4916 | 2019-10-30 |
| 1255972295 | Arizona Dental Health Partners LLC | Durable Medical Equipment & Medical Supplies | 3134 W Carefree Hwy Ste 9, Phoenix, AZ 85086-4001 | 2019-10-01 |
| 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.