MEDSHAPE WEIGHT LOSS CLINIC, LLC (NPI# 1093943219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093943219 |
| Entity Type | Organization |
| Organization Name | MEDSHAPE WEIGHT LOSS CLINIC, LLC |
| Practice Address |
7972 W Thunderbird Rd 106 Peoria AZ 85381-4903 |
| Practice Telephone | 6234122700 |
| Practice Fax Number | 6237763065 |
| Mailing Telephone | 6234122700 |
| Mailing Fax Number | 6237763065 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Authorized Official Name | MS. STEPHANIE SMITH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4802763742 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSHAPE WEIGHT LOSS CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
7972 W THUNDERBIRD RD 106 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437124278 | Spencer W Crook | Dentist | 7972 W Thunderbird Rd, Suite #103, Peoria, AZ 85381-4903 | 2006-02-22 |
| 1598161887 | Phoenix Hand Surgery, LLC | Clinic/Center | 7972 W Thunderbird Rd, Peoria, AZ 85381-4903 | 2014-11-13 |
| 1629289491 | Northwest Endodontics | Dentist | 7972 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-4903 | 2007-05-24 |
| 1518906544 | Paul S Mahoney | Orthopaedic Surgery | 7972 W Thunderbird Rd, Suite 104, Peoria, AZ 85381-4903 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912342569 | Peoria Weightloss, LLC | Clinic/Center | 2426 W Cornerstone Ct Ste 100, Peoria, IL 61614-2400 | 2013-05-08 |
| 1952654154 | Ev Pain Specialists | Clinic/Center | 14100 N 83rd Ave Ste 260, Peoria, AZ 85381-5659 | 2012-10-25 |
| 1083848188 | Susan J Cole, Md & Associates | Clinic/Center | 5401 N Knoxville Ave, Suite 107, Peoria, IL 61614-5098 | 2009-05-05 |
| 1881861953 | Surraj Medical Associates,pllc | Clinic/Center | 9401 W Thunderbird Rd, Suite 155, Peoria, AZ 85381-4233 | 2008-05-08 |
| 1376680363 | Neurology Clinic of Peoria Sc | Clinic/Center | 5401 N Knoxville Ave, Suite 414, Peoria, IL 61614-5098 | 2007-01-31 |
| 1033163761 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179735 | Az Neurosurgery & Spine, Pllc | Clinic/Center | 371 Garden St # A-27, Prescott, AZ 86305-2914 | 2020-09-22 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1073133583 | American Medical Center P.C. | Clinic/Center | 8417 E Mcdowell Rd Ste 101, Scottsdale, AZ 85257-3917 | 2020-04-24 |
| 1649809039 | Orthopedic Specialists of North America Pllc | Clinic/Center | 16838 E Palisades Blvd Ste C152, Fountain Hills, AZ 85268-3790 | 2020-04-07 |
| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1366919714 | Bianca J Vazquez Md Pllc | Clinic/Center | 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
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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.