POPHEALTHCARE MEDICAL SERVICES OF AZ, PC (NPI# 1104302413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104302413 |
| Entity Type | Organization |
| Organization Name | POPHEALTHCARE MEDICAL SERVICES OF AZ, PC |
| Other Organization Name | POPHEALTHCARE MEDICAL SERVICES OF AZ, PC - FQ WASHINGTON |
| Practice Address |
51 W 3rd St Ste 500 Tempe AZ 85281 |
| Mailing Address |
51 W 3rd St Ste 500 Tempe AZ 85281-2871 |
| Practice Telephone | 4802375099 |
| Practice Fax Number | 8773588109 |
| Mailing Telephone | 4802375099 |
| Mailing Fax Number | 8773588109 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | MARK COHEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5852991581 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | POPHEALTHCARE MEDICAL SERVICES OF AZ, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| PopHealthCare Medical Services of AZ, PC - FQ Washington | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154807469 | Pophealthcare Medical Services of Az, PC | Internal Medicine | 51 W 3rd St Ste 500, Tempe, AZ 85281 | 2018-07-19 |
| 1760884175 | Pophealthcare Medical Services of Az, PC | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2014-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | POPHEALTHCARE MEDICAL SERVICES OF AZ, PC | 113 Seaboard Lane Ste B200, Franklin, TN 37067 |
| Washington State Corporations | POPHEALTHCARE MEDICAL SERVICES OF AZ, PC | 113 Seaboard Ln, Ste B200, Franklin, TN 37067-8282 |
| Street Address |
51 W 3RD ST STE 500 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386624153 | Margaret Mary Sobczak | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2006-01-18 |
| 1760950075 | Remilekun Dele Ladoye | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2018-11-05 |
| 1760966774 | Molly Michelle Moore | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2018-09-17 |
| 1154807469 | Pophealthcare Medical Services of Az, PC | Internal Medicine | 51 W 3rd St Ste 500, Tempe, AZ 85281 | 2018-07-19 |
| 1093213050 | Jacey Leclair | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2018-01-24 |
| 1235509910 | Audrey Atencio | Clinical Nurse Specialist | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2015-10-06 |
| 1477938850 | Ifiok Umoren | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2015-07-27 |
| 1760884175 | Pophealthcare Medical Services of Az, PC | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2014-09-17 |
| 1265738942 | Carlos Rivera | Registered Nurse | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2011-01-28 |
| 1437471141 | Kristopher Thomas Young | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2010-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1174096465 | Virtis Health, LLC | Nurse Practitioner | 415 S 48th St # 107, Tempe, AZ 85281-2357 | 2019-01-09 |
| 1902080757 | Maria E Nasta | Nurse Practitioner | 1964 E Baseline Rd Ste 103, Tempe, AZ 85283 | 2007-12-27 |
| 1386860955 | Mary Aronson | Nurse Practitioner | 1968 E Baseline Rd, F101, Tempe, AZ 85283-1531 | 2007-04-18 |
| 1194848002 | Nancy Cecile Erdmann | Nurse Practitioner | 1968 E Baseline Rd # F101, F-101, Tempe, AZ 85283-1531 | 2007-04-06 |
| 1003916990 | Judith Ann Abell | Nurse Practitioner | 1437 W Auto Dr, Tempe, AZ 85284-1016 | 2006-09-22 |
| 1548249782 | Joellen Hegg Butler | Nurse Practitioner | 8727 S. Priest Drive #102, Tempe, AZ 85284 | 2006-01-16 |
| 1689667883 | Theresa A Jacobsen | Nurse Practitioner | 2304 E Geneva Dr, Tempe, AZ 85282-4147 | 2005-08-24 |
| 1285282319 | Tara Arguelles | Nurse Practitioner | 7695 S Research Dr, Tempe, AZ 85284-1812 | 2019-09-02 |
| 1659850279 | Adobe Provider Group | Nurse Practitioner | 4041 S Mcclintock Dr Ste 302, Tempe, AZ 85282-5879 | 2018-08-14 |
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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.