DESERT SHORES PEDIATRICS (NPI# 1124386487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124386487 |
Entity Type | Organization |
Organization Name | DESERT SHORES PEDIATRICS |
Practice Address |
6285 S Higley Rd Gilbert AZ 85298-4262 |
Practice Telephone | 4804604949 |
Practice Fax Number | 4804605858 |
Mailing Telephone | 4804604949 |
Mailing Fax Number | 4804605858 |
Enumeration Date | 2012-04-24 |
Last Update Date | 2020-07-16 |
Authorized Official Name | DR. CHRISTINE PHILLIPS HOLMES (PRESIDENT) |
Authorized Official Telephone | 4804604949 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
965 W Chandler Heights Rd, Chandler, AZ 852485724 | 4804604949 | 4804605858 |
Street Address |
6285 S HIGLEY RD |
City | GILBERT |
State | AZ |
Zip Code | 85298-4262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679571285 | Christine Phillips Holmes | Pediatrics | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2005-07-08 |
1073975769 | April Renee Resop | Nurse Practitioner | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2016-03-22 |
1063801439 | Sarah Catherine Lance | Physician Assistant | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2015-01-22 |
1902206873 | Tracey Turas | Nurse Practitioner | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2014-08-28 |
1437411246 | Marie Cathleen Baron | Pediatrics | 6285 S Higley Rd, Gilbert, AZ 85298 | 2012-06-08 |
1235332990 | Staci Ann Cruz | Physician Assistant | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2007-06-08 |
1750411203 | Kelli S Garland | Nurse Practitioner | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2007-03-06 |
1861565251 | Carolyn Dawn Smeltzer | Registered Nurse | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2006-11-16 |
1457443418 | Chantelle Lassak | Physician Assistant | 6285 S Higley Rd, Gilbert, AZ 85298 | 2006-09-28 |
1174622914 | Jean Mullen | Pediatrics | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710254040 | Jumpstart Pediatrics LLC | Pediatrics | 2828 S Brett St, Gilbert, AZ 85295-6016 | 2011-12-01 |
1033437439 | Southwestern Pediatrics Pllc | Pediatrics | 2730 S Val Vista Dr Ste 161, Gilbert, AZ 85295-1680 | 2010-05-10 |
1538484357 | Jaclyn Marie Kepski | Pediatrics | 3921 E Baseline Rd Ste 102, Gilbert, AZ 85234-2730 | 2010-04-05 |
1396994273 | Stephen Eric Snesko | Pediatrics | 2630 S. Val Vista Dr., Bldg 12, Suite 167, Gilbert, AZ 85295 | 2008-09-16 |
1093862088 | Colin K Kelly | Pediatrics | 4132 E Morrison Ranch Pkwy, Gilbert, AZ 85296-3093 | 2007-01-04 |
1801816350 | East Valley Pediatrics, Plc | Pediatrics | 3921 E Baseline Rd # 120, Gilbert, AZ 85234-2727 | 2006-07-20 |
1205871357 | Amelia J. Santiago | Pediatrics | 202 Larry Joe Harless Drive, Suite 205, Gilbert, WV 25621-1842 | 2006-06-20 |
1689633323 | Sonja Raechel Stevenson | Pediatrics | 861 N Higley Rd, Suite B101, Gilbert, AZ 85234-9602 | 2006-03-21 |
1972572832 | Ivia Itsa Hess | Pediatrics | 2550 E Guadalupe Rd Ste 115, Gilbert, AZ 85234-5114 | 2006-03-14 |
1700859592 | Mark William Deardorff | Pediatrics | 120 S Val Vista Dr, Gilbert, AZ 85296-1370 | 2006-02-10 |
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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.