LIZZETTE PAGAN PLLC (NPI# 1134473515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134473515 |
| Entity Type | Organization |
| Organization Name | LIZZETTE PAGAN PLLC |
| Other Organization Name | MY PEDIATRIC PLACE |
| Practice Address |
1823 E Mcdowell Rd Phoenix AZ 85006-3052 |
| Practice Telephone | 6027165700 |
| Practice Fax Number | 6027165842 |
| Mailing Telephone | 6027165700 |
| Mailing Fax Number | 6027165842 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Authorized Official Name | LIZ SOTO (PRACTICE MANAGER) |
| Authorized Official Telephone | 6027165700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
27253 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| My Pediatric Place | Other Name - Individual/Organization |
| Street Address |
1823 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467444166 | Lizzette Pagan | Pediatrics | 1823 E Mcdowell Rd, Phoenix, AZ 85006-3052 | 2005-08-18 |
| 1457780793 | Ellana Ehrler | Physician Assistant | 1823 E Mcdowell Rd, Phoenix, AZ 85006-3052 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1114271798 | Kristen Marie Buchanan | Pediatrics | 4700 N 51st Ave Ste 4, Phoenix, AZ 85031-1237 | 2012-11-02 |
| 1295930980 | Mary Ellen Rimsza | Pediatrics | 518 S 3rd St, Phoenix, AZ 85004-2506 | 2007-06-20 |
| 1508957101 | John Curley | Pediatrics | 4434 N 12th St, Phoenix, AZ 85014-4507 | 2006-09-27 |
| 1780775395 | Shannon Forshey | Pediatrics | 4434 N 12th Street, Phoenix, AZ 85014-1101 | 2006-09-27 |
| 1194816702 | Brad Golner | Pediatrics | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 | 2006-09-27 |
| 1831373562 | Agnes Ida Bartha | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3111 | 2007-12-17 |
| 1497964449 | Arizona Pediatric Clinics Pllc | Pediatrics | 809 E Washington St, Suite 106, Phoenix, AZ 85034-1052 | 2007-05-22 |
| 1053491316 | Anthony Nagorka | Pediatrics | 4434 N 12th Street, Phoenix, AZ 85014-1101 | 2006-10-17 |
| 1801985486 | The Phoenix Children's Center, Ltd | Pediatrics | 5040 N 15th Ave, Ste 104, Phoenix, AZ 85015-3328 | 2006-10-12 |
| 1568550085 | Robyn Gutman | Pediatrics | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 | 2006-10-10 |
| 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.