VITAL4MEN CHANDLER PLLC (NPI# 1134550825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134550825 |
| Entity Type | Organization |
| Organization Name | VITAL4MEN CHANDLER PLLC |
| Practice Address |
655 S Dobson Rd Bldg. B Suite #216 Chandler AZ 85224-5667 |
| Mailing Address |
7707 W Deer Valley Rd Ste 115 Peoria AZ 85382-2101 |
| Practice Telephone | 6233998606 |
| Practice Fax Number | 6233999958 |
| Mailing Telephone | 6233998606 |
| Mailing Fax Number | 6233999958 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | KEVIN WRAY (MEMBER) |
| Authorized Official Telephone | 6233998606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
15568 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
655 S DOBSON RD BLDG. B SUITE #216 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362038 | Heidi K Borowiecki | Nurse Practitioner | 655 S Dobson Rd, Suite B-216, Chandler, AZ 85224-5667 | 2005-08-09 |
| 1003329442 | Melissa Milner | Physical Therapist | 655 S Dobson Rd, Chandler, AZ 85224-5667 | 2017-11-07 |
| 1366981821 | Kori Mitteer | Advanced Practice Midwife | 655 S Dobson Rd, Suite 101a, Chandler, AZ 85224-5667 | 2017-02-16 |
| 1396190724 | Vital4men, Pllc | Physician Assistant | 655 S Dobson Rd, B216, Chandler, AZ 85224-5667 | 2016-05-04 |
| 1518327303 | Xavier Heart Institute Pllc | Internal Medicine | 655 S Dobson Rd, Ste. A108, Chandler, AZ 85224-5667 | 2016-03-07 |
| 1124404157 | Patricia Ault | Physical Therapist | 655 S Dobson Rd, Building B, Ste 111, Chandler, AZ 85224-5667 | 2015-07-31 |
| 1740698026 | Live Well Family Medicine Plc | Family Medicine | 655 S Dobson Rd, Suite B-115, Chandler, AZ 85224-5667 | 2014-07-30 |
| 1386078129 | Valerie L Maughan | Physical Therapist | 655 S Dobson Rd, B111, Chandler, AZ 85224-5667 | 2013-08-28 |
| 1376804005 | Kelli Michele Borgwardt | Nurse Practitioner | 655 S Dobson Rd, Building A, Suite 103, Chandler, AZ 85224-5667 | 2012-05-29 |
| 1164737367 | Tyler Lamoine Saunders | Dentist | 655 S Dobson Rd, Bldg B, Suite 211, Chandler, AZ 85224-5667 | 2010-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
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| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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| 1770023129 | Comprehensive Ambulatory Healthcare L.l.c | Family Medicine | 18362 N 94th Pl, Scottsdale, AZ 85255-6001 | 2017-03-05 |
| 1336514116 | Angela Paniagua-vega Md PC | Family Medicine | 3063 E Placita Santa Lucia, Tucson, AZ 85716-0814 | 2015-12-05 |
| 1609201078 | Rise Wellness Center PC | Family Medicine | 15300 N 90th St Ste 950, Scottsdale, AZ 85260-2774 | 2013-09-04 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1750653705 | Carol L Howe | Family Medicine | 1501 N Cambell Ave, Tucson, AZ 85724-5079 | 2012-02-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1417181348 | Keyamed, Inc A P C | Family Medicine | 198 S Coronado Drive, Suite B, Sierra Vista, AZ 85635 | 2009-05-06 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1922282920 | Jerome J Kastrul Md Ltd | Family Medicine | 13000 N 103rd Ave #97, Sun City, AZ 85351-3060 | 2007-12-27 |
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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.