19TH AVENUE CLINIC LLC (NPI# 1154606945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154606945 |
| Entity Type | Organization |
| Organization Name | 19TH AVENUE CLINIC LLC |
| Other Organization Name | ADVANCED URGENT CARE |
| Practice Address |
5201 N 19th Ave Ste 100 Phoenix AZ 85015-2951 |
| Mailing Address |
Po Box 32950 Phoenix AZ 85064-2950 |
| Practice Telephone | 6027951411 |
| Practice Fax Number | 6027951999 |
| Mailing Telephone | 6022756110 |
| Mailing Fax Number | 6022423519 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | MRS. RENEE L BISKUPSKI (VP OF OPERATIONS) |
| Authorized Official Telephone | 6024331822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADVANCED URGENT CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053667709 | 19th Avenue Clinic LLC | Clinic/Center | 835 W University Dr, Mesa, AZ 85201-5555 | 2012-07-31 |
| 1225384985 | 19th Avenue Clinic LLC | Clinic/Center | 401 E Bell Rd Ste 18, Phoenix, AZ 85022-2395 | 2012-07-31 |
| 1407102163 | 19th Avenue Clinic LLC | Clinic/Center | 3302 W Thomas Rd Ste 10, Phoenix, AZ 85017-5605 | 2012-07-31 |
| 1275889933 | 19th Avenue Clinic LLC | Clinic/Center | 8260 W Indian School Rd Ste 1, Phoenix, AZ 85033-2980 | 2012-07-31 |
| 1033466651 | 19th Avenue Clinic LLC | Clinic/Center | 2301 N 44th St, Phoenix, AZ 85008-2420 | 2012-08-14 |
| 1811244601 | 19th Avenue Clinic LLC | Clinic/Center | 1804 W Elliot Rd, Tempe, AZ 85284-1004 | 2012-08-10 |
| Street Address |
5201 N 19TH AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069047 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 5201 N 19th Ave Ste 100, Phoenix, AZ 85015-2901 | 2020-09-28 |
| 1962933440 | Brittany Mar | Physician Assistant | 5201 N 19th Ave Ste 100, Phoenix, AZ 85015-2901 | 2017-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1700493343 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3131 E Thunderbird Rd Ste 73, Phoenix, AZ 85032-5642 | 2020-09-28 |
| 1366059982 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 5259 W Indian School Rd Ste 100, Phoenix, AZ 85031-2651 | 2020-09-28 |
| 1376154625 | Memd Provider Network LLC | Clinic/Center | 6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054-5162 | 2020-08-11 |
| 1801431465 | Us Careways PC LLC | Clinic/Center | 3800 E Sky Harbor Blvd # L-r12, Phoenix, AZ 85034-3712 | 2019-11-07 |
| 1245886795 | Banner Urgent Care Services, LLC | Clinic/Center | 1 N Central Ave Ste 105, Phoenix, AZ 85004-4416 | 2019-08-12 |
| 1972069417 | Honorhealth Urgent Care, LLC | Clinic/Center | 1515 E Bethany Home Rd Ste 120b, Phoenix, AZ 85014-2495 | 2019-02-20 |
| 1649736380 | Honorhealth Urgent Care, LLC | Clinic/Center | 18404 N Tatum Blvd Ste 101c, Phoenix, AZ 85032-1511 | 2019-02-19 |
| 1063984680 | Banner Urgent Care Services, LLC | Clinic/Center | 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 2018-12-20 |
| 1750853388 | Banner Urgent Care Services, LLC | Clinic/Center | 3247 E Bell Rd Ste 1, Phoenix, AZ 85032-2707 | 2018-12-20 |
| 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.