REGIONAL PHUSICIAN SERVICES OF MASSACHUSETTS, P.C.


Address: 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074
Phone: 6024645200

REGIONAL PHUSICIAN SERVICES OF MASSACHUSETTS, P.C. (NPI# 1154616944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154616944
Entity Type Organization
Organization Name REGIONAL PHUSICIAN SERVICES OF MASSACHUSETTS, P.C.
Practice Address 4545 E Shea Blvd
175
Phoenix
AZ 85028-3074
Practice Telephone 6024645200
Practice Fax Number 4809072108
Mailing Telephone 6024645200
Mailing Fax Number 4809072108
Enumeration Date 2011-06-09
Last Update Date 2011-06-09
Authorized Official Name ED COTTER (GENERAL COUNSEL & CHIEF COMPLIANCE)
Authorized Official Telephone 6024645200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4545 E SHEA BLVD
175
City PHOENIX
State AZ
Zip Code 85028-3074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386638492 George J Joumas Counselor 4545 E Shea Blvd, Suite 112, Phoenix, AZ 85028-3074 2005-09-02
1538606140 Open Hearts Open Minds Counseling Services, LLC. Community/Behavioral Health 4545 E Shea Blvd, Suite 235, Phoenix, AZ 85028 2017-01-21
1427502152 Alessandra Goodfellow Physical Therapist 4545 E Shea Blvd, Suite 168, Phoenix, AZ 85028-3074 2016-08-10
1174932891 Women's Center for Wellness and Rehabiliation Naturopath 4545 E Shea Blvd, Suite 168, Phoenix, AZ 85028-3074 2014-08-06
1568897619 David Marcus Benson Dentist 4545 E Shea Blvd, Suite 203, Phoenix, AZ 85028-3074 2013-09-09
1881945517 North Valley Chiropractic Center PC Clinic/Center 4545 E Shea Blvd, Ste 174, Phoenix, AZ 85028-3074 2012-09-20
1326327628 Rachel B Carpenter Nurse Practitioner 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 2011-08-04
1104111053 Yolanda Lucian George Nurse Practitioner 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 2011-06-17
1386939833 Judith A Lane Nurse Practitioner 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 2011-06-13
1083908628 Anita Rose Brennan Nurse Practitioner 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 2011-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235626565 Celice Korsten Psychologist 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 2018-04-23
1720591605 Michele Kaplan Counselor 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 2017-11-14
1154840304 Faustino M. Gonzalez, Md PC Anesthesiology 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 2017-09-19
1679092514 Savior Palliative Care LLC Family Medicine 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 2017-09-12
1437688892 Harmony Behavioral Health Behavioral Analyst 3008 E Sierra St, Phoenix, AZ 85028 2017-06-08
1275949224 Alexander D Garza Podiatrist 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 2014-07-09
1720418379 Alyssa Hale Occupational Therapy Assistant 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 2013-11-19
1932534476 Stephen Howard Garber Otolaryngology 9607 N. 43rd Way, Phoenix, AZ 85028 2013-09-03
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1285930925 Cathy Ann Payne Nurse Practitioner 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 2011-01-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
1710522024 Kelsey Conrad Nurse Practitioner 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 2019-11-11
1124662408 Rayiom Health and Wellness, Inc Nurse Practitioner 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 2019-10-30
1699259580 Keith Dibenedetto Nurse Practitioner 2617 Stockton Rd, Phoenix, MD 21131-1117 2018-09-18
1467975698 Samantha June Collett Nurse Practitioner 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 2017-07-19
1598135741 Sandra Shearer Nurse Practitioner 513 W Lavitt Ln, Phoenix, AZ 85086-6346 2015-09-30
1023499860 Kelly Lynn Schultz Nurse Practitioner 3944 E Hillery Dr, Phoenix, AZ 85032-5245 2015-06-17
1609298900 Lorna Ann Hill Nurse Practitioner 13224 N 31st Pl, Phoenix, AZ 85032-6041 2014-01-06
1801217765 Trifit Pain Management LLC Nurse Practitioner 505 E Camelback Rd, Phoenix, AZ 85012-1615 2013-12-19
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Competitor

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City PHOENIX
Zip Code 85028

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Dataset Information

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.

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