PHOENIX VA HEALTH CARE SYSTEM (NPI# 1154619591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154619591 |
| Entity Type | Organization |
| Organization Name | PHOENIX VA HEALTH CARE SYSTEM |
| Practice Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Practice Telephone | 6022775551 |
| Mailing Telephone | 6022775551 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | DOUG MITCHELL (CHIEF OF SOCIAL WORK) |
| Authorized Official Telephone | 6022775551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558790600 | Phoenix Va Health Care System | General Acute Care Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-11-08 |
| 1790022234 | Phoenix Va Health Care System | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-01-03 |
| Street Address |
650 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316340953 | Doc Lipan Pllc | Special Hospital | 3811 E. Bell Rd, Ste 103, Phoenix, AZ 85032 | 2014-09-26 |
| 1104021088 | Ipc | Special Hospital | 10835 N 25th Ave Ste 115, Phoenix, AZ 85029-3452 | 2007-06-19 |
| 1235226440 | Los Ninos Hospital Inc. | Special Hospital | 2303 E. Thomas Rd, Phoenix, AZ 85016 | 2006-10-07 |
| 1902881295 | Surgical Specialty Hospital of Arizona, LLC | Special Hospital | 6501 N 19th Ave, Phoenix, AZ 85015-1646 | 2005-12-09 |
| 1073909321 | Ernest N. Johnson, Dds, PC | Special Hospital | 2933 W Cactus Rd, Phoenix, AZ 85029-2346 | 2015-04-14 |
| 1881007136 | Veteran's Affairs | Special Hospital | 650 East Indian School Road, Carl T. Hayden Va Medical Center, Phoenix, AZ 85012-1892 | 2014-06-04 |
| 1770928889 | Phoenix Va Medical Center | Special Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-05-02 |
| 1275847105 | Southwest Orthopedic and Spine Hospital, LLC | Special Hospital | 750 N 40th St, Phoenix, AZ 85008-6486 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689170813 | Phoenix Er and Medical Hospital, LLC | Special Hospital | 3050 S Dobson Rd, Chandler, AZ 85248-4906 | 2018-04-05 |
| 1841681012 | Hacienda Childrens Hospital Inc | Special Hospital | 610 W Jerome Avenue, Mesa, AZ 85210 | 2015-02-10 |
| 1467783118 | Changepoint Integrated Health | Special Hospital | 1920 Commerce Drive, Lakeside, AZ 85929-7004 | 2010-01-20 |
| 1124278882 | Western Regional Medical Center Inc. Hospital Pharmacy | Special Hospital | 12725 W Indian School Rd Ste C105, Avondale, AZ 85392-9523 | 2008-09-30 |
| 1952550071 | West Yavapai Guidance Clinic Inc | Special Hospital | 3347 N Windsong Drive, Prescott Valley, AZ 86314 | 2008-09-12 |
| 1639216393 | Remuda Ranch Center for Anorexia and Bulimia Inc | Special Hospital | 1245 Jack Burden Rd, Wickenburg, AZ 85390-3370 | 2007-01-31 |
| 1225140643 | Pasadera Behavioral Health Network, Inc. | Special Hospital | 2499 E. Ajo Way, Tucson, AZ 85713-6202 | 2006-08-31 |
| 1588685572 | Barix Clinics of Arizona, LLC | Special Hospital | 17500 N Perimeter Dr, Scottsdale, AZ 85255-7808 | 2006-07-22 |
| 1760457238 | Vhs Acquisition Subsidiary Number 2 Inc | Special Hospital | 7100 E Mescal St, Wing 3, Scottsdale, AZ 85254-6126 | 2006-02-20 |
| 1134592546 | Perimeter Road Surgical Hospital, LLC | Special Hospital | 17500 N Perimeter Dr, Scottsdale, AZ 85255-7808 | 2015-11-06 |
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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.