PHOENIX VAMC (NPI# 1174065791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174065791 |
| Entity Type | Organization |
| Organization Name | PHOENIX VAMC |
| Other Organization Name | PHOENIX 2 VA CLINIC |
| Practice Address |
5040 N 15th Ave Phoenix AZ 85015-3328 |
| Mailing Address |
Po Box 94413 Cleveland OH 44101-4413 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PHOENIX 2 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
| 1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
| 1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
| 1437197902 | Phoenix Vamc | Clinic/Center | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2006-06-04 |
| 1215974696 | Phoenix Vamc | Clinic/Center | 903 E Highway 260, Suite 2, Payson, AZ 85531-4972 | 2006-06-02 |
| 1205874351 | Phoenix Vamc | Clinic/Center | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2006-06-02 |
| 1629582184 | Phoenix Vamc | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-11-20 |
| 1104286418 | Phoenix Vamc | Psychiatric Residential Treatment Facility | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-02-29 |
| 1053586545 | Phoenix Vamc | Clinic/Center | 5860 S Hospital Dr, Suite 111, Globe, AZ 85501-9449 | 2008-04-25 |
| 1598704512 | Phoenix Vamc | Clinic/Center | 13985 W Grand Ave, Suite 101, Surprise, AZ 85374-3625 | 2006-06-05 |
| Street Address |
5040 N 15TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778167 | Nilesh Patel | Internal Medicine | 5040 N 15th Ave, Suite 107, Phoenix, AZ 85015-3328 | 2005-05-27 |
| 1508487158 | Emily Ann Burks | Social Worker | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2020-05-05 |
| 1073011912 | Michelle Purkat | Dietitian, Registered | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2018-01-25 |
| 1811416001 | Erin Ashley Kellogg Truong | Psychologist | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2017-09-19 |
| 1881147593 | Karen Cruz | Social Worker | 5040 N 15th Ave, Phoenix, AZ 85015 | 2016-07-28 |
| 1356701247 | Akdhc, LLC | Internal Medicine | 5040 N 15th Ave, Suite 107, Phoenix, AZ 85015-3328 | 2016-03-04 |
| 1568866069 | Andrew Bohn | Physician Assistant | 5040 N 15th Ave, Suite 104, Phoenix, AZ 85015-3328 | 2014-10-14 |
| 1992147276 | Akdhc, LLC | Internal Medicine | 5040 N 15th Ave, Suite 205, Phoenix, AZ 85015-3328 | 2013-07-26 |
| 1306075924 | Scott Ungar | Internal Medicine | 5040 N 15th Ave, Ste 205, Phoenix, AZ 85015 | 2009-07-02 |
| 1326215617 | Brent Nelson | Family Medicine | 5040 N 15th Ave, Suite 202, Phoenix, AZ 85015-3328 | 2008-05-15 |
| Find all providers in the same location | ||||
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
| 1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
| 1811176530 | Cthvamc | Clinic/Center | 239 W Utopia Rd, Phoenix, AZ 85027-4738 | 2007-10-30 |
| 1629582184 | Phoenix Vamc | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-11-20 |
| 1619422052 | Veterans Health Administration | Clinic/Center | 2141 E Camelback Rd, Suite 210, Phoenix, AZ 85016-4764 | 2016-08-15 |
| 1790022234 | Phoenix Va Health Care System | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-01-03 |
| 1811292923 | Phoenix Va Medical Center | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-01-20 |
| 1831138270 | Phoenix Vamc | Clinic/Center | 9250 W Thomas Rd, Suite 400, Phoenix, AZ 85037-3382 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457704 | Tucson Vamc | Clinic/Center | 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 | 2017-03-01 |
| 1104366897 | Tucson Vamc | Clinic/Center | 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 | 2017-03-01 |
| 1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
| 1356739650 | Prescott Vamc | Clinic/Center | 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 | 2015-01-08 |
| 1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
| 1952345076 | Prescott Vamc | Clinic/Center | 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 | 2006-06-16 |
| 1235173931 | Tucson Vamc | Clinic/Center | 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 | 2006-06-15 |
| 1649219528 | Tucson Vamc | Clinic/Center | 3111 S 4th Ave, Yuma, AZ 85364-8122 | 2006-06-06 |
| 1437197902 | Phoenix Vamc | Clinic/Center | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2006-06-04 |
| 1902844632 | Tucson Vamc | Clinic/Center | 355 North 8th Avenue, Safford, AZ 85546-2694 | 2006-06-03 |
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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.