TATUM HIGHLANDS MEDICAL ASSOCIATES PLC (NPI# 1174605059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174605059 |
Entity Type | Organization |
Organization Name | TATUM HIGHLANDS MEDICAL ASSOCIATES PLC |
Practice Address |
26224 N Tatum Blvd Suite 15a Phoenix AZ 85050-7500 |
Practice Telephone | 4806639632 |
Practice Fax Number | 4804196782 |
Mailing Telephone | 4806639632 |
Mailing Fax Number | 4804196782 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2019-10-04 |
Authorized Official Name | DEBBIE ANN LEVINS (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 4806639632 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
26224 N TATUM BLVD SUITE 15A |
City | PHOENIX |
State | AZ |
Zip Code | 85050-7500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407856545 | Binita Patel | Pediatrics | 26224 N Tatum Blvd, Suite 1, Phoenix, AZ 85050-7500 | 2005-07-29 |
1790236693 | Arizona Childrens Dental Care | Dentist | 26224 N Tatum Blvd, Suite 12, Phoenix, AZ 85050-7500 | 2016-10-17 |
1023369154 | Az Children's Dental Care Pllc | Dentist | 26224 N Tatum Blvd, Ste 12, Phoenix, AZ 85050-7500 | 2012-09-28 |
1568791499 | Stephanie Vandyke | Registered Nurse | 26224 N Tatum Blvd, Ste 1, Phoenix, AZ 85050 | 2009-12-24 |
1134243330 | Desert Sun Pediatrics PC | Pediatrics | 26224 N Tatum Blvd, Suite 1, Phoenix, AZ 85050-7500 | 2007-03-16 |
1407935935 | Physiotherapy Associates Inc | Clinic/Center | 26224 N Tatum Blvd, Suite 11, Phoenix, AZ 85050-7500 | 2006-11-03 |
1528155702 | Robin E Limmer Bibb | Physician Assistant | 26224 N Tatum Blvd, Suite #15a, Phoenix, AZ 85050-7500 | 2006-10-06 |
1710095799 | Solomon T Woldesilassie | Dentist | 26224 N Tatum Blvd, Suit # 10, Phoenix, AZ 85050-7500 | 2006-08-29 |
1124033717 | Desert View Family Practice Inc | Family Medicine | 26224 N Tatum Blvd, Suite 5, Phoenix, AZ 85050-7500 | 2006-07-30 |
1487614681 | Julie D.p. Schlomer | Physician Assistant | 26224 N Tatum Blvd, Phoenix, AZ 85050-7500 | 2006-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
Find all providers in zip 85050 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
1952945313 | Arizona Primary Care & Regenerative Medicine LLC | Clinic/Center | 1611 W Silver Pine Dr, Phoenix, AZ 85086-1930 | 2019-10-29 |
1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
1568937407 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2018-10-08 |
1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
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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.