SANTE PERSONALIZED PREVENTIVE HEALTHCARE, PLLC (NPI# 1174722458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174722458 |
| Entity Type | Organization |
| Organization Name | SANTE PERSONALIZED PREVENTIVE HEALTHCARE, PLLC |
| Practice Address |
2620 N 3rd St Suite 103 Phoenix AZ 85004-1153 |
| Practice Telephone | 6025953321 |
| Practice Fax Number | 6023588451 |
| Mailing Telephone | 6025953321 |
| Mailing Fax Number | 6023588451 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | JOHN MCBARRON HODGSON (MANAGING PARTNER) |
| Authorized Official Telephone | 6025953321 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32892 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2620 N 3RD ST SUITE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316495 | Randy I Cooper | Internal Medicine | 2620 N 3rd St, Suite 100, Phoenix, AZ 85004-1153 | 2005-09-13 |
| 1902363757 | Eclipse Anesthesia LLC | Anesthesiology | 2620 N 3rd St, Phoenix, AZ 85004-1153 | 2019-02-28 |
| 1982149977 | Smi Imaging, LLC | Clinic/Center | 2620 N 3rd St, Suite 101, Phoenix, AZ 85004-1153 | 2016-12-29 |
| 1336409200 | Smi Imaging LLC | Radiology | 2620 N 3rd St, Suite 102, Phoenix, AZ 85004-1153 | 2012-05-24 |
| 1235422247 | Joseph James Morris | Anesthesiology | 2620 N 3rd St, Phoenix, AZ 85004-1153 | 2011-05-24 |
| 1942471925 | Select Physical Therapy Holdings Inc | Durable Medical Equipment & Medical Supplies | 2620 N 3rd St, Suite 101, Phoenix, AZ 85004-1153 | 2008-03-18 |
| 1083651210 | Aslam Pervez | Internal Medicine | 2620 N 3rd St, Suite 100, Phoenix, AZ 85004-1153 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1144468596 | Howard Jay Reuben | Internal Medicine | 505 W Mcdowell Rd Ste A, Phoenix, AZ 85003-1259 | 2009-01-22 |
| 1780821546 | Khawaja Consulting, P.C. | Internal Medicine | 1818 W Calle Escuda, Phoenix, AZ 85085-8022 | 2009-01-15 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1356550016 | Herbert R. Kahn | Internal Medicine | 1300 N 12th St Ste 510, Phoenix, AZ 85006-2849 | 2007-05-21 |
| 1205055407 | James Daniel D'antonio | Internal Medicine | 5133 N Central Ave Ste 100, Phoenix, AZ 85012-1438 | 2007-04-25 |
| 1619096765 | Darrell Dean Smith | Internal Medicine | 5456 E Lafayette Blvd, Phoenix, AZ 85018-4522 | 2007-03-28 |
| 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.