THE SOURCE NATUROPATHIC MEDICAL CLINIC (NPI# 1174905038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174905038 |
| Entity Type | Organization |
| Organization Name | THE SOURCE NATUROPATHIC MEDICAL CLINIC |
| Practice Address |
550 W Indian School Rd Ste 122 Phoenix AZ 85013-3200 |
| Mailing Address |
550 W. Indian School Rd Suite 122 Phoenix AZ 85013 |
| Practice Telephone | 6022341158 |
| Practice Fax Number | 6022349691 |
| Mailing Telephone | 6022341158 |
| Mailing Fax Number | 6022349691 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |
| Authorized Official Name | DR. MARIA HELIOTI (CLINICAL PHYSICIAN) |
| Authorized Official Telephone | 5854699067 |
| Authorized Official Credential | NMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AZ15-1492 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053798793 | The Source Naturopathic Medical Clinic | Clinic/Center | 1932 N Mesa Dr Unit 9, Mesa, AZ 85201-1622 | 2015-05-01 |
| Street Address |
550 W INDIAN SCHOOL RD STE 122 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859466 | Laura Lee Bloom | Naturopath | 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 | 2018-01-11 |
| 1750812343 | Steven Howard Kaplan | Naturopath | 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 | 2017-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1467953588 | Acupuncture At Work LLC | Clinic/Center | 3411 Sweet Air Rd Ste A, Phoenix, MD 21131-1825 | 2018-02-23 |
| 1104359397 | Ahavah Incorporated | Clinic/Center | 112 N Central Ave Fl 1, Phoenix, AZ 85004-2309 | 2017-04-05 |
| 1386033199 | Greta M. Ivers, Md, Pllc | Clinic/Center | 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020 | 2015-01-16 |
| 1245667567 | Viridian Health Management | Clinic/Center | 22601 N 19th Ave Ste 240, Phoenix, AZ 85027-1362 | 2013-10-01 |
| 1033361332 | Concentra Health Services, Inc. | Clinic/Center | 3532 West Thomas Road, Phoenix, AZ 85019-4440 | 2008-10-17 |
| 1194973453 | Arizona Sports and Spine Physicians, P.C. | Clinic/Center | 3033 W Bell Rd # 101a, Phoenix, AZ 85053-3000 | 2008-08-28 |
| 1417143322 | Us Medgroup, P.a. | Clinic/Center | 1818 East Sky Harbor Circle, Suite 150, Phoenix, AZ 85034 | 2007-09-25 |
| 1700850492 | North Phoenix Internal Medicine PC | Clinic/Center | 1747 E Morten Ave, Suite 303, Phoenix, AZ 85020-4602 | 2006-02-17 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on THE SOURCE NATUROPATHIC MEDICAL CLINIC.
| 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.