OCCUPATIONAL HEATLH CENTERS OF THE SOUTHWEST PA (NPI# 1174951685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174951685 |
Entity Type | Organization |
Organization Name | OCCUPATIONAL HEATLH CENTERS OF THE SOUTHWEST PA |
Other Organization Name | CONCENTRA MEDICAL CENTER |
Practice Address |
1959 S Val Vista Dr Suite 106 Mesa AZ 85204-7356 |
Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 |
Practice Telephone | 4805451398 |
Practice Fax Number | 2147754502 |
Mailing Telephone | 9723648000 |
Mailing Fax Number | 2147754502 |
Enumeration Date | 2013-10-18 |
Last Update Date | 2015-10-19 |
Authorized Official Name | DR. ROBERT G. HASSETT (SENIOR VP/CHIEF OFFICER) |
Authorized Official Telephone | 9723648000 |
Authorized Official Credential | DO, MPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Concentra Medical Center | Doing Business As Name - Organization |
Street Address |
1959 S VAL VISTA DR SUITE 106 |
City | MESA |
State | AZ |
Zip Code | 85204-7356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720103740 | Timothy T Woehl | Family Medicine | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-20 |
1437450640 | Ashly D Lehman | Physical Therapy Assistant | 1959 S Val Vista Dr, Mesa, AZ 85204-7356 | 2010-11-04 |
1023235108 | Orthodontic Centers of Az | Dentist | 1959 S Val Vista Dr, #118, Mesa, AZ 85204-7356 | 2007-04-19 |
1457478182 | Cory C Davis | Preventive Medicine | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-26 |
1881719805 | Ann J Russell | Physician Assistant | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134473416 | Ccfx,llc | Clinic/Center | 2622 E Javelina Cir, Mesa, AZ 85204-7127 | 2012-11-07 |
1477196277 | Banner Occupational Health Arizona LLC | Clinic/Center | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2019-10-24 |
1497298178 | Arizona Occupational Medical Clinics | Clinic/Center | 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 | 2016-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699318105 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 250, Phoenix, AZ 85006-2848 | 2019-10-28 |
1669015467 | Banner Occupational Health Arizona LLC | Clinic/Center | 1920 N Higley Rd Ste 108, Gilbert, AZ 85234-1626 | 2019-10-24 |
1649813445 | Banner Occupational Health Arizona LLC | Clinic/Center | 5601 W Eugie Ave Ste 213, Glendale, AZ 85304-1258 | 2019-10-24 |
1750924551 | Banner Occupational Health Arizona LLC | Clinic/Center | 1676 E Mcmurray Blvd Ste 2, Casa Grande, AZ 85122-4798 | 2019-10-24 |
1407412331 | Banner Occupational Health - Onsite, LLC | Clinic/Center | 1621 W Rio Salado Pkwy Bldg D, Tempe, AZ 85281-2608 | 2019-05-16 |
1578126769 | Watch Me Grow, LLC | Clinic/Center | 6602 S Constellation Way, Gilbert, AZ 85298-5700 | 2019-04-15 |
1982145892 | Michelle Toyos | Clinic/Center | 8953 E Kirkpatrick Cir, Tucson, AZ 85710-4447 | 2017-03-10 |
1578974960 | Body 4 Life | Clinic/Center | 8300 N Hayden Rd Ste A-203, Scottsdale, AZ 85258-2481 | 2014-05-19 |
1205173150 | Lurea Inman | Clinic/Center | 18610 E Raven Dr, Queen Creek, AZ 85142-5542 | 2013-01-12 |
1144572611 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 520, Phoenix, AZ 85006-2849 | 2012-10-09 |
Find all providers with the same taxonomy |
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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.