PHOENIX HEALTH & WELLNESS CENTER INC. (NPI# 1184893430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184893430 |
| Entity Type | Organization |
| Organization Name | PHOENIX HEALTH & WELLNESS CENTER INC. |
| Practice Address |
1641 E Osborn Rd Suite 6 Phoenix AZ 85016-7146 |
| Practice Telephone | 6028708788 |
| Practice Fax Number | 6022651738 |
| Mailing Telephone | 6028708788 |
| Mailing Fax Number | 6022651738 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | DR. ROSS KERIEVSKY (NATUROPATHIC PHYSICIAN) |
| Authorized Official Telephone | 6028708788 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
00-603 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1641 E OSBORN RD SUITE 6 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464210 | Juan Llusco | Pediatrics | 1641 E Osborn Rd, Suite 3, Phoenix, AZ 85016-7146 | 2005-08-19 |
| 1992257802 | Carla Louise Briante | Naturopath | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2016-10-26 |
| 1134591159 | Elizabeth Livengood-anderson | Naturopath | 1641 E Osborn Rd, 6, Phoenix, AZ 85016-7146 | 2015-10-29 |
| 1942671060 | Revolution Health Medical Center | Clinic/Center | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2015-10-15 |
| 1194115030 | Jerry Roy Johnstone | Massage Therapist | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2015-01-30 |
| 1043599459 | Dana Marie Wright | Speech-Language Pathologist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2011-08-16 |
| 1851689962 | Elizabeth Eve Birch | Speech-Language Pathologist | 1641 E Osborn Rd, Phoenix, AZ 85016-7146 | 2011-07-11 |
| 1366761876 | Amy Evert | Occupational Therapist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2010-05-24 |
| 1841429735 | Kathryn Carlson | Speech-Language Pathologist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2009-07-13 |
| 1467695742 | Tracy Lee Magerus | Naturopath | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1417433236 | Spectrum Medical Care Center | Clinic/Center | 52 E Monterey Way Ste A, Phoenix, AZ 85012-2628 | 2018-07-15 |
| 1063685824 | Carriker Eye Center, PC | Clinic/Center | 502 W Northview Ave, Phoenix, AZ 85021-8742 | 2008-04-11 |
| 1942429923 | No Appointment Md | Clinic/Center | 12235 N Cave Creek Rd., Suite 9, Phoenix, AZ 85022 | 2007-04-25 |
| 1699015446 | Podolak Chiropractic Center LLC | Clinic/Center | 4131 W Thunderbird Rd, Phoenix, AZ 85053-5341 | 2013-02-15 |
| 1871846055 | Az Pain Specialists, LLC | Clinic/Center | 668 N 44th St, Suite 100-w, Phoenix, AZ 85008-6506 | 2012-10-24 |
| 1639460025 | Phoenix Spine Consultants | Clinic/Center | 19841 N 27th Ave, Suite 300a, Phoenix, AZ 85027-4003 | 2011-04-20 |
| 1508180043 | Providence General Medicine | Clinic/Center | 1701 W Glendale Ave, Phoenix, AZ 85021-9701 | 2010-03-25 |
| 1154651966 | Pediatric Endocrinology of Phoenix | Clinic/Center | 15600 N Black Canyon Hwy, Ste 102, Phoenix, AZ 85053-4055 | 2009-12-30 |
| 1770725913 | North Valley Head and Neck Surgery, LLC | Clinic/Center | 9327 N 3rd St, Suite 202, Phoenix, AZ 85020-2470 | 2009-04-02 |
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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.