KSSRGH SLEEP (NPI# 1205031093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205031093 |
| Entity Type | Organization |
| Organization Name | KSSRGH SLEEP |
| Practice Address |
10474 W Thunderbird Blvd Suite 200 Sun City AZ 85351-3023 |
| Practice Telephone | 6239721800 |
| Practice Fax Number | 6235833506 |
| Mailing Telephone | 6239721800 |
| Mailing Fax Number | 6235833506 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JATIN SHAH (PARTNER) |
| Authorized Official Telephone | 6239721800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
10474 W THUNDERBIRD BLVD SUITE 200 |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972599058 | Amir I Buljina | Physical Medicine & Rehabilitation | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351 | 2005-09-23 |
| 1245846690 | Jacob Brauning | Physical Medicine & Rehabilitation | 10474 W Thunderbird Blvd, Sun City, AZ 85351-3023 | 2020-09-21 |
| 1679904734 | Arizona Neurological Institute, PC | Physical Therapist | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2013-11-27 |
| 1174953673 | Amy Beth Cruz | Physical Therapist | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2013-11-19 |
| 1508154907 | Ani Research, P.C. | Specialist | 10474 W Thunderbird Blvd, Suite 201, Sun City, AZ 85351-3023 | 2011-07-19 |
| 1164713749 | Brandon Craig Woods | Psychiatry & Neurology | 10474 W Thunderbird Blvd, #200, Sun City, AZ 85351-3023 | 2011-04-29 |
| 1497063424 | Theodore Webster Etling Jr. | Clinical Neuropsychologist | 10474 W Thunderbird Blvd, 200, Sun City, AZ 85351-3023 | 2010-09-24 |
| 1477726933 | Pritish Subhash Pawar | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2008-04-05 |
| 1083761126 | Arizona Neurological Institute | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2007-01-04 |
| 1669540662 | Arizona Neurological Institute, PC | Pain Medicine | 10474 W Thunderbird Blvd, Suite200, Sun City, AZ 85351-3023 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841342839 | Arete Sleep LLC | Clinic/Center | 13203 N 103rd Ave Ste 1-7, Sun City, AZ 85351-3028 | 2007-01-18 |
| 1780987792 | Heartland Health Therapy, LLC | Clinic/Center | 13203 N 103rd Ave, Suite I-7, Sun City, AZ 85351-3028 | 2010-12-13 |
| 1740439082 | Sleepmed Phoenix LLC | Clinic/Center | 10503 W Thunderbird Blvd, Suite 306a, Sun City, AZ 85351-3022 | 2008-09-11 |
| 1386861730 | Arizona Medical Sleep Institute, LLC | Clinic/Center | 13203 N 103rd Ave, Suite I-1, Sun City, AZ 85351-3028 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342319 | Banner Sleep Centers LLC | Clinic/Center | 1828 E Florence Blvd Ste 136, Casa Grande, AZ 85122-4783 | 2020-09-24 |
| 1770199176 | Banner Sleep Centers LLC | Clinic/Center | 5757 W Thunderbird Rd Ste 352, Glendale, AZ 85306-4641 | 2020-09-21 |
| 1629689336 | Valley Oximetry Incorporated | Clinic/Center | 13481 W Mcdowell Rd Ste 200, Goodyear, AZ 85395-2720 | 2020-08-14 |
| 1720629058 | Good Night Sleep Services, LLC | Clinic/Center | 13949 W Meeker Blvd Ste E, Sun City West, AZ 85375-4436 | 2019-10-08 |
| 1386151900 | Sleep Science Mobile Sleep and Neuro Services, LLC | Clinic/Center | 700 W Prince Rd Ste 150, Tucson, AZ 85705-3480 | 2018-01-04 |
| 1861936908 | 1 Stop Cpap Shop | Clinic/Center | 7760 E State Route 69, C5-207, Prescott Valley, AZ 86314-2201 | 2016-12-08 |
| 1629457460 | Sleep Essential Systems LLC | Clinic/Center | 1442 W Kandy Ct, Tucson, AZ 85745-3803 | 2015-05-26 |
| 1821490681 | Rejuvenight, LLC | Clinic/Center | 13840 N Northsight Blvd Ste 117, Scottsdale, AZ 85260-3665 | 2014-09-23 |
| 1811249071 | Sonoran Sleep Diagnostics, LLC | Clinic/Center | 2410 W Ruthrauff Rd, Suite M, Tucson, AZ 85705-1952 | 2012-10-11 |
| 1053602987 | Cochise County Neurodiagnostics | Clinic/Center | 2160 E Fry Blvd Ste C5, Sierra Vista, AZ 85635-2794 | 2011-04-26 |
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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.