HOSPITAL DEVELOPMENT OF WEST PHOENIX, INC. (NPI# 1235322819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235322819 |
Entity Type | Organization |
Organization Name | HOSPITAL DEVELOPMENT OF WEST PHOENIX, INC. |
Other Organization Name | ABRAZO MARYVALE CAMPUS |
Practice Address |
5102 W Campbell Ave Phoenix AZ 85031-1703 |
Mailing Address |
20 Burton Hills Blvd Suite 100 Nashville TN 37215-6154 |
Practice Telephone | 6238485107 |
Practice Fax Number | 6238485553 |
Mailing Telephone | 6156656000 |
Mailing Fax Number | 6156656197 |
Enumeration Date | 2007-08-27 |
Last Update Date | 2017-05-02 |
Authorized Official Name | MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
Authorized Official Telephone | 3107758040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 300676 | 05 |
Other Name | Type Code |
---|---|
Abrazo Maryvale Campus | Doing Business As Name - Organization |
Street Address |
5102 W CAMPBELL AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85031-1703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356332084 | Gregory L Bandy | Emergency Medicine | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2005-11-02 |
1669936472 | Maricopa County Special Health Care District | Pharmacy | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2019-01-25 |
1710489034 | Nicole M Davis | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-03-02 |
1205344066 | Pai-han Arthur Yeh | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-01-15 |
1568997757 | Casey Anna Fuller | Registered Nurse | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2017-04-25 |
1083156319 | Amanda Horton | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-11-17 |
1417301490 | Chad Van Pelt | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-15 |
1962856088 | Jacob Demenna | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-14 |
1346603578 | Michelle Vita Sipe | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-04 |
1164817854 | Zhi Yuan Wu | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2015-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
Find all providers in zip 85031 |
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 |
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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.