HOSPITAL DEVELOPMENT OF WEST PHOENIX, INC.


Address: 5102 W Campbell Ave, Phoenix, AZ 85031-1703
Phone: 6238485107

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 300676 05

Other Provider/Organization Names

Other Name Type Code
Abrazo Maryvale Campus Doing Business As Name - Organization

Office Location

Street Address 5102 W CAMPBELL AVE
City PHOENIX
State AZ
Zip Code 85031-1703

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City PHOENIX
Zip Code 85031

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Dataset Information

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.

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