BENJAMIN BERTHOLD (NPI# 1235741679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235741679 |
Entity Type | Individual |
Full Name | BENJAMIN BERTHOLD |
Practice Address |
2514 N Camino Reloj Green Valley AZ 85614-4925 |
Practice Telephone | 2088915000 |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-08-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN212172 | AZ | Nursing Service Providers |
Street Address |
2514 N CAMINO RELOJ |
City | GREEN VALLEY |
State | AZ |
Zip Code | 85614-4925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
Find all providers in zip 85614 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215544911 | Sadaf Carrillo | Registered Nurse | 910 W Calle Arroyo Norte, Green Valley, AZ 85614-3823 | 2020-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053553 | Rachel Rt Wybron | Registered Nurse | 3317 S Higley Rd Ste 114-321, Gilbert, AZ 85297-5474 | 2020-11-04 |
1306458047 | Jeffrey Ralph Twiss | Registered Nurse | 4122 E 6th St, Tucson, AZ 85711-1918 | 2020-08-22 |
1053923912 | Julie Kotelman | Registered Nurse | 5170 N Amapola Way, Tucson, AZ 85745-9708 | 2020-08-20 |
1750993903 | Weston Tucker Anderson | Registered Nurse | 19060 E Arrowhead Trl, Queen Creek, AZ 85142-6846 | 2020-08-19 |
1003424771 | Emetu Onuma | Registered Nurse | 2745 W Jessica Ln, Phoenix, AZ 85041-4442 | 2020-07-20 |
1245858893 | Farshad Yahya | Registered Nurse | 7801 N 44th Dr Unit 1012, Glendale, AZ 85301-8106 | 2020-07-10 |
1710512462 | Isai Valdez | Registered Nurse | 10342 W Illini St, Tolleson, AZ 85353-4189 | 2020-03-03 |
1518506864 | Latanya Darden | Registered Nurse | 3327 W La Salle St, Phoenix, AZ 85041-3491 | 2020-01-04 |
1063057743 | Sara Beth Pirness | Registered Nurse | 4848 E Cactus Rd Ste 505, Scottsdale, AZ 85254-4182 | 2019-11-17 |
1164067922 | Brandon Webster | Registered Nurse | 4601 E Karen Dr, Phoenix, AZ 85032-4811 | 2019-11-15 |
Find all providers with the same taxonomy |
City | GREEN VALLEY |
Zip Code | 85614 |
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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.