CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE (NPI# 1255734919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255734919 |
| Entity Type | Organization |
| Organization Name | CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
4440 N 36th St Suite 100 Phoenix AZ 85018-3588 |
| Practice Telephone | 6029528111 |
| Practice Fax Number | 6029521572 |
| Mailing Telephone | 6029528111 |
| Mailing Fax Number | 6029521572 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | MS. KIM HOLLIDAY (ADMINISTRATOR) |
| Authorized Official Telephone | 4803303851 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
005722 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
4440 N 36TH ST SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-3588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317240 | Nathan John Snell | Physical Therapist | 4440 N 36th St, Suite 240, Phoenix, AZ 85018-3588 | 2006-04-21 |
| 1972129468 | Kathryn Janet Ellis | Physical Therapist | 4440 N 36th St, Phoenix, AZ 85018-3588 | 2020-06-19 |
| 1447629787 | Emily Rose Demeulenaere | Physical Therapist | 4440 N 36th St, Suite 240, Phoenix, AZ 85018-3588 | 2015-09-16 |
| 1013167915 | Katherine Ann Dovico | Physical Therapist | 4440 N 36th St, Ste 240, Phoenix, AZ 85018-3588 | 2008-09-26 |
| 1194886556 | Endurance Rehabilitation LLC | Physical Therapist | 4440 N 36th St, Suite 240, Phoenix, AZ 85018-3588 | 2006-12-12 |
| 1376617951 | Kristina Lott | Physical Therapist | 4440 N 36th St, 240, Phoenix, AZ 85018-3588 | 2006-11-17 |
| 1376566588 | Janet Mary Tate | Registered Nurse | 4440 N 36th St, Ste #200, Phoenix, AZ 85018 | 2006-07-26 |
| 1659315703 | James O. Mulroy | Physical Therapist | 4440 N 36th St, Suite 240, Phoenix, AZ 85018-3588 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420126 | Joint Regenerative LLC | Orthopaedic Surgery | 4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360 | 2019-01-04 |
| 1225408453 | Arizona Orthopaedic Group Pllc | Orthopaedic Surgery | 2222 E Highland Ave, Suite 203, Phoenix, AZ 85016-4872 | 2015-09-30 |
| 1841682309 | Mattalino Orthopaedic Sports Surgical Specialists, LLC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2015-02-20 |
| 1326459660 | Torrey Parry | Orthopaedic Surgery | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2014-05-08 |
| 1366870180 | Micheal T Lee Md PC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2013-10-15 |
| 1013274950 | Laura Vogel Abernathie | Orthopaedic Surgery | 2222 E Highland Ave Ste 300, Phoenix, AZ 85016-4879 | 2012-04-17 |
| 1447575287 | Stacey D Mcclure Md Pllc | Orthopaedic Surgery | 9250 N 3rd St, Ste 4030, Phoenix, AZ 85020-2437 | 2010-04-05 |
| 1083878615 | Shelden L Martin | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2008-07-14 |
| 1518161264 | Seivert Orthopedics and Sports Medicine,pc | Orthopaedic Surgery | 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 | 2007-06-14 |
| 1811109879 | Arizona Arthroscopy & Sports Medicine, Ltd | Orthopaedic Surgery | 4550 E Bell Rd, Bldg 8 Suite 276, Phoenix, AZ 85032-9306 | 2007-05-04 |
| Find all providers in PHOENIX | ||||
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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.