PHYSICIAN MANAGEMENT SERVICES OF ARIZONA, LLC (NPI# 1255801858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255801858 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN MANAGEMENT SERVICES OF ARIZONA, LLC |
| Practice Address |
333 N Dobson Rd Chandler AZ 85224-4412 |
| Mailing Address |
3113 Lawton Rd Ste 250 Orlando FL 32803-3517 |
| Practice Telephone | 8888298550 |
| Mailing Telephone | 8888298550 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | BRETT KENEFICK (PRESIDENT) |
| Authorized Official Telephone | 8888298550 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAXCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
333 N DOBSON RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214877 | Andrew John Pham Carroll | Family Medicine | 333 N Dobson Rd, Suite 15, Chandler, AZ 85224 | 2005-06-09 |
| 1780137976 | Martha Burrer | Counselor | 333 N Dobson Rd, #15, Chandler, AZ 85224-4412 | 2016-07-25 |
| 1205389442 | Medical Information Technology | Durable Medical Equipment & Medical Supplies | 333 N Dobson Rd, Ste 5, Chandler, AZ 85224-4412 | 2016-07-23 |
| 1235524489 | Sithari Edirisooriya | Chiropractor | 333 N Dobson Rd, 5, Chandler, AZ 85224-4412 | 2015-04-04 |
| 1750719258 | Kim's Home Care | Surgery | 333 N Dobson Rd, Chandler, AZ 85224-4412 | 2013-10-17 |
| 1134465057 | Big Sky First Assists, LLC. | Physician Assistant | 333 N Dobson Rd, Ste.15, Chandler, AZ 85224-4412 | 2012-12-20 |
| 1164708111 | Dorota Maria Dietz | Physician Assistant | 333 N Dobson Rd, Suite 15, Chandler, AZ 85224-4412 | 2011-10-21 |
| 1174700272 | Kush Agrawal | Internal Medicine | 333 N Dobson Rd, Suite 11, Chandler, AZ 85224-4412 | 2008-01-30 |
| 1538342589 | Red Mountain Cardiothoracic Surgeons PC | Surgery | 333 N Dobson Rd, Ste 15, Chandler, AZ 85224-4412 | 2007-12-13 |
| 1386763944 | Andrew Cassar | Internal Medicine | 333 N Dobson Rd, Suite 11, Chandler, AZ 85224-4412 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416011 | Connective Med, LLC | Family Medicine | 1641 S Carriage Ln, Chandler, AZ 85286-6711 | 2020-04-17 |
| 1326673906 | Patricia Elzner | Family Medicine | 2470 W Edgewater Way Apt 2061, Chandler, AZ 85248-3012 | 2020-03-04 |
| 1669019220 | Balance Hormone Chandler, Pllc | Family Medicine | 2095 W Pecos Rd Ste 396, Chandler, AZ 85224-5724 | 2019-12-03 |
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1265900591 | Jessie Jiyeon Dziduch | Family Medicine | 1256 W Chandler Blvd Ste 32, Chandler, AZ 85224-5226 | 2018-11-05 |
| 1578077608 | Chandler Medical Center, LLC | Family Medicine | 1055 W Queen Creek Rd Ste 2, Chandler, AZ 85248-8134 | 2017-11-28 |
| 1083093538 | Personacare Medical LLC | Family Medicine | 1530 W Kent Dr, Chandler, AZ 85224-8537 | 2015-05-29 |
| 1982090148 | Barbee Primary Care, Pllc | Family Medicine | 1100 S Dobson Rd, Bldg A, #205b, Chandler, AZ 85286 | 2015-04-14 |
| 1053703801 | Atlas Medical Group, Inc | Family Medicine | 2350 E Germann Rd, Ste 31, Chandler, AZ 85286-1579 | 2015-03-02 |
| 1649572546 | Frank Truong | Family Medicine | 1435 S Alma School Rd, Chandler, AZ 85286-7144 | 2010-11-27 |
| Find all providers in CHANDLER | ||||
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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.