MAYO CLINIC ARIZONA (NPI# 1265403133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265403133 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC ARIZONA |
| Other Organization Name | MAYO CLINIC HOSPITAL (REHAB UNIT) |
| Practice Address |
5777 E Mayo Blvd Phoenix AZ 85054-4502 |
| Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5404 |
| Practice Telephone | 4803022000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | JEFFREY R FROISLAND (TREASURER) |
| Authorized Official Telephone | 4803018000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | H2027 | AZ | Hospital Units |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Hospital (Rehab Unit) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099663 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 2120 E Rio Salado Pkwy, Tempe, AZ 85281-3002 | 2018-04-02 |
| 1083079099 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5881 E. Mayo Blvd, #3-105, Phoenix, AZ 85054-4504 | 2015-12-17 |
| 1255796496 | Mayo Clinic Arizona | Pharmacy | 5881 E Mayo Blvd., #1-304, Phoenix, AZ 85054-4505 | 2015-12-15 |
| 1487663332 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-08-07 |
| 1750399895 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13737 N 92nd St, Scottsdale, AZ 85260-7434 | 2006-08-04 |
| 1134190093 | Mayo Clinic Arizona | Pharmacy | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1508837469 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
| 1427029396 | Mayo Clinic Arizona | Clinic/Center | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1528039484 | Mayo Clinic Arizona | Clinical Medical Laboratory | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1255302113 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| Street Address |
5777 E MAYO BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
| 1871194563 | Courtney Comstock | Nurse Practitioner | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-11-08 |
| 1740819796 | Daniel Alan Salevitz | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
| 1417586413 | Phylicia Dzifa Gawu | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
| 1083242283 | Ashley Swan | Physician Assistant | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-01 |
| 1659909612 | Puneet Raman | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-27 |
| 1609403336 | Mary E Quense | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-24 |
| 1942836473 | Aditya Khurana | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-16 |
| 1265064539 | Caitlin Marie Woerner | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-02-05 |
| 1730719972 | Sarah Pluto | Dietetic Technician, Registered | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467506857 | Banner -- University Medical Center Phoenix | Rehabilitation Unit | 1012 E Willetta St Fl 3, Phoenix, AZ 85006-2749 | 2007-01-22 |
| 1669870937 | Vhs of Phoenix Inc | Rehabilitation Unit | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2014-12-18 |
| 1508004219 | Supplemental Healthcare | Rehabilitation Unit | 4720 E Cotton Gin Loop, Ste. 140, Phoenix, AZ 85040-8858 | 2009-02-03 |
| 1851568687 | Dignity Health | Rehabilitation Unit | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2008-05-12 |
| 1982733655 | Dignity Health | Rehabilitation Unit | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2007-03-05 |
| 1154405363 | St Lukes Medical Center Lp | Rehabilitation Unit | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518376128 | Naana Braly Therapeutic Massage &bodywork | Rehabilitation Unit | 8520 East Shea Blvd Suite 100, Scottsdale, AZ 85260 | 2014-08-07 |
| 1821259185 | Banner Del E Webb Medical Center | Rehabilitation Unit | 14501 W Meeker Blvd, Sun City West, AZ 85375 | 2008-06-19 |
| 1083668578 | Sun Health Corporation | Rehabilitation Unit | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2006-05-20 |
| 1235582594 | Dominic Trapp | Rehabilitation Unit | 1000 Fianna Way, Fort Smith, AZ 72919 | 2016-07-21 |
| 1538528955 | Northern Arizona Healthcare | Rehabilitation Unit | 6560 Sr 179, Suite 118, Sedona, AZ 86351-7985 | 2016-02-12 |
| 1710353339 | Smsj Tucson Holdings LLC | Rehabilitation Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
| 1306212923 | Smsj Tucson Holdings LLC | Rehabilitation Unit | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| 1073954186 | Northwest Hospital LLC | Rehabilitation Unit | 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | 2013-07-17 |
| 1831336098 | Apache Junction Hospital, LLC | Rehabilitation Unit | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2009-01-09 |
| 1558521070 | Banner Boswell Medical Center | Rehabilitation Unit | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2008-06-10 |
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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.