SUN CITY MEDICAL SPECIALISTS LTD (NPI# 1285966242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285966242 |
| Entity Type | Organization |
| Organization Name | SUN CITY MEDICAL SPECIALISTS LTD |
| Other Organization Name | SUN CITY MEDICAL SPECIALISTS LTD |
| Practice Address |
13460 N 94th Dr H-1 Peoria AZ 85381-4835 |
| Practice Telephone | 6239744703 |
| Practice Fax Number | 6239744705 |
| Mailing Telephone | 6239744703 |
| Mailing Fax Number | 6239744705 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |
| Authorized Official Name | DR. THOMAS M MOOTE (DOCTOR) |
| Authorized Official Telephone | 6239744703 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
13005 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SUN CITY MEDICAL SPECIALISTS LTD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235317322 | Sun City Medical Specialists Ltd | Specialist | 13460 N 94th Dr, H1, Peoria, AZ 85381-4835 | 2008-01-31 |
| Street Address |
13460 N 94TH DR H-1 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582468 | Sherry Lynn Miller | Audiologist | 13460 N 94th Dr, Ste G-2, Peoria, AZ 85381-4835 | 2006-01-12 |
| 1891207478 | Robert Miller | Pain Medicine | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-11-03 |
| 1699213405 | Kenni Uribe | Social Worker | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-02-01 |
| 1376088492 | Brent Peak | Counselor | 13460 N 94th Dr, Suite K3, Peoria, AZ 85381-4835 | 2016-12-28 |
| 1245685767 | Mackenzie Cortese | Counselor | 13460 N 94th Dr, Suite K-3, Peoria, AZ 85381-4835 | 2016-05-03 |
| 1821457532 | Oculoplastic Eye Surgeons of Phoenix P.l.c. | Ophthalmology | 13460 N 94th Dr, Suite L-1, Peoria, AZ 85381-4835 | 2016-02-23 |
| 1982076824 | Smile Today Peoria, Plc | Dentist | 13460 N 94th Dr, Suite H-2, Peoria, AZ 85381-4835 | 2015-10-29 |
| 1134521370 | Susan Self | Counselor | 13460 N 94th Dr, Suite J2, Peoria, AZ 85381-4835 | 2014-09-18 |
| 1962828988 | Lori Smith | Counselor | 13460 N 94th Dr, Ste. J2, Peoria, AZ 85381-4835 | 2014-03-14 |
| 1972938330 | Christina M Pence | Counselor | 13460 N 94th Dr, Suite K3, Peoria, AZ 85381-4835 | 2013-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851793 | Honorhealth Medical Group, LLC | Clinic/Center | 10230 W Happy Valley Pkwy Ste 200, Peoria, AZ 85383-4255 | 2019-10-03 |
| 1427419894 | E&a Solutions | Clinic/Center | 24656 North Lake Pleasant Parkway, St 103-288, Peoria, AZ 85373 | 2016-03-14 |
| 1902204191 | Trident Clinical Pllc | Clinic/Center | 20340 N Lake Pleasant Rd Ste 109, Peoria, AZ 85382-9713 | 2014-12-20 |
| 1225382476 | Premiere Medical Care Pllc | Clinic/Center | 8914 N 91st Ave Ste 100a, Peoria, AZ 85345-8390 | 2012-11-08 |
| 1124252127 | Partners In Recovery, LLC | Clinic/Center | 14100 N 83rd Ave Ste 100150, Peoria, AZ 85381-5658 | 2009-05-06 |
| 1659409290 | Eagle Family Medicine Sc | Clinic/Center | 2809 W Willow Knolls Suite C, Peoria, IL 61614-8259 | 2007-03-02 |
| 1922646686 | Activate Healthcare - Peoria Public Schools Clinic | Clinic/Center | 1524 W Glen Ave, Peoria, IL 61614-4692 | 2019-12-12 |
| 1821550310 | Country Doctor Inc | Clinic/Center | 13260 N 94th Dr Ste 102, Peoria, AZ 85381-4242 | 2019-04-03 |
| 1194825190 | Thomas F Kouri Internal Medicine Inc | Clinic/Center | 5401 N Knoxville Ave, Peoria, IL 61614-5098 | 2006-09-22 |
| 1306890108 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Suite 300, Peoria, IL 61614-5098 | 2006-05-19 |
| Find all providers in PEORIA | ||||
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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.