JEFFREY L. GALITZ, M.D., P.C. (NPI# 1316454945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316454945 |
| Entity Type | Organization |
| Organization Name | JEFFREY L. GALITZ, M.D., P.C. |
| Other Organization Name | WOUNDTECH OF ARIZONA |
| Practice Address |
11811 N Tatum Blvd Ste 1075 Phoenix AZ 85028-1661 |
| Mailing Address |
200 S Park Rd Ste 200 Hollywood FL 33021-8541 |
| Practice Telephone | 9549237440 |
| Practice Fax Number | 9549231299 |
| Mailing Telephone | 9549237440 |
| Mailing Fax Number | 9549231299 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | JEFFREY L GALITZ (CEO/CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9549237440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 46035 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 46035 | 01 |
| Other Name | Type Code |
|---|---|
| Woundtech of Arizona | Doing Business As Name - Organization |
| Street Address |
11811 N TATUM BLVD STE 1075 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518096270 | Minghsun Liu | Internal Medicine | 11811 N Tatum Blvd Ste 1075, Phoenix, AZ 85028-1661 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760261 | Mallory Jody Murray | General Practice | 7000 E Mayo Blvd Ste 1020, Phoenix, AZ 85054-6152 | 2017-06-21 |
| 1265972269 | Md Assist, Inc. | General Practice | 7117 N 3rd St, Phoenix, AZ 85020-4902 | 2017-02-24 |
| 1861872756 | Keith King | General Practice | 6210 W Earll Dr, Phoenix, AZ 85033-5843 | 2015-06-04 |
| 1659767887 | Samuel Michal Anderson | General Practice | Po Box 31581, Phoenix, AZ 85046-1581 | 2015-04-14 |
| 1982090338 | Arizona Bleeding Disorders Health and Wellness Center | General Practice | 821 N 5th Ave, Phoenix, AZ 85003-1315 | 2015-04-13 |
| 1205238896 | Svelte LLC | General Practice | 2211 E Highland Ave Ste 215, Phoenix, AZ 85016-4834 | 2014-09-25 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1699104539 | Richard Fink | General Practice | 1037 E Baseline Rd, Phoenix, AZ 85042-6618 | 2013-11-01 |
| 1982031795 | Latino Care, LLC | General Practice | 3140 N 35th Ave, Suite 7, Phoenix, AZ 85017-5270 | 2013-10-11 |
| 1669730156 | Lifelink Inc | General Practice | 3039 W Peoria Ave Ste 102-125, Phoenix, AZ 85029-5212 | 2012-05-02 |
| 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.