ELDERHEALTH PLLC (NPI# 1336746692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336746692 |
| Entity Type | Organization |
| Organization Name | ELDERHEALTH PLLC |
| Practice Address |
1846 E Innovation Park Dr Oro Valley AZ 85755-1963 |
| Mailing Address |
Po Box 85572 Tucson AZ 85754-5572 |
| Practice Telephone | 5203292699 |
| Mailing Telephone | 5203292699 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | DR. CORINNE SELF (FOUNDER) |
| Authorized Official Telephone | 5203292699 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1846 E INNOVATION PARK DR |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85755-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531089 | Christopher James Mills | Psychologist | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2005-07-14 |
| 1902410715 | Brain and Body Connections, Pllc | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-08-31 |
| 1245849231 | Nsd Mental Health Services LLC | Clinic/Center | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-07-27 |
| 1811512387 | Wilson, Leigh & Associates LLC | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-06-10 |
| 1992266225 | Go Doc, LLC | Counselor | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2019-03-28 |
| 1710442447 | Casey Wilki | Specialist/Technologist | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2019-02-06 |
| 1013366657 | Jonathan Ash | Specialist/Technologist, Other | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2016-06-04 |
| 1487012118 | Jill Walsh | Developmental Therapist | 1846 E Innovation Park Dr, Ste 100, Oro Valley, AZ 85755-1963 | 2016-02-09 |
| 1093184236 | Ashly Rath | Developmental Therapist | 1846 E Innovation Park Dr, St 100, Oro Valley, AZ 85755-1963 | 2015-09-17 |
| 1962888198 | Amanda J Partida | Technician, Other | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
| 1033442967 | Terri Farmer PC | Nurse Practitioner | 12450 N. Rancho Vistoso Blvd, Suite 100, Oro Valley, AZ 85755 | 2009-09-10 |
| 1902036338 | David Lee Chaffee Jr. | Dentist | 1880 E Tangerine Rd, Suite 190, Oro Valley, AZ 85755 | 2009-07-20 |
| 1043459738 | Tangerine Dental Group, LLP | Dentist | 1880 East Tangerine Road, Suite 190, Oro Valley, AZ 85755 | 2009-02-19 |
| 1982819736 | Kirsten Pennartz | Physical Therapist | 12460 N Rancho Vistoso Blvd, 140, Oro Valley, AZ 85755 | 2007-05-14 |
| 1346453339 | Michael William Lang | Dentist | 1171 E. Rancho Vistoso Blvd, Suite 157, Oro Valley, AZ 85755 | 2007-05-07 |
| 1871629758 | Phyllis Huttenhoff Menard | Marriage & Family Therapist | 2274 E Montrose Cyn Dr, Tucson, AZ 85755 | 2007-02-26 |
| 1639236581 | Athlon Physical Therapy, LLC | Physical Therapist | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | 2007-01-02 |
| Find all providers in zip 85755 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205930500 | Oro Valley Medicine LLC | Internal Medicine | 1171 E Rancho Vistoso Blvd Ste 143, Oro Valley, AZ 85755-9101 | 2006-09-08 |
| 1043252844 | John D Dougherty IIi | Internal Medicine | 555 E. Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-06-13 |
| 1679012181 | Oro Valley Adult Medicine Pa LLC | Internal Medicine | 555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1669942645 | Golden Trinity Healthcare LLC | Internal Medicine | 40616 W Art Pl, Maricopa, AZ 85138-5221 | 2018-12-03 |
| 1013485762 | Todd Charles Coslett | Internal Medicine | 4149 W Kaler Dr, Phoenix, AZ 85055 | 2018-11-09 |
| 1689126971 | Azmobilemd | Internal Medicine | 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 | 2016-11-02 |
| 1699190777 | Matthew D Skinner, Md, P.C. | Internal Medicine | 6740 W Deer Valley Rd Ste D107, Pmb 105, Glendale, AZ 85310-5952 | 2014-02-26 |
| 1114218088 | Toh-hoai W. Lim, I | Internal Medicine | 24407 S Agate Dr, Sun Lakes, AZ 85248-0878 | 2011-04-27 |
| 1437457058 | Southwest Geriatrics & Internal Medicine Pllc | Internal Medicine | 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 | 2011-03-06 |
| 1538473483 | Wissam Fayad Md PC | Internal Medicine | 1841 W 25th Street, Ste A, Yuma, AZ 85364 | 2010-08-03 |
| 1417103599 | D & M Medical Clinic, PC | Internal Medicine | 10503 W Thunderbird Blvd Ste 202, Sun City, AZ 85351-2746 | 2008-08-08 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85755 |
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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.