DIANA LYNN SRDICH (NPI# 1346320736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346320736 |
| Entity Type | Individual |
| Full Name | DIANA LYNN SRDICH |
| Other Name | DIANA LYNN WILLOUGHBY |
| Credential | D.C. |
| Practice Address |
8765 W Kelton Ln Bldg B-4, Suite 150 Peoria AZ 85382-3584 |
| Practice Telephone | 6239797100 |
| Practice Fax Number | 6239793577 |
| Mailing Telephone | 6239797100 |
| Mailing Fax Number | 6239793577 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
5254 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RR MEDICARE | 350043946 | 01 |
| AZ | BLUE CROSS/ BLUE SHIELD | AZ0248500 | 01 |
| AZ | HEALTH NET | 1Z4643 | 01 |
| Street Address |
8765 W KELTON LN BLDG B-4, SUITE 150 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114459492 | Optimum Chiropractic Pllc | Chiropractor | 8765 W Kelton Ln, B-4 Suite 150, Peoria, AZ 85382-3584 | 2017-03-28 |
| 1073861852 | Susan T Gregg | Occupational Therapist | 8765 W Kelton Ln, Suite 116, Peoria, AZ 85382-3584 | 2012-08-27 |
| 1497073423 | Bevin M Barrett | Specialist/Technologist | 8765 W Kelton Ln, Peoria, AZ 85382-3584 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912267857 | Central Phoenix Chiropractic Clinic, P.C. | Chiropractor | 8617 W. Union Hills Dr., Suite 100, Peoria, AZ 85382-7001 | 2012-05-25 |
| 1720272172 | Healthsource Chiropractic LLC Arrowhead | Chiropractor | 8765 W Kelton Ln Ste 150, Peoria, AZ 85382-5010 | 2007-08-29 |
| 1881660629 | Daniel Glassman | Chiropractor | 8617 W Union Hills Dr, Suite 100, Peoria, AZ 85382-7001 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367436 | Continuum Group West LLC | Chiropractor | 6544 W Thomas Rd Ste 3, Phoenix, AZ 85033-5739 | 2017-10-17 |
| 1528336690 | Bruce E. Staggs | Chiropractor | 8140 S. Houghton Road, Suite #130, Tucson, AZ 87547-4708 | 2011-12-05 |
| 1700017225 | Desert Sun Integrated Medicine | Chiropractor | 5654 E Main St, Mesa, AZ 85205-8813 | 2009-07-31 |
| 1215177100 | Richard Vincent Lauria | Chiropractor | 3415 W Glendale Ave Ste 27, Phoenix, AZ 85051-8391 | 2009-03-04 |
| 1588760961 | Paul Jacob Zloto | Chiropractor | 17606 N 59th Ave, Suite #3, Glendale, AZ 85308-9702 | 2006-09-15 |
| 1518979467 | William Glenn Lay | Chiropractor | 17731 N Miller Way, Maricopa, AZ 85239-6920 | 2006-08-12 |
| 1831105758 | Adam Brian Wagner | Chiropractor | 751 E Union Hills Dr, #7, Phoenix, AZ 85024-2978 | 2006-07-31 |
| 1598713539 | Samuel Steven Baker | Chiropractor | 5001 E 5th St, Tucson, AZ 85711-2113 | 2006-05-04 |
| 1861456626 | Scott Busker | Chiropractor | 3940 N Miller Rd, Scottsdale, AZ 85251-4539 | 2006-04-17 |
| 1265417349 | William Lee Wesselink | Chiropractor | 4558 N 1st Ave, Tucson, AZ 85718-5666 | 2005-12-12 |
| Find all providers with the same taxonomy | ||||
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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.