DISTRICT MEDICAL GROUP, INC (NPI# 1407106719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407106719 |
| Entity Type | Organization |
| Organization Name | DISTRICT MEDICAL GROUP, INC |
| Practice Address |
3141 N 3rd Ave Phoenix AZ 85013-4345 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016 |
| Practice Telephone | 6029141520 |
| Mailing Telephone | 6024705000 |
| Mailing Fax Number | 6024705064 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | TERESA CORDEIRO (DIRECTOR, CREDENTIALING) |
| Authorized Official Telephone | 6024705519 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISTRICT MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 475747 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667555 | District Medical Group, Inc | Family Medicine | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 | 2020-01-02 |
| 1366081705 | District Medical Group, Inc | Family Medicine | 3624 W Anthem Way Ste C116, Anthem, AZ 85086-0457 | 2020-01-02 |
| 1831722768 | District Medical Group, Inc | Surgery | 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 | 2020-02-19 |
| 1144860016 | District Medical Group, Inc | Internal Medicine | 6315 E Main St, Mesa, AZ 85205-8953 | 2020-01-08 |
| 1063052934 | District Medical Group, Inc | Family Medicine | 1805 N Scottsdale Rd, Tempe, AZ 85281-1556 | 2020-01-08 |
| 1538708979 | District Medical Group, Inc | Family Medicine | 10144 W Lake Pleasant Pkwy Ste 1110, Peoria, AZ 85382-9716 | 2020-01-02 |
| 1548653934 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Toxicology, Phoenix, AZ 85008-4973 | 2015-03-10 |
| 1144624339 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Emergency Medicine, Phoenix, AZ 85008-4973 | 2014-10-16 |
| 1538484993 | District Medical Group, Inc | Internal Medicine | 2601 E Roosevelt St, Rheumatology, Phoenix, AZ 85008-4973 | 2010-03-29 |
| 1528396108 | District Medical Group, Inc | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2009-11-19 |
| Street Address |
3141 N 3RD AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006261 | Brenda Lue Sipes | Pediatrics | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2005-07-11 |
| 1609414481 | Emily Wirdzek | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-12-12 |
| 1235793118 | Harlyn V. Chacon | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-04-26 |
| 1942794920 | Nicholas Andrew Tanner | Psychologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2018-06-21 |
| 1225520760 | Olga Elena Fernandez-pereyra | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2018-05-31 |
| 1013427517 | Dominica Wilhemina Dieffenbach | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-10-10 |
| 1457860694 | Jennifer Lee Jaeckel | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-09-20 |
| 1518413012 | Margarita Romero | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-08-25 |
| 1871945097 | Courtney L. Ginter | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-07-12 |
| 1013362326 | Lauren M Zimmerman | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| 1164905733 | Heart Rhythm and Vascular LLC | Clinic/Center | 1848 E Thomas Rd Ste 200, Phoenix, AZ 85016-8104 | 2018-09-10 |
| 1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| 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.