MYDOCKJ (NPI# 1407129646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129646 |
| Entity Type | Organization |
| Organization Name | MYDOCKJ |
| Practice Address |
8520 E Shea Blvd Ste 105 Scottsdale AZ 85260-6677 |
| Mailing Address |
10105 E Via Linda Ste 103-364 Scottsdale AZ 85258-5311 |
| Practice Telephone | 6023901509 |
| Mailing Telephone | 6023901509 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | KIM D JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 6023901509 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19257 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
8520 E SHEA BLVD STE 105 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-6677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596930 | Karen H. Carlin | Nurse Practitioner | 8520 E Shea Blvd, Ste 100, Scottsdale, AZ 85260-6677 | 2005-08-25 |
| 1548577570 | Brooke Mayo James | Nurse Practitioner | 8520 E Shea Blvd, Suite 100, Scottsdale, AZ 85260-6677 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
| 1528682598 | Honorhealth Medical Group, LLC | Family Medicine | 10419 E Mcdowell Mountain Ranch Rd Ste A110, Scottsdale, AZ 85255-8697 | 2020-06-04 |
| 1356965677 | Honorhealth Medical Group, LLC | Family Medicine | 7351 E Osborn Rd Ste 100, Scottsdale, AZ 85251-6451 | 2020-06-02 |
| 1972126522 | Helene Wechsler, Md,pc | Family Medicine | 10900 N Scottsdale Rd Ste 104, Scottsdale, AZ 85254-5222 | 2020-05-18 |
| 1053942482 | Autumn Joy Robeson | Family Medicine | 14000 N Hayden Rd Ste 180, Scottsdale, AZ 85260-5561 | 2020-02-04 |
| 1013563618 | Simplicity Health LLC | Family Medicine | 6401 E Thomas Rd Ste 103, Scottsdale, AZ 85251-6078 | 2019-08-11 |
| 1306408018 | Scottsdale Family Physicians Pllc | Family Medicine | 9755 N 90th St Ste C200, Scottsdale, AZ 85258-5048 | 2019-07-02 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
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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.