WOMEN'S MEDICAL GROUP OF TEMPE (NPI# 1417119108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417119108 |
| Entity Type | Organization |
| Organization Name | WOMEN'S MEDICAL GROUP OF TEMPE |
| Other Organization Name | EAST VALLEY WOMEN'S MEDICAL GROUP |
| Practice Address |
4915 E Baseline Rd Ste 104 Gilbert AZ 85234-2966 |
| Practice Telephone | 4806322004 |
| Mailing Telephone | 4806322004 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | MS. CLAUDIA MARIA SEVILLANO (SUPERVISOR/ BILLER) |
| Authorized Official Telephone | 4806322004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 33219 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | 83790 | 01 |
| Other Name | Type Code |
|---|---|
| East Valley Women's Medical Group | Doing Business As Name - Organization |
| Street Address |
4915 E BASELINE RD STE 104 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881691046 | Marcia P Flores | Nurse Practitioner | 4915 E Baseline Rd Ste 104, Gilbert, AZ 85234-2966 | 2005-07-02 |
| 1669007811 | Advanced Wound Institute, LLC | Registered Nurse | 4915 E Baseline Rd Ste 104, Gilbert, AZ 85234-2966 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588019103 | Kimberly Dean Hansen | Specialist | 1302 E Vaughn Ave, Gilbert, AZ 85234-1015 | 2016-05-02 |
| 1740656800 | Maria Ganzfried | Specialist | 1647 E Heather Ave, Gilbert, AZ 85234-8235 | 2015-08-12 |
| 1225440555 | Jean Marie Spoor | Specialist | 315 E Mary Ln, Gilbert, AZ 85295-1959 | 2014-05-21 |
| 1558670125 | Tara Mayfield | Specialist | 323 S. Gilbert Rd, Ste. 115, Gilbert, AZ 85296-1608 | 2010-09-30 |
| 1952618019 | Diamond Diagnostics, LLC | Specialist | 1324 N Farrell Ct, Suite 102, Gilbert, AZ 85233-1944 | 2010-09-09 |
| 1346489614 | Cindy Lee Ontiveros | Specialist | 518 E Sage Brush St, Gilbert, AZ 85296-2327 | 2009-02-10 |
| 1114181716 | Elana Varnum | Specialist | 3870 E Encinas Ave, Gilbert, AZ 85234-3027 | 2008-07-11 |
| 1801073085 | Barbara Anne Bruehler | Specialist | 3530 S Val Vista Dr Ste 214, Gilbert, AZ 85297-7324 | 2008-01-30 |
| 1093905440 | Anne Means Carlsson | Specialist | 1415 S Sandstone St, Gilbert, AZ 85296-4370 | 2007-07-31 |
| 1336341270 | Yvette Marie Fraijo | Specialist | 2935 S. Recker Road, Gilbert, AZ 85297 | 2007-06-04 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on WOMEN'S MEDICAL GROUP OF TEMPE.
| 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.