VISTA HEALTHCARE LLC (NPI# 1417582875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417582875 |
Entity Type | Organization |
Organization Name | VISTA HEALTHCARE LLC |
Practice Address |
1001 E Warner Rd Ste 107 Tempe AZ 85284-3224 |
Mailing Address |
Po Box 11180 Tempe AZ 85284-0020 |
Practice Telephone | 4808973300 |
Enumeration Date | 2020-03-05 |
Last Update Date | 2020-03-05 |
Authorized Official Name | JEREMY BUCKNER (OWNER) |
Authorized Official Telephone | 6024212730 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1001 E WARNER RD STE 107 |
City | TEMPE |
State | AZ |
Zip Code | 85284-3224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932101714 | Christopher John Kelsch | Chiropractor | 1001 E Warner Rd Ste 107, Tempe, AZ 85284 | 2005-08-11 |
1699300053 | Avant Healthcare LLC | Clinic/Center | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2020-03-05 |
1295225076 | Legend Healthcare, LLC | Nurse Practitioner | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2018-05-16 |
1598255366 | Ray Healthcare, LLC | Physical Medicine & Rehabilitation | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2018-05-16 |
1497243794 | Tempe Interventional Treatment Center LLC | Surgery | 1001 E Warner Rd Ste 107, Tempe, AZ 85284 | 2018-04-23 |
1659809309 | Tomesha Jamese Williamson | Nurse Practitioner | 1001 E Warner Rd Ste 107, Tempe, AZ 85284 | 2017-05-25 |
1710414818 | Alpha United Medical LLC | Pain Medicine | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2017-05-19 |
1972896819 | Quinn Chiropractic Inc | Chiropractor | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2011-05-25 |
1891088878 | Sv Healthcare LLC | Chiropractor | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2011-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
Find all providers in zip 85284 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760815237 | Dr Sheba Jilani | Physical Medicine & Rehabilitation | 4515 S Mcclintock Dr Ste 118, Tempe, AZ 85282-7381 | 2013-08-19 |
1598255366 | Ray Healthcare, LLC | Physical Medicine & Rehabilitation | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2018-05-16 |
1669634044 | Paul Singh Sraow | Physical Medicine & Rehabilitation | 2600 E Southern Ave, Ste I-1, Tempe, AZ 85282-7610 | 2008-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154967750 | Pain & Wellness of Arizona, LLC | Physical Medicine & Rehabilitation | 3120 E Union Hills Dr Ste 201, Phoenix, AZ 85050-3454 | 2019-11-19 |
1831730050 | Restorative Care of Arizona, P.C. | Physical Medicine & Rehabilitation | 2150 E Highland Ave Ste 107, Phoenix, AZ 85016-4720 | 2019-09-30 |
1134785967 | Dylan Irish | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 104, Mesa, AZ 85206-3628 | 2019-05-16 |
1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
1194285387 | Apr Med Group LLC | Physical Medicine & Rehabilitation | 10605 N Hayden Rd Ste D102, Scottsdale, AZ 85260-5686 | 2019-03-22 |
1932683919 | Gemma Justice Lopez | Physical Medicine & Rehabilitation | 22321 E Cherrywood Dr, Queen Creek, AZ 85142-4827 | 2018-09-17 |
1003325945 | North Scottsdale Pro | Physical Medicine & Rehabilitation | 8952 E Desert Cove Ave Ste 103, Scottsdale, AZ 85260-6776 | 2017-09-22 |
1518496702 | Saa Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2017-06-09 |
1437437605 | M S C Holding Group LLC | Physical Medicine & Rehabilitation | 1640 S Stapley Dr, Suite 245, Mesa, AZ 85204-6667 | 2011-07-22 |
1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
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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.