CARL T. HAYDEN VA MEDICAL CENTER (NPI# 1417979899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417979899 |
| Entity Type | Organization |
| Organization Name | CARL T. HAYDEN VA MEDICAL CENTER |
| Practice Address |
650 E. Indian School Road Phoenix AZ 85012 |
| Mailing Address |
14925 N 153rd Ave Surprise AZ 85379-7022 |
| Practice Telephone | 6022775551 |
| Practice Fax Number | 6022222603 |
| Mailing Telephone | 6235449070 |
| Mailing Fax Number | 6022222603 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH ANN CELAYA (INPATIENT CLINICAL PHARMACY TECH) |
| Authorized Official Telephone | 6022775551 |
| Authorized Official Credential | CPHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | AZ | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034245 | Carl T. Hayden Va Medical Center | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-02-05 |
| Street Address |
650 E. INDIAN SCHOOL ROAD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932136728 | Mary Bourne Collo | Nurse Practitioner | 650 E. Indian School Road, Research Service, Phoenix, AZ 85012-1892 | 2006-06-27 |
| 1891088589 | Megan Frances Dorner | Speech-Language Pathologist | 650 E. Indian School Road, Audiology and Speech Pathology (126), Phoenix, AZ 85012-1892 | 2011-05-27 |
| 1972768836 | Kimberly Diane Kilde | Dietitian, Registered | 650 E. Indian School Road, Phoenix, AZ 85012-1892 | 2008-07-21 |
| 1992914469 | Michelle Lindsay Smudde | Radiologic Technologist | 650 E. Indian School Road, Phoenix, AZ 85012-1892 | 2007-05-22 |
| 1225111438 | Eleni M Hatseras | Dietitian, Registered | 650 E. Indian School Road, Nutrition, Hospitality and Food Service-120, Phoenix, AZ 85012 | 2006-10-23 |
| 1114011541 | Ashley Bremer | Dietitian, Registered | 650 E. Indian School Road, Acs 11c-7, Phoenix, AZ 85012 | 2006-10-02 |
| 1184715864 | Irma E. Hernandez | Internal Medicine | 650 E. Indian School Road, Phoenix, AZ 85012 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222067 | Carl T. Hayden Va | Military Hospital | 2322 N 46th St, Phoenix, AZ 85008-2435 | 2016-09-02 |
| 1134512866 | Bonnie Susannah Mackey | Military Hospital | 18018 N 45th Pl, Phoenix, AZ 85032-1521 | 2015-03-05 |
| 1841538071 | Phoenix Va Healthcare System | Military Hospital | 232 S 12th Ave, Phoenix, AZ 85007-3101 | 2013-01-23 |
| 1417496811 | Phoenix Va Healthcare System | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-02-17 |
| 1255881330 | Phoenix Dva | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-10-12 |
| 1275080319 | Phoenix Veterans Hospital | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012 | 2016-09-07 |
| 1487993986 | Pvahcs | Military Hospital | 650 E Indian School Rd, L-104, Phoenix, AZ 85012-1839 | 2013-02-05 |
| 1366797334 | Departament of Veterans Affairs | Military Hospital | 650 East Indian School Road, Phoenix, AZ 85012-1892 | 2012-07-17 |
| 1013281096 | Department of Veterans Affairs | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2012-03-08 |
| 1083928063 | Carl T Hayden Medical Center | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2010-08-02 |
| 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.