PHOENIX VAMC (NPI# 1437197902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437197902 |
Entity Type | Organization |
Organization Name | PHOENIX VAMC |
Other Organization Name | GILBERT VA CLINIC |
Practice Address |
3285 S Val Vista Dr Gilbert AZ 85297-7000 |
Mailing Address |
Po Box 94413 Cleveland OH 44101-4413 |
Practice Telephone | 7023413152 |
Mailing Telephone | 7023413152 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2017-11-01 |
NPI Deactivation Date | 06/03/2008 |
NPI Reactivation Date | 2008-07-15 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Gilbert VA Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
1215974696 | Phoenix Vamc | Clinic/Center | 903 E Highway 260, Suite 2, Payson, AZ 85531-4972 | 2006-06-02 |
1205874351 | Phoenix Vamc | Clinic/Center | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2006-06-02 |
1629582184 | Phoenix Vamc | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-11-20 |
1174065791 | Phoenix Vamc | Clinic/Center | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2016-11-14 |
1104286418 | Phoenix Vamc | Psychiatric Residential Treatment Facility | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-02-29 |
1053586545 | Phoenix Vamc | Clinic/Center | 5860 S Hospital Dr, Suite 111, Globe, AZ 85501-9449 | 2008-04-25 |
1598704512 | Phoenix Vamc | Clinic/Center | 13985 W Grand Ave, Suite 101, Surprise, AZ 85374-3625 | 2006-06-05 |
Street Address |
3285 S VAL VISTA DR |
City | GILBERT |
State | AZ |
Zip Code | 85297-7000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790325520 | Caroline Mcmullen Toole | Social Worker | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2020-01-09 |
1558855635 | Stephanie Palazzolo | Audiologist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2018-06-21 |
1053819920 | Megan Briggs | Dietitian, Registered | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2018-01-25 |
1316462161 | Christina Heaton Krieg | Psychologist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2017-08-13 |
1427573104 | Vivian Du | Pharmacist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2017-08-03 |
1215480041 | Nicole Elizabeth Wolf | Audiologist | 3285 S Val Vista Dr, Audiology, Gilbert, AZ 85297-7000 | 2016-07-28 |
1053773077 | Debbie Dennis | Psychiatry & Neurology | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2016-03-28 |
1184091597 | Marie Ann Ngan | Pharmacist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2015-09-01 |
1295121101 | Korrie Pernicka | Social Worker | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2015-04-08 |
1538566096 | Teri Brookins | Nurse's Aide | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2014-11-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
Find all providers in zip 85297 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013457704 | Tucson Vamc | Clinic/Center | 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 | 2017-03-01 |
1104366897 | Tucson Vamc | Clinic/Center | 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 | 2017-03-01 |
1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
1356739650 | Prescott Vamc | Clinic/Center | 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 | 2015-01-08 |
1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
1811176530 | Cthvamc | Clinic/Center | 239 W Utopia Rd, Phoenix, AZ 85027-4738 | 2007-10-30 |
1952345076 | Prescott Vamc | Clinic/Center | 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 | 2006-06-16 |
1235173931 | Tucson Vamc | Clinic/Center | 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 | 2006-06-15 |
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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.