FOUNTAIN HILLS MEDICAL CLINIC PC (NPI# 1457603771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457603771 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN HILLS MEDICAL CLINIC PC |
| Practice Address |
16605 E Palisades Blvd Fountain Hills AZ 85268-3716 |
| Practice Telephone | 4808374300 |
| Practice Fax Number | 4808378302 |
| Mailing Telephone | 4808374300 |
| Mailing Fax Number | 4808378302 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | DR. DAVID S. GOTTFRIED (PRESIDENT) |
| Authorized Official Telephone | 4808374300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
7914 | AZ | Ambulatory Health Care Facilities |
| Street Address |
16605 E PALISADES BLVD |
| City | FOUNTAIN HILLS |
| State | AZ |
| Zip Code | 85268-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366403008 | Salvatore F Perna | Dentist | 16605 E Palisades Blvd, #112, Fountain Hills, AZ 85268-3716 | 2006-03-31 |
| 1790196806 | Primary Care Walk-in Medical Clinic | Family Medicine | 16605 E Palisades Blvd, Ste 150, Fountain Hills, AZ 85268-3716 | 2014-05-12 |
| 1639315583 | Bashas' Inc. | Pharmacy | 16605 E Palisades Blvd, Fountain Hills, AZ 85268-3716 | 2008-12-24 |
| 1528259009 | Arizona Dental Professionals, PC | Dentist | 16605 E Palisades Blvd, Suite 112, Fountain Hills, AZ 85268-3716 | 2007-08-08 |
| 1285768945 | Gail Heather Gallagher | Physical Therapist | 16605 E Palisades Blvd, Suite 144, Fountain Hills, AZ 85268-3716 | 2007-03-15 |
| 1295838282 | Pankaj Chopra | Family Medicine | 16605 E Palisades Blvd, Ste 150, Fountain Hills, AZ 85268-3716 | 2006-09-06 |
| 1235195199 | Martin Tricoli | Dentist | 16605 E Palisades Blvd, #112, Fountain Hills, AZ 85268-3716 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948432 | Michael James Sivak IIi | Licensed Practical Nurse | 16100 E Palisades Blvd, Fountain Hills, AZ 85268 | 2016-09-01 |
| 1346793494 | Allyn Louise Krieger-fiedler | Naturopath | 16425 East Inca Ave, Fountain Hills, AZ 85268 | 2016-07-25 |
| 1013316140 | Paul Knott | Pharmacist | 16545 East Palisades Boulvard, Fountain Hills, AZ 85268 | 2014-08-14 |
| 1497176838 | Corinna Bradley | Psychologist | 16428 East Kingstree Blvd, Fountain Hills, AZ 85268 | 2014-01-03 |
| 1821345810 | Sherry Anne Garst | Student in an Organized Health Care Education/Training Program | 17100 E. Shea Blvd, Suite. #225, Fountain Hills, AZ 85268 | 2012-08-08 |
| 1710240585 | Kathleen A Carroll | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 | 2012-06-18 |
| 1972881266 | Ivy Joan Medow | Occupational Therapy Assistant | 17100 E. Shea Blvd., Stars, Fountain Hills, AZ 85268 | 2011-08-03 |
| 1710270871 | Stephanie Virginia Cochran | Speech-Language Pathologist | 17100 E Shea Blvd #225, Fountain Hills, AZ 85268 | 2011-05-24 |
| 1750697884 | Lanzon Medical Consulting | Nursing Care | 13771 N. Fountain Hills Blvd, #114, Fountain Hills, AZ 85268 | 2010-08-26 |
| 1790928414 | Kathryn Mary Montgomery | Specialist/Technologist | 14825 N Fayette Dr, Fountain Hills, AZ 85268 | 2009-04-10 |
| Find all providers in zip 85268 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992941074 | Statclinix Plc | Clinic/Center | 17225 E. Shea Blvd., #104, 105, Fountain Hills, AZ 85268 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305312 | Right Care Urgent Care LLC | Clinic/Center | 9041 E Talking Stick Way, Scottsdale, AZ 85250-8521 | 2020-10-26 |
| 1528675865 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4959 W Ray Rd Ste 33, Chandler, AZ 85226-2098 | 2020-09-30 |
| 1952918583 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2875 W Ray Rd Ste 8, Chandler, AZ 85224-3619 | 2020-09-28 |
| 1962019554 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 725 S Rural Rd Ste 120, Tempe, AZ 85281-2047 | 2020-09-28 |
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1891302428 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3244 S Mill Ave Ste 101, Tempe, AZ 85282-3688 | 2020-09-28 |
| 1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
| 1588271118 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4902 E Shea Blvd Ste 101, Scottsdale, AZ 85254-4184 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN HILLS |
| Zip Code | 85268 |
Please comment or provide details below to improve the information on FOUNTAIN HILLS MEDICAL CLINIC PC.
| 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.