HONORHEALTH AMBULATORY (NPI# 1457975690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457975690 |
Entity Type | Organization |
Organization Name | HONORHEALTH AMBULATORY |
Other Organization Name | SCOTTSDALE HEALTHCARE CORP |
Practice Address |
1124 E Mckellips Rd Ste 110 Mesa AZ 85203-2766 |
Mailing Address |
2500 W Utopia Rd Ste 100 Phoenix AZ 85027-4172 |
Practice Telephone | 4808824509 |
Mailing Telephone | 4805875314 |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-09-18 |
Authorized Official Name | SAVAS PETRIDES (SVP/CEO) |
Authorized Official Telephone | 4806964020 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SCOTTSDALE HEALTHCARE CORP | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
1013531268 | Honorhealth Ambulatory | Surgery | 6220 W Bell Rd Ste 120, Glendale, AZ 85308-3896 | 2020-06-03 |
1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
1053932327 | Honorhealth Ambulatory | Internal Medicine | 9059 W Lake Pleasant Pkwy Ste 320, Peoria, AZ 85382-8362 | 2020-04-28 |
1053898692 | Honorhealth Ambulatory | Internal Medicine | 10900 N Scottsdale Rd Ste 603, Scottsdale, AZ 85254-5252 | 2018-07-26 |
1659894251 | Honorhealth Ambulatory | Clinic/Center | 3501 N Scottsdale Rd Ste 230, Scottsdale, AZ 85251-5649 | 2017-07-25 |
1164792792 | Honorhealth Ambulatory | Internal Medicine | 7351 E Osborn Rd Ste 200c, Scottsdale, AZ 85251-6451 | 2012-01-12 |
1083851448 | Honorhealth Ambulatory | Surgery | 7351 E Osborn Rd, Suite 200b, Scottsdale, AZ 85251-6451 | 2009-01-07 |
Street Address |
1124 E MCKELLIPS RD STE 110 |
City | MESA |
State | AZ |
Zip Code | 85203-2766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255691226 | Robert Alan Winter | Family Medicine | 1124 E Mckellips Rd Ste 110, Mesa, AZ 85203-2766 | 2012-05-23 |
1578188710 | Valerie M Oatis | Community/Behavioral Health | 1124 E Mckellips Rd Ste 110, Mesa, AZ 85203-2766 | 2020-06-13 |
1952925265 | Honorhealth Medical Group, LLC | Family Medicine | 1124 E Mckellips Rd Ste 110, Mesa, AZ 85203-2766 | 2020-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
Find all providers in zip 85203 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
1245539659 | Ambrose Francis Panico | Internal Medicine | 6116 E Arbor Ave Ste 112, Mesa, AZ 85206-6103 | 2011-03-24 |
1114221694 | Great Valley Cardiology Pllc | Internal Medicine | 6106 E Brown Rd Ste 101, Mesa, AZ 85205-4954 | 2010-12-27 |
1144294109 | Seyed Mohsen Sharifi Takieh | Internal Medicine | 3850 E Baseline Rd Ste 102, Mesa, AZ 85206-4403 | 2006-02-15 |
1134121874 | Charles M.t. Jost | Internal Medicine | 140 S Power Rd, Mesa, AZ 85206-5297 | 2005-08-12 |
1902805880 | Jay A Shechter | Internal Medicine | 6750 E Baywood Ave # 301, Mesa, AZ 85206-1749 | 2005-07-21 |
1164421251 | Zelalem Yilma | Internal Medicine | 6859 E Rembrandt Ave, Suite 117, Mesa, AZ 85212-3628 | 2005-07-20 |
1699770289 | Alan M. Grossman | Internal Medicine | 6116 E Arbor Ave, Suite 112, Mesa, AZ 85206 | 2005-06-20 |
1588667596 | Michael Ramsey Jerman | Internal Medicine | 10238 E Hampton Ave Ste 501, Mesa, AZ 85209-3321 | 2005-05-23 |
Find all providers in MESA |
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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.