MEDIRAD, LLC (NPI# 1467731885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467731885 |
| Entity Type | Organization |
| Organization Name | MEDIRAD, LLC |
| Practice Address |
12425 W Bell Rd Suite 200 Surprise AZ 85378-9006 |
| Practice Telephone | 6233747774 |
| Practice Fax Number | 6232401110 |
| Mailing Telephone | 6233747774 |
| Mailing Fax Number | 6232401110 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | LINH C NGUYEN (CMIO/CEO) |
| Authorized Official Telephone | 6233747774 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12425 W BELL RD SUITE 200 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416277 | Mary Gay Kelley | Nurse Practitioner | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9006 | 2005-09-02 |
| 1528355823 | Deanna Carol Turner-garcia | Nurse Practitioner | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9002 | 2011-07-07 |
| 1962705616 | Discharge Md, LLC | Family Medicine | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9002 | 2010-12-17 |
| 1154634392 | Adora Property Management, LLC | Residential Treatment Facility, Physical Disabilities | 12425 W Bell Rd, Ste 200, Surprise, AZ 85374-9002 | 2010-07-16 |
| 1427086644 | Nicole A Raymond | Physical Therapist | 12425 W Bell Rd, 200, Surprise, AZ 85378-9002 | 2006-06-28 |
| 1013985639 | James A Leroy | Psychologist | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9006 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| Find all providers in zip 85378 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558388 | Melissa Anne Harms | Family Medicine | 17968 W Ivy Ln, Surprise, AZ 85388-1652 | 2019-09-26 |
| 1316507049 | Jami Jean Wingert | Family Medicine | 15709 N 172nd Ln, Surprise, AZ 85388-0232 | 2019-06-14 |
| 1417456302 | Sheng Yun Peng | Family Medicine | 14780 W Mountain View Blvd. Suite # 110, Surprise, AZ 85374 | 2018-02-06 |
| 1689196891 | Edward Hoang Nam Vo | Family Medicine | 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 | 2017-07-10 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1003293465 | Adelante Healthcare Inc | Family Medicine | 15317 W Bell Rd Ste 100, Surprise, AZ 85374-3900 | 2015-05-05 |
| 1295911030 | Patrick James Roscetti | Family Medicine | 13991 W. Grand Ave, Suite 105, Surprise, AZ 85374 | 2008-01-10 |
| 1790973006 | Neena K Uppal Md PC | Family Medicine | 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374 | 2007-10-11 |
| 1588868103 | Theodora E Paul | Family Medicine | 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 | 2007-06-14 |
| 1386761187 | Thomas E Inman Do Professional | Family Medicine | 16928 W Bell Rd, Suite 701, Surprise, AZ 85374-8948 | 2007-03-25 |
| Find all providers in SURPRISE | ||||
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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.