SPECIALTY PEDIATRICS LT (NPI# 1467779355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467779355 |
| Entity Type | Organization |
| Organization Name | SPECIALTY PEDIATRICS LT |
| Practice Address |
2851 S Ave B Ste B Yuma AZ 85364-7726 |
| Practice Telephone | 9287263009 |
| Practice Fax Number | 9287263019 |
| Mailing Telephone | 9287263009 |
| Mailing Fax Number | 9287263019 |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2010-05-01 |
| Authorized Official Name | MOINUDDIN H MOKHASHI (MEMBER) |
| Authorized Official Telephone | 9287263009 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
34699 | AZ | Ambulatory Health Care Facilities |
| Street Address |
2851 S AVE B STE B |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-7726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151824 | Isabel Pilar Bellot | Pediatrics | 2851 S Ave B, #900, Yuma, AZ 85364-7726 | 2005-08-22 |
| 1497271845 | Estaphanie Rodriguez | Counselor | 2851 S Ave B, Bldg 4, Yuma, AZ 85364 | 2017-08-17 |
| 1992112585 | Kristine Shjerve | Counselor | 2851 S Ave B, Suite 4, Yuma, AZ 85364 | 2014-07-16 |
| 1588729065 | Ghebru W Woldemichael | Specialist | 2851 S Ave B, Suite 2601, Yuma, AZ 85364-7726 | 2006-12-26 |
| 1639287667 | Community Intervention Associates | Community/Behavioral Health | 2851 S Ave B, Bldg 4a, 4b, Suites 1101 and 1102, Yuma, AZ 85364 | 2006-08-29 |
| 1336180660 | Melissa E. Waldrip | Social Worker | 2851 S Ave B, Bldg. 4, Yuma, AZ 85364-7726 | 2006-06-09 |
| 1255320958 | Basem Meri | Family Medicine | 2851 S Ave B, Suite 3000, Yuma, AZ 85364 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1396978268 | Young Hearts of Yuma, Inc | Clinic/Center | 2051 W 25th St, Yuma, AZ 85364-6912 | 2009-08-26 |
| 1841482577 | Yuma Urology Center Pllc | Clinic/Center | 2275 S Elks Ln, Yuma, AZ 85364-6258 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179735 | Az Neurosurgery & Spine, Pllc | Clinic/Center | 371 Garden St # A-27, Prescott, AZ 86305-2914 | 2020-09-22 |
| 1073133583 | American Medical Center P.C. | Clinic/Center | 8417 E Mcdowell Rd Ste 101, Scottsdale, AZ 85257-3917 | 2020-04-24 |
| 1649809039 | Orthopedic Specialists of North America Pllc | Clinic/Center | 16838 E Palisades Blvd Ste C152, Fountain Hills, AZ 85268-3790 | 2020-04-07 |
| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1366919714 | Bianca J Vazquez Md Pllc | Clinic/Center | 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 | 2018-10-24 |
| 1417433236 | Spectrum Medical Care Center | Clinic/Center | 52 E Monterey Way Ste A, Phoenix, AZ 85012-2628 | 2018-07-15 |
| Find all providers with the same taxonomy | ||||
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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.