GLENDALE HEALTHCARE LLC (NPI# 1467869743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467869743 |
| Entity Type | Organization |
| Organization Name | GLENDALE HEALTHCARE LLC |
| Practice Address |
6320 W Union Hills Dr Ste 1400b Glendale AZ 85308-1096 |
| Practice Telephone | 6028895833 |
| Mailing Telephone | 6028895833 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | MARTHA TRUJILLO (CREDENTIALING) |
| Authorized Official Telephone | 6028895833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6320 W UNION HILLS DR STE 1400B |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635078 | Michael Lawrence Berman | Internal Medicine | 6320 W Union Hills Dr, Building A, Suite 140, Glendale, AZ 85308-1096 | 2005-08-03 |
| 1891204376 | Heidi E Quist | Physician Assistant | 6320 W Union Hills Dr, #b2600, Glendale, AZ 85308-1096 | 2017-09-27 |
| 1972056984 | Honorhealth Medical Group, LLC | General Practice | 6320 W Union Hills Dr, Suite B2500, Glendale, AZ 85308-1096 | 2016-07-26 |
| 1972985125 | Smi Imaging, LLC | Clinic/Center | 6320 W Union Hills Dr, Bldg A, Suite 120, Glendale, AZ 85308-1096 | 2015-06-24 |
| 1245634724 | Simonmed Imaging, Inc | Clinic/Center | 6320 W Union Hills Dr, Building B, Ste A120, Glendale, AZ 85308-1096 | 2014-10-13 |
| 1578966693 | Pamela J Waychoff | Nurse Practitioner | 6320 W Union Hills Dr, Building A, Suite 140, Glendale, AZ 85308 | 2014-10-02 |
| 1831598168 | Heather Gibson | Physical Therapist | 6320 W Union Hills Dr, Suite A265, Glendale, AZ 85308-1096 | 2014-08-22 |
| 1124433990 | Del Healthcare LLC | Case Manager/Care Coordinator | 6320 W Union Hills Dr, Ste. 1400b, Glendale, AZ 85308-1096 | 2014-06-30 |
| 1114332988 | Vig Healthcare LLC | Case Manager/Care Coordinator | 6320 W Union Hills Dr, Ste. 1400b, Glendale, AZ 85308-1096 | 2014-06-30 |
| 1063795367 | Honorhealth Medical Group, LLC | Family Medicine | 6320 W Union Hills Dr, Ste. 2300b, Glendale, AZ 85308-1096 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199481 | Steven Cleo Northern Jr. | Nurse Practitioner | 5820 W Greenway Rd Ste 124, Glendale, AZ 85306-3308 | 2020-09-17 |
| 1609493279 | Traci Marie Miramontes | Nurse Practitioner | 6001 W Northview Ave, Glendale, AZ 85301-1857 | 2020-06-30 |
| 1669097697 | Swazi Cromwell | Nurse Practitioner | 13408 N 53rd Ave, Glendale, AZ 85304-1378 | 2020-06-16 |
| 1922620590 | Bethany E Mainville | Nurse Practitioner | 8151 W Sierra Vista Dr, Glendale, AZ 85303-3217 | 2020-05-17 |
| 1184252678 | Revive Wellness and Rejuvenation LLC | Nurse Practitioner | 20229 N 67th Ave Ste C-a, Glendale, AZ 85308-6664 | 2020-03-30 |
| 1083247316 | Anna Lazzaro | Nurse Practitioner | 4760 W Ponderosa Ln, Glendale, AZ 85308-4872 | 2020-02-14 |
| 1760021422 | Judy Fong | Nurse Practitioner | 5220 W Dahlia Dr, Glendale, AZ 85304-1931 | 2019-12-29 |
| 1588207138 | Kristen Mitchell | Nurse Practitioner | 6922 W Kristal Way, Glendale, AZ 85308-5772 | 2019-10-25 |
| 1760038335 | Adrineh Kalantar Ohanian | Nurse Practitioner | 1139 E Lexington Dr, Glendale, CA 91206-3861 | 2019-08-09 |
| 1457904252 | Debra Goldman | Nurse Practitioner | 20325 N 51st Ave # 8, Glendale, AZ 85308-5674 | 2019-07-20 |
| Find all providers in GLENDALE | ||||
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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.