EAST SOUTHERN MEDICAL GROUP, LLC (NPI# 1477011237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477011237 |
| Entity Type | Organization |
| Organization Name | EAST SOUTHERN MEDICAL GROUP, LLC |
| Practice Address |
5233 E Southern Ave Ste 103 Mesa AZ 85206-3628 |
| Practice Telephone | 4808302882 |
| Practice Fax Number | 4808302881 |
| Mailing Telephone | 4808302882 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | DR. JASON CONWAY (OWNER) |
| Authorized Official Telephone | 4808302882 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
5233 E SOUTHERN AVE STE 103 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883546 | Southern Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-20 |
| 1700404712 | Apple Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2020-07-07 |
| 1548804800 | Mesa Regen Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-10-30 |
| 1700342110 | East Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-02-11 |
| 1801368360 | 5233 Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883546 | Southern Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-20 |
| 1275956799 | James Galaviz | Physical Medicine & Rehabilitation | 7900 E Eagle Crest Dr, Mesa, AZ 85207-1111 | 2014-02-04 |
| 1457645830 | Praveen Natakal Pakeerappa | Physical Medicine & Rehabilitation | 7436 E Main St Ste 1, Mesa, AZ 85207-9338 | 2011-06-03 |
| 1396047247 | Siena Physical Medicine LLC | Physical Medicine & Rehabilitation | 7227 E Baseline Rd Ste 106, Mesa, AZ 85209-5005 | 2010-11-29 |
| 1790908515 | John Christian Jones | Physical Medicine & Rehabilitation | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2007-04-10 |
| 1790793339 | James Edward Kilgore II | Physical Medicine & Rehabilitation | 1345 E Mckellips Rd Ste 101, Mesa, AZ 85203-2721 | 2006-08-03 |
| 1205818614 | Tutankhamen A Pappoe | Physical Medicine & Rehabilitation | 650 W Southern Ave, 2, Mesa, AZ 85210-5012 | 2005-11-20 |
| 1659364016 | Paul Anthony Blake | Physical Medicine & Rehabilitation | 123 N Centennial Way, Ste 252, Mesa, AZ 85201-6693 | 2005-08-31 |
| 1700342110 | East Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-02-11 |
| 1801368360 | 5233 Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-21 |
| 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.