US MEDGROUP PA (NPI# 1477832665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477832665 |
| Entity Type | Organization |
| Organization Name | US MEDGROUP PA |
| Other Organization Name | ADVANCED MEDICAL SPECIALISTS OF PHOENIX |
| Practice Address |
12808 N Black Canyon Hwy Phoenix AZ 85029 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001 |
| Practice Telephone | 6023751155 |
| Practice Fax Number | 6028669169 |
| Mailing Telephone | 9723648000 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | JOHN ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Medical Specialists of Phoenix | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1144637679 | Us Medgroup Pa | Clinic/Center | 6423 Columbia Ave, Hammond, IN 46320-2747 | 2014-07-16 |
| 1609283142 | Us Medgroup Pa | Clinic/Center | 5940 Decatur Blvd, Indianapolis, IN 46241-9579 | 2014-07-16 |
| 1083021513 | Us Medgroup Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2014-07-16 |
| 1568889988 | Us Medgroup Pa | Clinic/Center | 4115 Dorchester Rd, Suie 100, Charleston, SC 29405-7466 | 2014-03-24 |
| 1912324336 | Us Medgroup Pa | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2014-03-24 |
| 1952680993 | Us Medgroup Pa | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2011-08-09 |
| 1720367923 | Us Medgroup Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2011-08-05 |
| 1174802375 | Us Medgroup Pa | Clinic/Center | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2011-08-05 |
| Street Address |
12808 N BLACK CANYON HWY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154359552 | Peter Robert Nash | Internal Medicine | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2006-06-28 |
| 1124465471 | Brian Nicholas Forte | Physical Therapist | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2013-05-28 |
| 1215165139 | Terrylee Kraemer | Occupational Therapist | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2009-06-30 |
| 1407971575 | Kim Marseilles | Physical Medicine & Rehabilitation | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-20 |
| 1992820856 | Richard H Moore | Preventive Medicine | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-20 |
| 1144345133 | Lorri A Bentley | Physical Therapist | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-20 |
| 1194849489 | Jacquelyn Island | Preventive Medicine | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1467953588 | Acupuncture At Work LLC | Clinic/Center | 3411 Sweet Air Rd Ste A, Phoenix, MD 21131-1825 | 2018-02-23 |
| 1104359397 | Ahavah Incorporated | Clinic/Center | 112 N Central Ave Fl 1, Phoenix, AZ 85004-2309 | 2017-04-05 |
| 1174905038 | The Source Naturopathic Medical Clinic | Clinic/Center | 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 | 2015-06-26 |
| 1386033199 | Greta M. Ivers, Md, Pllc | Clinic/Center | 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020 | 2015-01-16 |
| 1245667567 | Viridian Health Management | Clinic/Center | 22601 N 19th Ave Ste 240, Phoenix, AZ 85027-1362 | 2013-10-01 |
| 1033361332 | Concentra Health Services, Inc. | Clinic/Center | 3532 West Thomas Road, Phoenix, AZ 85019-4440 | 2008-10-17 |
| 1194973453 | Arizona Sports and Spine Physicians, P.C. | Clinic/Center | 3033 W Bell Rd # 101a, Phoenix, AZ 85053-3000 | 2008-08-28 |
| 1417143322 | Us Medgroup, P.a. | Clinic/Center | 1818 East Sky Harbor Circle, Suite 150, Phoenix, AZ 85034 | 2007-09-25 |
| Find all providers in PHOENIX | ||||
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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.