OPAS & PUANGTONG JUTABHA (NPI# 1508048273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508048273 |
| Entity Type | Organization |
| Organization Name | OPAS & PUANGTONG JUTABHA |
| Other Organization Name | VALLEY MEDICAL CENTER |
| Practice Address |
394 N Central Blvd Quartzsite AZ 85346-1499 |
| Mailing Address |
Po Box 1499 Quartzsite AZ 85346-1499 |
| Practice Telephone | 9289275454 |
| Practice Fax Number | 9279283303 |
| Mailing Telephone | 9289275454 |
| Mailing Fax Number | 9289273303 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. PUANGTONG JUTABHA (OWNER) |
| Authorized Official Telephone | 9289275454 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11915 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 11855 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VALLEY MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
394 N CENTRAL BLVD |
| City | QUARTZSITE |
| State | AZ |
| Zip Code | 85346-1499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164604559 | The Family Eye Center | Ophthalmology | 394 N Central Blvd, Quartzsite, AZ 85346 | 2007-11-28 |
| 1841290426 | Opas Jutabha | Internal Medicine | 394 N Central Blvd, Quartzsite, AZ 85346-1499 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232714 | Toni Kay Coleman | Registered Nurse | 150 E. Tyson Road, Quartzsite, AZ 85346 | 2018-07-20 |
| 1962689653 | Arizona Community Health Care LLC | Family Medicine | 255 N Central Blvd, Ste 4, Quartzsite, AZ 85346 | 2008-01-25 |
| 1811090160 | Happy Valley Pharmacy LLC | Pharmacy | 60 W Main St, Quartzsite, AZ 85346 | 2006-09-05 |
| 1053421776 | Benvinda Ann Pereira | Nurse Practitioner | 255 N. Central Blvd., Suite #5, Quartzsite, AZ 85346 | 2006-08-30 |
| 1104882877 | Noy Soti | Legal Medicine | 394 North Central Blvd, Quartzsite, AZ 85346 | 2006-04-21 |
| 1164825394 | Howard Pulver | Pharmacist | 60 W Main St, Quartzsite, AZ 85346 | 2014-10-02 |
| 1609213149 | Psa Behavioral Health Agency | Public Health or Welfare | 100 East Main Street, Quartzsite, AZ 85346 | 2013-05-23 |
| 1922345149 | Integrated Medical Services Inc. | Podiatrist | 255 N Central Blvd, 4, Quartzsite, AZ 85346 | 2013-01-08 |
| 1326375080 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 100 E. Main Street, Quartzsite, AZ 85346 | 2009-11-17 |
| 1083892319 | Estrella Mountain Foot & Ankle Inc | Podiatrist | 255 N Central Blvd, #4, Quartzside, AZ 85346 | 2008-02-08 |
| Find all providers in zip 85346 | ||||
| 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 |
|---|---|---|---|---|
| 1962689653 | Arizona Community Health Care LLC | Family Medicine | 255 N Central Blvd, Ste 4, Quartzsite, AZ 85346 | 2008-01-25 |
| 1588671622 | Brett Shane Gochnour | Family Medicine | 150 E Tyson Road, Quartzsite, AZ 85346 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446349 | Holding Hands Medical Pllc | Family Medicine | 8515 S College Ln, Tempe, AZ 85284-2342 | 2020-10-29 |
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | QUARTZSITE |
| Zip Code | 85346 |
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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.