MY HOME DOC LLC (NPI# 1508405077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508405077 |
Entity Type | Organization |
Organization Name | MY HOME DOC LLC |
Practice Address |
600 E Baseline Rd Tempe AZ 85283-1247 |
Practice Telephone | 6025522930 |
Practice Fax Number | 4805464900 |
Mailing Telephone | 6025522930 |
Mailing Fax Number | 4805464900 |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-01-02 |
Authorized Official Name | MS. JAMEELAH WILSON (CO-CEO) |
Authorized Official Telephone | 4804300721 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Doctor's At Home | Doing Business As Name - Organization |
Street Address |
600 E BASELINE RD |
City | TEMPE |
State | AZ |
Zip Code | 85283-1247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336104512 | Kenneth J Goldberg | Psychologist | 600 E Baseline Rd, Suite C-1, Tempe, AZ 85283-1247 | 2006-04-19 |
1699261982 | Chevick Family Homecare LLC | Home Health | 600 E Baseline Rd, Tempe, AZ 85283-1247 | 2018-07-10 |
1871960229 | Fatima Aziz Alhadi | Naturopath | 600 E Baseline Rd, B2, Tempe, AZ 85283-1247 | 2015-09-01 |
1578939682 | Jameelah Wilson | Nurse Practitioner | 600 E Baseline Rd, Ste C-7, Tempe, AZ 85283-1210 | 2015-08-12 |
1164832226 | Joy Zias | Specialist/Technologist | 600 E Baseline Rd, Suite A4, Tempe, AZ 85283-1247 | 2014-04-29 |
1164707303 | Alexa Ashley Kramer | Specialist/Technologist | 600 E Baseline Rd, Suite B-6, Tempe, AZ 85283-1247 | 2011-10-19 |
1548556525 | Catherine Baril-neely | Social Worker | 600 E Baseline Rd, Ste C-1, Tempe, AZ 85283-1247 | 2011-06-28 |
1114218419 | Heather Wilson | Specialist/Technologist | 600 E Baseline Rd, Suite B-6, Tempe, AZ 85283-1247 | 2011-04-21 |
1952610735 | Goldberg Consulting Group, Inc. | Psychologist | 600 E Baseline Rd, Suite C-1, Tempe, AZ 85283-1247 | 2010-09-28 |
1619293453 | Alissa M Willey-sperry | Specialist | 600 E Baseline Rd, Ste 101, Tempe, AZ 85283-1247 | 2010-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
Find all providers in zip 85283 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295278000 | Aim Healthcare Providers, LLC | General Practice | 5025 S Ash Ave Ste 6, Tempe, AZ 85282-6885 | 2016-11-28 |
1376816280 | David Lavon Payne | General Practice | 6459 S River Dr, Tempe, AZ 85283-3337 | 2012-02-23 |
1104101039 | Bruce Dennis Love | General Practice | 331 East Garfield, Tempe, AZ 85281-1014 | 2011-10-11 |
1336244409 | Roddy Arnold Gardner | General Practice | 910 S Priest Dr, Tempe, AZ 85281-5233 | 2006-09-14 |
1063066496 | Estrella Marina Sandoval-becker | General Practice | 2525 S Rural Rd Ste 4n, Tempe, AZ 85282-2442 | 2019-07-24 |
1497283642 | Enhanced Medical Centers Inc | General Practice | 3200 S Rural Rd Ste 3, Tempe, AZ 85282-3870 | 2017-06-01 |
1487199592 | Arizona Medical and Sports Rehab LLC | General Practice | 1840 E Warner Rd, Suite 120, Tempe, AZ 85284-3437 | 2016-12-28 |
1437501400 | Advanced Clinical Services, LLC | General Practice | 40 W Baseline Rd, Suite #105, Tempe, AZ 85283-1258 | 2016-07-01 |
1124369368 | Generations House Call Providers | General Practice | 2111 E Baseline Rd, Suite B5, Tempe, AZ 85283-1516 | 2013-03-13 |
1073796223 | Roddy A. Gardner, D.o. P.C. | General Practice | 910 S Priest Dr, Tempe, AZ 85281-5233 | 2007-12-11 |
Find all providers in TEMPE |
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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.