TAZ GLENDALE, LLC (NPI# 1528426806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528426806 |
| Entity Type | Organization |
| Organization Name | TAZ GLENDALE, LLC |
| Practice Address |
5605 W Eugie Ave Suite 111 Glendale AZ 85304-1272 |
| Practice Telephone | 4803068195 |
| Practice Fax Number | 4803068196 |
| Mailing Telephone | 4803068195 |
| Mailing Fax Number | 4803068196 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | ANDREW M ELLIOTT (COO) |
| Authorized Official Telephone | 3233690069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AZ | Other Service Providers |
| Street Address |
5605 W EUGIE AVE SUITE 111 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938558 | William F Morgan | Allergy & Immunology | 5605 W Eugie Ave, #200, Glendale, AZ 85304-1272 | 2005-11-04 |
| 1588162440 | Sue Stanfield | Physical Therapist | 5605 W Eugie Ave, Glendale, AZ 85304-1272 | 2018-01-25 |
| 1063910032 | Kathleen Rose Salik | Physical Therapist | 5605 W Eugie Ave, Glendale, AZ 85304-1272 | 2018-01-24 |
| 1427556554 | Charysse Larson | Physical Therapist | 5605 W Eugie Ave, Glendale, AZ 85304-1272 | 2018-01-23 |
| 1619290822 | Nicole Elizabeth Zack Nwobodo | Physician Assistant | 5605 W Eugie Ave, Ste. 200, Glendale, AZ 85304-1272 | 2010-03-03 |
| 1073725867 | Kimberly Ann Valentine | Registered Nurse | 5605 W Eugie Ave, Suite 111, Glendale, AZ 85304-1234 | 2007-05-04 |
| 1477528461 | Stephen W Ripple | Orthopaedic Surgery | 5605 W Eugie Ave, Ste 111, Glendale, AZ 85304-1273 | 2006-02-22 |
| 1730154725 | Neal I Gimbel | Orthopaedic Surgery | 5605 W Eugie Ave, Ste 111, Glendale, AZ 85304-1273 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981506 | Joni Sue Cox | Specialist | 6975 W Irma Ln, Glendale, AZ 85308-9477 | 2017-06-11 |
| 1649708496 | Jennie Fisher | Specialist | 9050 Union Tpke Apt 6j, Glendale, NY 11385-8064 | 2017-05-24 |
| 1396113577 | Crystal Genereux | Specialist | 5301 W Desert Hills Dr, Glendale, AZ 85304-2701 | 2015-09-04 |
| 1144600057 | Alicia Delgado | Specialist | 68-29 64th Place, Glendale, NY 11385 | 2015-06-05 |
| 1881081438 | Ifetayo Khalila Blissett | Specialist | 7618 69th Pl, 5e, Glendale, NY 11385-7134 | 2015-04-22 |
| 1912392598 | Bridgit Berthen | Specialist | 7131 66th St, Glendale, NY 11385-7065 | 2015-04-01 |
| 1366835241 | Rumena Begum | Specialist | 7444 64th Pl, Glendale, NY 11385-6135 | 2015-03-16 |
| 1669870572 | Kamila E Jaskowiak | Specialist | 6049 75th Ave, 2nd Fl, Glendale, NY 11385-6168 | 2014-12-08 |
| 1770986325 | Gloria Pineda | Specialist | 7108 72nd Pl, Glendale, NY 11385-7337 | 2014-09-26 |
| 1457764268 | Shannon Victoria Martinez | Specialist | 7818 81st St, Glendale, NY 11385-7633 | 2014-06-09 |
| 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.