MEDICAL NETWORK OF AZ, LLC (NPI# 1538652623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538652623 |
| Entity Type | Organization |
| Organization Name | MEDICAL NETWORK OF AZ, LLC |
| Practice Address |
604 W Warner Rd Ste A Chandler AZ 85225-2900 |
| Mailing Address |
3717 S. Higley Road Ste 114, Pmb 298 Gilbert AZ 85297 |
| Practice Telephone | 4805271586 |
| Practice Fax Number | 4803066029 |
| Mailing Telephone | 6024817369 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | CHRISTINA L BECKER (DIRECTOR) |
| Authorized Official Telephone | 6024817369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
604 W WARNER RD STE A |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154483808 | Troon Pain Management, LLC | Clinic/Center | 604 W Warner Rd Ste A, Chandler, AZ 85225 | 2006-12-15 |
| 1710470802 | Az Sports and Spine Center, LLC | Clinic/Center | 604 W Warner Rd Ste A, Chandler, AZ 85225-2900 | 2018-06-13 |
| 1013405562 | Robotic Surgery Center, LLC | Clinic/Center | 604 W Warner Rd Ste A, Chandler, AZ 85225-2900 | 2018-04-30 |
| 1881190676 | Desert Lithotripsy, LLC | Clinic/Center | 604 W Warner Rd Ste A, Chandler, AZ 85225-2900 | 2018-04-02 |
| 1104329796 | Medx Resources, LLC | Durable Medical Equipment & Medical Supplies | 604 W Warner Rd Ste A, Chandler, AZ 85225-2900 | 2018-03-09 |
| 1023531332 | Allied Monitoring, LLC | Specialist | 604 W Warner Rd Ste A, Chandler, AZ 85225-2900 | 2017-07-18 |
| 1255626701 | Gunnar C Clark | Anesthesiology | 604 W Warner Rd Ste A, Chandler, AZ 85225-2900 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| 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 |
|---|---|---|---|---|
| 1831548296 | Laura Brenza | Specialist | 3110 N Bentrup Cir, Chandler, AZ 85224-1008 | 2016-06-07 |
| 1043671282 | Daniel Lovelace | Specialist | 1392 N Santa Anna Ct, Chandler, AZ 85224-8527 | 2016-03-16 |
| 1699150318 | Shaena Lutz | Specialist | 1889 W Queen Creek Rd, #2062, Chandler, AZ 85248-3079 | 2015-07-23 |
| 1528445442 | Rachel Brodie | Specialist | 1976 N Lemon Tree Ln Unit 10, Chandler, AZ 85224-2536 | 2015-04-29 |
| 1942623939 | Wallace Medical Group | Specialist | 1986 E Glacier Pl, Chandler, AZ 85249-2886 | 2014-01-27 |
| 1619301264 | Ucr Medical Group Pllc | Specialist | 2745 S Alma School Rd Ste 2, Chandler, AZ 85286-4405 | 2013-08-29 |
| 1861783730 | Corliss Colleen Jackson | Specialist | 1519w. Mesquite Street, Chandler, AZ 85224-5235 | 2011-04-27 |
| 1114159803 | Ashley Marie Christensen | Specialist | 5590 W Chandler Blvd, Suite 4, Chandler, AZ 85226-3697 | 2009-08-14 |
| 1336385640 | Paul Harris | Specialist | 870 N Evergreen St, Chandler, AZ 85225-7236 | 2008-12-17 |
| 1215103080 | Koki K Amin | Specialist | 643 W San Carlos Way, Chandler, AZ 85248-5173 | 2008-05-01 |
| Find all providers in CHANDLER | ||||
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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.