TARIQ SUBHI AL-MUTAWA (NPI# 1558362558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558362558 |
| Entity Type | Individual |
| Full Name | TARIQ SUBHI AL-MUTAWA |
| Credential | MD |
| Practice Address |
1510 E Flower St Phoenix AZ 85014-5698 |
| Practice Telephone | 6025306900 |
| Mailing Telephone | 6025306900 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30032 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 690778 | 05 |
| Street Address |
1510 E FLOWER ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867589 | Samantha Jordan Ramsay | Family Medicine | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2020-03-26 |
| 1417592197 | Adriana A Bonilla | Registered Nurse | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2019-11-17 |
| 1023662020 | Emily Kathryne Blau | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2019-07-29 |
| 1619530078 | Cecilia Ann Sondreaal | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2019-04-20 |
| 1487145173 | Misty R Albert | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2018-05-29 |
| 1073013645 | Mckenzie Raquel Mcclelland | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2018-02-20 |
| 1760905384 | Amie Boucher | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2017-07-25 |
| 1932632296 | Rachel Penning | Registered Nurse | 1510 E Flower St, Building 2, Phoenix, AZ 85014-5698 | 2017-04-04 |
| 1730581869 | Laurie L Work-criss | Social Worker | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2014-09-19 |
| 1770862112 | Maribeth T Gallagher | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2011-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1114576162 | Caring Doctor LLC | Internal Medicine | 27412 N 58th Ln, Phoenix, AZ 85083-7394 | 2019-09-11 |
| 1417500034 | Contrast Medical Pllc | Internal Medicine | 813 E Fairmount Ave, Phoenix, AZ 85014-4708 | 2019-07-23 |
| 1386106045 | Key Medical Solutions LLC | Internal Medicine | 1120 E Waltann Ln, Phoenix, AZ 85022-3531 | 2019-04-02 |
| 1700350261 | Nierenberg Associates,pa | Internal Medicine | 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 | 2019-01-17 |
| 1952875783 | Vpa PC | Internal Medicine | 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 | 2019-01-15 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1053803676 | Ahwatukee Health Care, LLC | Internal Medicine | 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 | 2018-05-30 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
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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.