CENTRAL MEDICAL GROUP PLLC (NPI# 1558809442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558809442 |
| Entity Type | Organization |
| Organization Name | CENTRAL MEDICAL GROUP PLLC |
| Practice Address |
6036 N 19th Ave Suite 502 Phoenix AZ 85015-2106 |
| Practice Telephone | 6237380193 |
| Practice Fax Number | 6237450801 |
| Mailing Telephone | 6237380193 |
| Mailing Fax Number | 6237450801 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | SAM ALNAJJAR (PRESIDENT) |
| Authorized Official Telephone | 2487671975 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
6036 N 19TH AVE SUITE 502 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754741 | James F Wessman | Internal Medicine | 6036 N 19th Ave, Suite 402, Phoenix, AZ 85015-2106 | 2005-07-19 |
| 1821591108 | Araceli Labastida | Nurse Practitioner | 6036 N 19th Ave, Phoenix, AZ 85015-2106 | 2018-03-13 |
| 1740734532 | Ricardo Plascencia | Physical Therapy Assistant | 6036 N 19th Ave, Ste 303, Phoenix, AZ 85015-2106 | 2016-08-09 |
| 1639528680 | Bethany Roessler | Physical Therapist | 6036 N 19th Ave, Ste 303, Phoenix, AZ 85015-2106 | 2016-06-10 |
| 1407200454 | Precision Foot and Ankle Services | Orthopaedic Surgery | 6036 N 19th Ave, Suite 204, Phoenix, AZ 85015-2106 | 2016-04-15 |
| 1265898589 | Nida Namathep | Physical Therapy Assistant | 6036 N 19th Ave, Phoenix, AZ 85015-2106 | 2016-01-04 |
| 1851760912 | Oasis Foot and Ankle Center LLC | Podiatrist | 6036 N 19th Ave, Phoenix, AZ 85015-2106 | 2015-09-18 |
| 1760859912 | Cameron G Boldi | Physical Therapist | 6036 N 19th Ave, Suite 303, Phoenix, AZ 85015-2106 | 2015-08-24 |
| 1912323668 | Oasis Foot & Ankle LLC | Podiatrist | 6036 N 19th Ave, Suite 204, Phoenix, AZ 85015-2106 | 2014-03-05 |
| 1558799676 | Sean Maroney | Physical Therapist | 6036 N 19th Ave, Suite 303, Phoenix, AZ 85015-2106 | 2013-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1164031365 | Healthworks Med Group of Arizona P C | Clinic/Center | 2727 N Central Ave, Phoenix, AZ 85004-1120 | 2020-07-24 |
| 1093339202 | Right Path Treatment Center LLC | Clinic/Center | 8222 S 48th St Unit 180, Phoenix, AZ 85044-5364 | 2020-06-03 |
| 1871148254 | Bescare Home LLC | Clinic/Center | 5320 S 34th Dr, Phoenix, AZ 85041-7415 | 2019-08-02 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1043790801 | United Rcm LLC | Clinic/Center | 1202 E Alta Vista Rd, Phoenix, AZ 85042-4432 | 2018-08-20 |
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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.