DR. CLAUDE CARL FOSDICK III (NPI# 1568408516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568408516 |
| Entity Type | Individual |
| Full Name | DR. CLAUDE CARL FOSDICK III |
| Credential | M.D. |
| Practice Address |
301 E Cottonwood Lane Casa Grande AZ 85222 |
| Mailing Address |
301 E Cottonwood Ln Ste 2 Casa Grande AZ 85122-2551 |
| Practice Telephone | 5204261400 |
| Practice Fax Number | 5204261268 |
| Mailing Telephone | 5204261400 |
| Mailing Fax Number | 5204261252 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 13210 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA STATE LICENSE | 13210 | 01 |
| AZ | 296055 | 05 | |
| AZ | BLUE CROSS BLUE SHIELD AZ | AZ0391880 | 01 |
| Street Address |
301 E COTTONWOOD LANE |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285025023 | Casa Grande Health Associates Inc | Family Medicine | 3860 N. Pinal Avenue, Suite 3, Casa Grande, AZ 85122 | 2015-02-16 |
| 1346593894 | Analiah Mahinalani Patrice | Family Medicine | 1860 E Salk Dr Ste B1, Casa Grande, AZ 85122-5590 | 2012-10-22 |
| 1295085678 | Casa Grande Family Physicians PC | Family Medicine | 1760 E Florence Blvd Ste 260, Casa Grande, AZ 85122-4769 | 2012-09-13 |
| 1336349851 | Rodolfo Pina | Family Medicine | 301 E Cottonwood Ln Ste 1-2, Casa Grande, AZ 85122-2551 | 2007-07-23 |
| 1275606915 | William (bill) E Smith | Family Medicine | 7555 N Overfield Rd, Casa Grande, AZ 85194-9101 | 2006-11-17 |
| 1710067608 | Franklin Herok Baroi | Family Medicine | 7555 N Overfield Road, Casa Grande, AZ 85194 | 2006-10-16 |
| 1063515518 | Richard T Fleming | Family Medicine | 1683 E Florence Blvd, Suite #7 Nextcare Urgent Care, Casa Grande, AZ 85122-4812 | 2006-09-07 |
| 1134163702 | Joel Braunstein | Family Medicine | 1811 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 | 2006-06-15 |
| 1760485825 | Deborah Hudak | Family Medicine | 1653 E Mcmurray Blvd, Ste 132, Casa Grande, AZ 85122-5934 | 2005-05-23 |
| 1902361223 | Akos Live | Family Medicine | 1637 N Trekell Rd, Casa Grande, AZ 85122-2740 | 2019-01-31 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
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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.