JOSEPH R GOTTESMAN, LLC (NPI# 1588610646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588610646 |
| Entity Type | Organization |
| Organization Name | JOSEPH R GOTTESMAN, LLC |
| Practice Address |
2023 W Guadalupe Rd Ste 11-181 Mesa AZ 85202-7371 |
| Practice Telephone | 6023844170 |
| Practice Fax Number | 6028089778 |
| Mailing Telephone | 6023844170 |
| Mailing Fax Number | 6028089778 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | MR. PHILIP HAMILTON (MANAGER) |
| Authorized Official Telephone | 6023306886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 230334 | 05 |
| Street Address |
2023 W GUADALUPE RD STE 11-181 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-7371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134785967 | Dylan Irish | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 104, Mesa, AZ 85206-3628 | 2019-05-16 |
| 1437437605 | M S C Holding Group LLC | Physical Medicine & Rehabilitation | 1640 S Stapley Dr, Suite 245, Mesa, AZ 85204-6667 | 2011-07-22 |
| 1568643047 | Premier Physician's Group, Pllc | Physical Medicine & Rehabilitation | 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 | 2007-11-26 |
| 1053939066 | Ace Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 104, Mesa, AZ 85206-3628 | 2020-07-07 |
| 1700404712 | Apple Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2020-07-07 |
| 1548804800 | Mesa Regen Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-10-30 |
| 1699122960 | Oasis Pm&r Services, Pllc | Physical Medicine & Rehabilitation | 5652 E Baseline Rd, Mesa, AZ 85206-4713 | 2016-05-17 |
| 1730505017 | Pioneer Sports and Spine Pllc | Physical Medicine & Rehabilitation | 5652 E Baseline Rd, Mesa, AZ 85206-4713 | 2014-03-11 |
| 1740601962 | Calgary Medical LLC | Physical Medicine & Rehabilitation | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2013-12-16 |
| 1851656771 | Michael Givens Jr. | Physical Medicine & Rehabilitation | 4838 E Baseline Rd, Bldg 2, Suite 109, Mesa, AZ 85206-4672 | 2012-07-06 |
| Find all providers in MESA | ||||
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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.