ARIZONA SPINE AND SPORTS MEDICINE, PLLC (NPI# 1588814842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588814842 |
| Entity Type | Organization |
| Organization Name | ARIZONA SPINE AND SPORTS MEDICINE, PLLC |
| Practice Address |
17606 N 17th Pl Unit 1010 Phoenix AZ 85022-2136 |
| Practice Telephone | 4803908188 |
| Mailing Telephone | 4803908188 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | DR. MICHAEL JOSEPH JAREMBEK (PRESIDENT/CEO) |
| Authorized Official Telephone | 4803908188 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
7379 | AZ | Chiropractic Providers |
| Street Address |
17606 N 17TH PL UNIT 1010 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855647 | Zackery Allen Conklin | Chiropractor | 2929 N 75th Ave Ste 15, Phoenix, AZ 85033-5443 | 2014-01-21 |
| 1205180684 | Natasha Williams | Chiropractor | 8910 N Central Ave, Phoenix, AZ 85020-2819 | 2012-11-06 |
| 1598911604 | Kendra A Wellman | Chiropractor | 4646 E Greenway Rd Ste 104, Phoenix, AZ 85032-4805 | 2008-08-09 |
| 1821298662 | Dean J Micalizio | Chiropractor | 918 W Royal Palm Rd, Phoenix, AZ 85021-5657 | 2007-07-19 |
| 1366473639 | Arlen Earle Scholl | Chiropractor | 3520 E Indian School Rd Ste C, Phoenix, AZ 85018-5156 | 2006-07-05 |
| 1093778060 | Patrick Darin Chiavaroli | Chiropractor | 4646 E Greenway Rd, Suite 104, Phoenix, AZ 85032-4805 | 2006-04-10 |
| 1336119924 | Michael Seifried | Chiropractor | 40 N Central Ave, Suite #775, Phoenix, AZ 85004-4424 | 2006-01-25 |
| 1215917554 | Monte D Hessler | Chiropractor | 230 S 3rd St, Ste B3, Phoenix, AZ 85004 | 2006-01-20 |
| 1669477535 | Jay Douglas Mcfarlane | Chiropractor | 11030 N Tatum Blvd, Ste 102, Phoenix, AZ 85028-6073 | 2005-06-16 |
| 1023462249 | True Sport Usa, LLC | Chiropractor | 4221 E Chandler Blvd, #115, Phoenix, AZ 85048-8874 | 2016-04-14 |
| Find all providers in PHOENIX | ||||
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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.