MCCLINTOCK MEDICAL GROUP, LLC (NPI# 1598238651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598238651 |
| Entity Type | Organization |
| Organization Name | MCCLINTOCK MEDICAL GROUP, LLC |
| Practice Address |
1855 E Guadalupe Rd Ste 112 Tempe AZ 85283-3269 |
| Mailing Address |
2250 E Germann Rd Ste 8 Chandler AZ 85286-1575 |
| Practice Telephone | 4808398552 |
| Practice Fax Number | 4809262260 |
| Mailing Telephone | 4809267800 |
| Mailing Fax Number | 4809262260 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | MINOO RAHIMI (MANAGER) |
| Authorized Official Telephone | 4809267800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1855 E GUADALUPE RD STE 112 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450489 | Jordan Tennant | Chiropractor | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2015-10-21 |
| 1114490273 | Anoriza Medical Group, LLC | Chiropractor | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2019-01-10 |
| 1629547104 | Guadalupe Medical Group LLC | Chiropractor | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2018-11-14 |
| 1437666245 | Christopher R Walker | Chiropractor | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2018-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295278000 | Aim Healthcare Providers, LLC | General Practice | 5025 S Ash Ave Ste 6, Tempe, AZ 85282-6885 | 2016-11-28 |
| 1376816280 | David Lavon Payne | General Practice | 6459 S River Dr, Tempe, AZ 85283-3337 | 2012-02-23 |
| 1104101039 | Bruce Dennis Love | General Practice | 331 East Garfield, Tempe, AZ 85281-1014 | 2011-10-11 |
| 1336244409 | Roddy Arnold Gardner | General Practice | 910 S Priest Dr, Tempe, AZ 85281-5233 | 2006-09-14 |
| 1508405077 | My Home Doc LLC | General Practice | 600 E Baseline Rd, Tempe, AZ 85283-1247 | 2020-01-02 |
| 1063066496 | Estrella Marina Sandoval-becker | General Practice | 2525 S Rural Rd Ste 4n, Tempe, AZ 85282-2442 | 2019-07-24 |
| 1497283642 | Enhanced Medical Centers Inc | General Practice | 3200 S Rural Rd Ste 3, Tempe, AZ 85282-3870 | 2017-06-01 |
| 1487199592 | Arizona Medical and Sports Rehab LLC | General Practice | 1840 E Warner Rd, Suite 120, Tempe, AZ 85284-3437 | 2016-12-28 |
| 1437501400 | Advanced Clinical Services, LLC | General Practice | 40 W Baseline Rd, Suite #105, Tempe, AZ 85283-1258 | 2016-07-01 |
| 1124369368 | Generations House Call Providers | General Practice | 2111 E Baseline Rd, Suite B5, Tempe, AZ 85283-1516 | 2013-03-13 |
| Find all providers in TEMPE | ||||
Please comment or provide details below to improve the information on MCCLINTOCK MEDICAL GROUP, LLC.
| 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.