PHOENIX VAMC


Address: 13985 W Grand Ave, Suite 101, Surprise, AZ 85374-3625
Phone: 7023413152

PHOENIX VAMC (NPI# 1598704512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598704512
Entity Type Organization
Organization Name PHOENIX VAMC
Other Organization Name SUN CITY VA CBOC
Practice Address 13985 W Grand Ave
Suite 101
Surprise
AZ 85374-3625
Mailing Address Po Box 94413
Cleveland
OH 44101-4413
Practice Telephone 7023413152
Mailing Telephone 7023413152
Enumeration Date 2006-06-05
Last Update Date 2017-11-01
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sun City VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619352077 Phoenix Vamc Clinic/Center 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 2015-07-28
1265785364 Phoenix Vamc Clinic/Center 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 2012-10-26
1033345624 Phoenix Vamc Clinic/Center 9424 N 25th Ave, Phoenix, AZ 85021-2714 2009-06-09
1437197902 Phoenix Vamc Clinic/Center 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 2006-06-04
1215974696 Phoenix Vamc Clinic/Center 903 E Highway 260, Suite 2, Payson, AZ 85531-4972 2006-06-02
1205874351 Phoenix Vamc Clinic/Center 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 2006-06-02
1629582184 Phoenix Vamc Clinic/Center 650 E Indian School Rd, Phoenix, AZ 85012-1839 2017-11-20
1174065791 Phoenix Vamc Clinic/Center 5040 N 15th Ave, Phoenix, AZ 85015-3328 2016-11-14
1104286418 Phoenix Vamc Psychiatric Residential Treatment Facility 650 E Indian School Rd, Phoenix, AZ 85012-1839 2016-02-29
1053586545 Phoenix Vamc Clinic/Center 5860 S Hospital Dr, Suite 111, Globe, AZ 85501-9449 2008-04-25

Office Location

Street Address 13985 W GRAND AVE
SUITE 101
City SURPRISE
State AZ
Zip Code 85374-3625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548236805 David A Downs Jr. Psychiatry & Neurology 13985 W Grand Ave, Northwest Va Health Care Clinic, Surprise, AZ 85374-3625 2006-02-27
1073863700 Kristine Hunt Audiologist 13985 W Grand Ave, #101, Surprise, AZ 85374-3625 2012-09-10
1477884096 Kristen Michelle Carr Audiologist 13985 W Grand Ave, Ste. 101, Surprise, AZ 85374-3625 2010-01-21
1275762726 Sherry Lynn Whitener Social Worker 13985 W Grand Ave, Surprise, AZ 85374-3625 2009-07-06
1356503510 Superna Kundra Psychiatry & Neurology 13985 W Grand Ave, Suite 101, Surprise, AZ 85374-3625 2008-06-30
1821280892 Richard Michael Palmer Family Medicine 13985 W Grand Ave, Surprise, AZ 85374-3625 2007-08-14
1164630745 Sherrie Lee Somershoe Psychologist 13985 W Grand Ave, Surprise, AZ 85374-3625 2007-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225648801 Jennilyn Joy Puhawan Cave Emergency Medicine 14440 W Tierra Buena Ln, Surprise, AZ 85374 2020-08-07
1912538497 Dental Depot of Surprise, Pllc Clinic/Center 13828 W. Greenway Rd., Surprise, AZ 85374 2020-02-03
1447898622 Vhs of Arrowhead, Inc. General Acute Care Hospital 16815 W. Bell Rd, Surprise, AZ 85374 2019-12-18
1073155834 Regency Ambulatory Surgery Center One, LLC Clinic/Center 14753 W Mountain View Blvd, Surprise, AZ 85374 2019-10-14
1164064929 Advanced Ambulatory Surgery Center One, LLC Clinic/Center 14753 W. Mountain View Blvd., Surprise, AZ 85374 2019-10-14
1275005308 Filsan Ali Nurse Practitioner 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 2018-12-31
1427528686 Anna L Bell Nurse Practitioner 14811 W Bell Rd Ste 100, Surprise, AZ 85374 2018-11-30
1649755893 Surprise Behavioral Hospital Lp Psychiatric Hospital 16561 North Parkview Place, Surprise, AZ 85374 2018-10-03
1336621259 Chaparral Winds LLC Assisted Living Facility 16623 N West Point Parkway, Surprise, AZ 85374 2018-09-06
1104310648 Austin Daniel Lau Dentist 17018 W Bell Rd, Surprise, AZ 85374 2018-06-19
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013457704 Tucson Vamc Clinic/Center 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 2017-03-01
1104366897 Tucson Vamc Clinic/Center 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 2017-03-01
1619352077 Phoenix Vamc Clinic/Center 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 2015-07-28
1558759837 Prescott Vamc Clinic/Center 33 West Vista Drive, Holbrook, AZ 86025-1844 2015-01-08
1356739650 Prescott Vamc Clinic/Center 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 2015-01-08
1265785364 Phoenix Vamc Clinic/Center 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 2012-10-26
1033345624 Phoenix Vamc Clinic/Center 9424 N 25th Ave, Phoenix, AZ 85021-2714 2009-06-09
1811176530 Cthvamc Clinic/Center 239 W Utopia Rd, Phoenix, AZ 85027-4738 2007-10-30
1952345076 Prescott Vamc Clinic/Center 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 2006-06-16
1235173931 Tucson Vamc Clinic/Center 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 2006-06-15
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Competitor

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City SURPRISE
Zip Code 85374

Improve Information

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Dataset Information

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.

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