ARIZONA INSTITUTE FOR GENETICS AND FETAL MEDICINE, A PROFESSIONAL CORP (NPI# 1609845619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609845619 |
Entity Type | Organization |
Organization Name | ARIZONA INSTITUTE FOR GENETICS AND FETAL MEDICINE, A PROFESSIONAL CORP |
Practice Address |
6301 S Mcclintock Dr Suite 115 Tempe AZ 85283-3392 |
Practice Telephone | 4808970234 |
Practice Fax Number | 4808970647 |
Mailing Telephone | 4808970234 |
Mailing Fax Number | 4808970647 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GARY F SIMPSON (MEDICAL DIRECTOR) |
Authorized Official Telephone | 4808970234 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians |
Street Address |
6301 S MCCLINTOCK DR SUITE 115 |
City | TEMPE |
State | AZ |
Zip Code | 85283-3392 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114922119 | Tiersa Hw Damore | Obstetrics & Gynecology | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2005-06-16 |
1811346968 | Anthony John Canestraro | Obstetrics & Gynecology | 6301 S Mcclintock Dr, Tempe, AZ 85283-3392 | 2016-06-09 |
1871856773 | Mariah Lynn Scott | Pediatrics | 6301 S Mcclintock Dr, #101, Tempe, AZ 85283-3392 | 2012-06-17 |
1437473717 | Patricia Berta Janicek | Nurse Practitioner | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2010-03-16 |
1053633537 | Meghan M Delaney | Nurse Practitioner | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2010-02-24 |
1437350790 | Contemporary Care for Women | Specialist | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2007-05-31 |
1306945118 | Leslie Sezate | Nurse Practitioner | 6301 S Mcclintock Dr, #101, Tempe, AZ 85283-3392 | 2006-09-21 |
1790884559 | Kristin Ann Mccleland | Pediatrics | 6301 S Mcclintock Dr, #101, Tempe, AZ 85283-3392 | 2006-09-21 |
1033218755 | Jennifer Gibler | Physician Assistant | 6301 S Mcclintock Dr, #101, Tempe, AZ 85283-3392 | 2006-09-21 |
1770682353 | Mesa Pediatrics Professional Association | Pediatrics | 6301 S Mcclintock Dr, #101, Tempe, AZ 85283-3392 | 2006-09-21 |
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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 |
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Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235108002 | Gary F Simpson | Medical Genetics | 6301 S Mcclintock Dr, Suite 115, Tempe, AZ 85283-3392 | 2006-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164839429 | Christine Hope Umandap | Medical Genetics | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2014-07-18 |
1932471323 | John C. Lincoln Genetics Cancer Risk | Medical Genetics | 19646 N 27th Ave, Ste. 201, Phoenix, AZ 85027-4017 | 2012-02-01 |
1073791992 | Jacqueline Siegel-bartelt | Medical Genetics | 124 W Thomas Rd, Phoenix, AZ 85013-4405 | 2008-02-01 |
1306023593 | Kristin E Lindstrom | Medical Genetics | 1920 E Cambridge Ave Ste 304, Phoenix, AZ 85006-1464 | 2008-01-30 |
1659459444 | John C. Baker | Medical Genetics | 1920 E Cambridge Ave Ste 304, Phoenix, AZ 85006 | 2006-11-01 |
1518077908 | Harold Eugene Hoyme | Medical Genetics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-08-30 |
1548293822 | Derek E Neilson | Medical Genetics | 1920 E Cambridge Ave Ste 304, Phoenix, AZ 85006 | 2006-07-09 |
1396775482 | Margaret A Pearson | Medical Genetics | 10900 N Scottsdale Rd, 206, Scottsdale, AZ 85254-5216 | 2006-07-04 |
1346202991 | Theresa A Grebe | Medical Genetics | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2006-04-06 |
1891767307 | Kyrieckos A Aleck | Medical Genetics | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2006-02-07 |
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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.