DR. LOUIS EDUARDO VELASCO III (NPI# 1629102363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629102363 |
| Entity Type | Individual |
| Full Name | DR. LOUIS EDUARDO VELASCO III |
| Credential | M.D. |
| Practice Address |
4545 N Hunt Hwy Florence AZ 85132 |
| Mailing Address |
4561 S Bandit Ct Gilbert AZ 85297-9612 |
| Practice Telephone | 4808403702 |
| Mailing Telephone | 4802196474 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 60615 | MN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 33126 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 968779 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 Riverside Ave, Minneapolis, MN 554541450 | 6126726000 |
| Street Address |
4545 N HUNT HWY |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350849 | Rocky Mountain Holdings, LLC | Ambulance | 4545 N Hunt Hwy, Florence, AZ 85132-6937 | 2020-09-11 |
| 1609345685 | Mountain Vista Medical Center, Lp | General Acute Care Hospital | 4545 N Hunt Hwy, Florence, AZ 85132-6937 | 2018-11-19 |
| 1720459233 | Casa Bonita Emergency Physicians, LLC | Emergency Medicine | 4545 N Hunt Hwy, Florence, AZ 85132-6937 | 2015-10-09 |
| 1790101202 | Desert Sun Emergency Physicians LLC | Emergency Medicine | 4545 N Hunt Hwy, Florence, AZ 85132-6937 | 2014-03-07 |
| 1700200482 | Picacho Emergency Physicians LLC | Emergency Medicine | 4545 N Hunt Hwy, Florence, AZ 85132-6937 | 2014-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639692767 | Northwest Alabama Emergency Medicine LLC | Emergency Medicine | 1751 Veterans Dr, Florence, AL 35630-4928 | 2017-07-20 |
| 1851822696 | Jonathan Walrath | Emergency Medicine | 48 Achates Dr, Florence, KY 41042-9753 | 2017-03-23 |
| 1245501972 | Anthem Emergency Medicine Specialists, LLC | Emergency Medicine | 4545 N. Hunt Hwy., Florence, AZ 85132 | 2012-01-26 |
| 1235204827 | Walter Duayne Storm | Emergency Medicine | 971 Jason Lopez Cir, Bldg B, Florence, AZ 85132-2501 | 2006-11-21 |
| 1750304804 | Donald Terry Kendrick | Emergency Medicine | 6298 W Saratoga Way, Florence, AZ 85232-6620 | 2006-07-26 |
| 1437102779 | Melody Sue Hoover | Emergency Medicine | 8460 Us Highway 42, Florence, KY 41042-9642 | 2006-05-18 |
| 1164474441 | Philip Mark Goldman | Emergency Medicine | 7649 Plow Share Ct, Florence, KY 41042-8067 | 2006-05-16 |
| 1396707006 | Richard L. Rogers | Emergency Medicine | 1001 W Sumter St, Florence, SC 29501-2205 | 2006-04-06 |
| 1033180104 | Charles Frederick Albert | Emergency Medicine | 210 Indian Springs Dr, Florence, AL 35634-2056 | 2006-01-27 |
| 1891779807 | Bruce Ellis Burner Sr. | Emergency Medicine | 805 Pamplico Highway, Florence, SC 29505 | 2005-12-02 |
| Find all providers in FLORENCE | ||||
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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.