COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC (NPI# 1629535091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629535091 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC |
| Practice Address |
10555 N Tatum Blvd Ste A101 Paradise Valley AZ 85253-1096 |
| Mailing Address |
4001 E Baseline Rd Ste 107 Gilbert AZ 85234-2744 |
| Practice Telephone | 4803747354 |
| Practice Fax Number | 4803711121 |
| Mailing Telephone | 4803747354 |
| Mailing Fax Number | 4803711121 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | JOEL R. RAINWATER (PRESIDENT) |
| Authorized Official Telephone | 4803747354 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Comprehensive Interventional Care Centers, PLLC - Paradise Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282400 | Comprehensive Interventional Care Centers, Pllc | Radiology | 6958 Sw Varns St, Portland, OR 97223-0000 | 2019-02-22 |
| 1568965697 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-03-15 |
| 1346707767 | Comprehensive Interventional Care Centers, Pllc | Podiatrist | 14642 N Del Webb Blvd Ste 200, Sun City, AZ 85351-2102 | 2019-02-21 |
| 1235616152 | Comprehensive Interventional Care Centers, Pllc | Radiology | 2301 N 4th St, Flagstaff, AZ 86004 | 2018-07-24 |
| 1881197523 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 | 2018-03-08 |
| 1568803047 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 | 2013-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC | 6958 Sw Varns St, Portland, OR 97223 |
| Street Address |
10555 N TATUM BLVD STE A101 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip Code | 85253-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952398869 | Barbara A Campbell | Podiatrist | 10575 N Tatum Blvd, Ste C123, Paradise Valley, AZ 85253-1070 | 2005-10-05 |
| 1245232883 | Lester Robert Klebe | Podiatrist | 10555 N Tatum Blvd, A101, Paradise Valley, AZ 85253-1096 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456447 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 110, Surprise, AZ 85374-3236 | 2020-08-04 |
| 1144838368 | Stocks Podiatry LLC | Podiatrist | 3229 E Malapai Dr, Phoenix, AZ 85028-4954 | 2020-07-14 |
| 1619592896 | Dr Kimble Foot Specialist, P.l.l.c. | Podiatrist | 522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 | 2020-06-12 |
| 1760006290 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 600 S Dobson Rd Ste E40, Chandler, AZ 85224-5693 | 2020-06-01 |
| 1144840273 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 2680 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1674 | 2020-04-18 |
| 1518420777 | Gfservices, Pllc | Podiatrist | 5352 E Estevan Rd, Phoenix, AZ 85054-7211 | 2019-04-12 |
| 1811463946 | Jeffrey E. Mcalister, Pllc | Podiatrist | 7301 E 2nd St Ste 206, Scottsdale, AZ 85251-5610 | 2018-10-16 |
| 1457835829 | Prompt Foot and Ankle Pllc | Podiatrist | 9046 N 28th St, Phoenix, AZ 85028-4703 | 2018-09-20 |
| 1770941353 | Rachel A. Janowicz, Dpm, Pllc | Podiatrist | 11539 N 128th Pl, Scottsdale, AZ 85259-3530 | 2016-02-10 |
| 1497179006 | R & T Foot & Ankle | Podiatrist | 13065 W. Mcdowell Rd., Suite C101, Avondale, AZ 85392 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
Please comment or provide details below to improve the information on COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC.
| 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.