MY DOC LLC (NPI# 1639303464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639303464 |
| Entity Type | Organization |
| Organization Name | MY DOC LLC |
| Practice Address |
5501 N 19th Ave Ste 103 Phoenix AZ 85015-2451 |
| Practice Telephone | 6028417588 |
| Practice Fax Number | 6022495080 |
| Mailing Telephone | 6028417588 |
| Mailing Fax Number | 6022495080 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Authorized Official Name | MR. ALDEMIR T COELHO (DOCTOR) |
| Authorized Official Telephone | 6028417588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
5501 N 19TH AVE STE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116278 | David K Towns | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2006-11-30 |
| 1134691173 | Ryan William Allen-brady | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2018-12-31 |
| 1578080578 | Nadine Shivers | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2017-08-29 |
| 1891178513 | Kathleen Dawn Ivers | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2015-06-30 |
| 1104237478 | Masoud Sultani | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2014-05-08 |
| 1679993794 | Susan Hesketh | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2014-04-17 |
| 1245502657 | Bonita Faye Jones | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2012-01-31 |
| 1063789568 | Mandy Neblett | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2011-11-28 |
| 1144479718 | Sergio Xavier Santos | Counselor | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2008-09-18 |
| 1689858524 | Sun Pain Management Pllc | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| 1164905733 | Heart Rhythm and Vascular LLC | Clinic/Center | 1848 E Thomas Rd Ste 200, Phoenix, AZ 85016-8104 | 2018-09-10 |
| 1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
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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.