VITAL4MEN LLC (NPI# 1639443757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639443757 |
| Entity Type | Organization |
| Organization Name | VITAL4MEN LLC |
| Practice Address |
7707 W Deer Valley Rd 115 Peoria AZ 85382-2101 |
| Practice Telephone | 6232181515 |
| Mailing Telephone | 6232181515 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | TODD DISHON (MANAGING PARTNER) |
| Authorized Official Telephone | 6232181515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
7707 W DEER VALLEY RD 115 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398119 | Clinton Borman | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2005-07-01 |
| 1063966554 | Ethan Anderson | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2016-08-12 |
| 1235509001 | Adam David Herrick | Physician Assistant | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382-2101 | 2015-10-05 |
| 1184041956 | Scott Sassaman | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2014-03-18 |
| 1477999449 | Logan M Moore | Physical Therapist | 7707 W Deer Valley Rd, Ste: 100, Peoria, AZ 85382-2101 | 2013-05-17 |
| 1194081034 | Nickolas B Griffith | Physical Therapist | 7707 W Deer Valley Rd, Ste: 105, Peoria, AZ 85382-2101 | 2012-04-04 |
| 1972837003 | Monica Greenwald Dohrman | Nurse Practitioner | 7707 W Deer Valley Rd, Peoria, AZ 85382-2101 | 2009-09-22 |
| 1982834065 | Matthew Dohrman | Physician Assistant | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382 | 2009-07-22 |
| 1669527024 | Jamie R Miller | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2007-01-24 |
| 1699832808 | Janelle Marie Howard | Physical Therapy Assistant | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1912367582 | Perfectbalance Md Sc | General Practice | 7720 N Grand Prairie Dr, Peoria, IL 61615-9242 | 2016-02-25 |
| 1285012666 | Joshua James Johnson | General Practice | 9401 W Thunderbird Rd Ste 155, Peoria, AZ 85381-4238 | 2015-05-18 |
| 1295131712 | Integra Home Doctors, Inc. | General Practice | 16165 N 83rd Ave, Suite 200, Peoria, AZ 85382-5816 | 2014-11-11 |
| 1922449172 | Chinenye Chioma Anako | General Practice | 611 W Glen Ave Apt B, Peoria, IL 61614-4874 | 2013-07-16 |
| 1366049025 | Cactus Pain Relief, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2020-10-06 |
| 1477199701 | Cactus Pain Solutions, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2019-11-21 |
| 1710487905 | Cactus Medical Center LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2018-02-14 |
| 1861836991 | David Kindred Integerated Medicine PC | General Practice | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-04-19 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on VITAL4MEN LLC.
| 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.