ROSE MARIE MINTZ (NPI# 1639560816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639560816 |
| Entity Type | Individual |
| Full Name | ROSE MARIE MINTZ |
| Credential | PA-C |
| Practice Address |
18301 N 79th Ave Suite G190 Glendale AZ 85308-8463 |
| Mailing Address |
8322 E Hartford Dr Ste 100 Scottsdale AZ 85255-6568 |
| Practice Telephone | 6239770700 |
| Practice Fax Number | 8772218094 |
| Mailing Telephone | 4807124600 |
| Mailing Fax Number | 6024287045 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18301 N 79TH AVE SUITE G190 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676165 | Gerald Barnes Harris II | Internal Medicine | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2005-08-15 |
| 1689199671 | Austin Blalock | Physical Therapist | 18301 N 79th Ave, Glendale, AZ 85308-8463 | 2017-08-10 |
| 1275074700 | Passport Health Holdings, LLC | Preventive Medicine | 18301 N 79th Ave, Ste D148, Glendale, AZ 85308-8479 | 2017-03-16 |
| 1720469182 | Preferred Physical Therapy, LLC | Physical Therapist | 18301 N 79th Ave, Ste B122, Glendale, AZ 85308-8463 | 2015-06-11 |
| 1932535952 | Lee Ann Brady, LLC | Health Educator | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2013-09-23 |
| 1487093746 | Kyle Cornelius Gillespie | Podiatrist | 18301 N 79th Ave, Bldg F #168, Glendale, AZ 85308-8463 | 2013-06-20 |
| 1417223611 | Desert Sun Smiles, LLC | Dentist | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2012-04-02 |
| 1518242254 | Cheryl Dewood | Dentist | 18301 N 79th Ave, Suite F 164, Glendale, AZ 85308-8463 | 2011-10-13 |
| 1538454970 | Northwest Counseling and Associates LLC | Specialist | 18301 N 79th Ave, Ste. F170, Glendale, AZ 85308-8463 | 2011-06-14 |
| 1114228160 | Northwest Counseling & Associates | Specialist | 18301 N 79th Ave, Ste F170, Glendale, AZ 85308-8463 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
| 1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
| 1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| 1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
| 1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
| 1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on ROSE MARIE MINTZ.
| 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.