LARISSA MARIE MEYER (NPI# 1659311827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659311827 |
| Entity Type | Individual |
| Full Name | LARISSA MARIE MEYER |
| Credential | MD |
| Practice Address |
7205 South Power Road Suite 101 Queen Creek AZ 85242 |
| Mailing Address |
2302 E Cholla St Phoenix AZ 85028-1709 |
| Practice Telephone | 4807286000 |
| Practice Fax Number | 4807286900 |
| Mailing Telephone | 6023765568 |
| Mailing Fax Number | 4807286900 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29644 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 635500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183723 | Larissa Rose Meyer | Behavior Technician | 14000 Northdale Blvd Ste A, Rogers, MN 55374-4663 | 2020-01-14 |
| 1255571568 | Larissa A Meyer | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2009-02-26 |
| Street Address |
7205 SOUTH POWER ROAD SUITE 101 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303388 | Makenna Montgomery | Family Medicine | 3303 E Baseline Rd., Ste 113, Queen Creek, AZ 85142-7444 | 2020-03-30 |
| 1841824695 | Samantha Jenae Reynolds | Family Medicine | 5486 W Encanto Paseo, Queen Creek, AZ 85142-3260 | 2020-03-01 |
| 1598266710 | Integrated Medical Management, LLC | Family Medicine | 20713 E Ocotillo Rd Ste 100, Queen Creek, AZ 85142-6117 | 2018-02-22 |
| 1447794979 | Premier Healthcare Dme Supply LLC | Family Medicine | 20851 E Rittenhouse Rd Ste E103, Queen Creek, AZ 85142-4493 | 2016-12-19 |
| 1245686872 | Sahan Joseph Emmanuel | Family Medicine | 20928 E Heritage Loop Rd Ste 106, Queen Creek, AZ 85142-3900 | 2016-05-12 |
| 1568514404 | Chatur J Babaria | Family Medicine | 22707 S Ellsworth Rd, Ste H-103, Queen Creek, AZ 85142-6131 | 2007-01-18 |
| 1619935442 | Robert Charles Bowman | Family Medicine | 7205 S Power Rd, Queen Creek, AZ 85142-7456 | 2006-05-02 |
| 1154325843 | Judd A Shafer | Family Medicine | 7205 S Power Rd Ste 100, Queen Creek, AZ 85142-7456 | 2005-06-09 |
| 1285910133 | Flint C Hales | Family Medicine | 20713 E Ocotillo Rd, Ste #100, Queen Creek, AZ 85142-6117 | 2011-10-24 |
| 1942524673 | Michael Vergason | Family Medicine | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2010-03-24 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
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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.