MARICOPA FAMILY HEALTH CENTER LLC (NPI# 1659326163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659326163 |
| Entity Type | Organization |
| Organization Name | MARICOPA FAMILY HEALTH CENTER LLC |
| Practice Address |
44400 W. Honeycutt Rd. B-101 Maricopa AZ 85239 |
| Mailing Address |
1656 E Nighthawk Way Phoenix AZ 85048-9418 |
| Practice Telephone | 5204947670 |
| Practice Fax Number | 5208364429 |
| Mailing Telephone | 5202511293 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VEERESH MOODABAGIL (PRESIDENT) |
| Authorized Official Telephone | 5204947670 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
44400 W. HONEYCUTT RD. B-101 |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639393176 | Scott Thomas Sutton | Dentist | 20046 N John Wayne Pkwy, Suite #105, Maricopa, AZ 85239 | 2007-04-13 |
| 1205059003 | Nicole Myhre | Social Worker | 35906 W Merced Street, Maricopa, AZ 85239 | 2007-04-10 |
| 1043331275 | Maricopa Unified School District | Local Education Agency (LEA) | 45012 W Honeycutt Ave, Maricopa, AZ 85239 | 2007-04-03 |
| 1033273966 | Troy Young | Respite Care | 43241 W. Estrada Street, Maricopa, AZ 85239 | 2006-12-22 |
| 1275693897 | Lee Ann Bieber | Respite Care | 44571 W Granite Dr, Maricopa, AZ 85239 | 2006-12-12 |
| 1659478550 | Trevor W Lines | Dentist | 21300 N John Wayne Pkwy #108, Maricopa, AZ 85239 | 2006-09-20 |
| 1841226271 | Az. Spine & Acupuncture Center LLC | Chiropractor | 19428 N. Maricopa Rd., Suite C1, Maricopa, AZ 85239 | 2006-06-25 |
| 1124070917 | Russell Adam Webb | Chiropractor | 19428 N Maricopa Rd, Suite C1, Maricopa, AZ 85239 | 2006-05-17 |
| 1003868506 | Pinnacle Maricopa, LLC | Physical Therapist | 21300 N. John Wayne Parkway, #107, Maricopa, AZ 85239 | 2006-05-16 |
| 1154322907 | Kyle J Stoeckmann | Internal Medicine | 21300 N John Wayne Parkway, Ste 123, Maricopa, AZ 85239 | 2005-08-02 |
| Find all providers in zip 85239 | ||||
| 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 |
|---|---|---|---|---|
| 1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
| 1760644710 | Patricia Lowe Sepulveda | Family Medicine | 20750 N John Wayne Pkwy, Maricopa, AZ 85139-5882 | 2008-07-01 |
| 1548472475 | Sun Life Family Health Center, Inc. | Family Medicine | 44572 West Bowlin Road, Maricopa, AZ 85139 | 2007-05-04 |
| 1336125731 | Andrew D Schatzki | Family Medicine | 21300 N John Wayne Pkwy, Ste 123, Maricopa, AZ 85239-8979 | 2005-12-16 |
| 1093710261 | Barbara Elaine Tilben | Family Medicine | 21300 N John Wayne Pkwy Ste 115, Maricopa, AZ 85139-8978 | 2005-06-15 |
| 1619589652 | Arielle Loeper | Family Medicine | 17900 N Porter Rd, Maricopa, AZ 85138-4228 | 2020-08-20 |
| 1043658271 | Samina Ayub | Family Medicine | 21300 N John Wayne Pkwy Ste 115, Maricopa, AZ 85139-8978 | 2013-06-10 |
| 1811247026 | Swagata Chakraborty | Family Medicine | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2012-09-14 |
| 1588604219 | Agave Family Physicians Pllc | Family Medicine | 21300 N John Wayne Parkway, Ste 123, Maricopa, AZ 85239 | 2006-06-08 |
| 1639155070 | Steven C Macko | Family Medicine | 21300 N John Wayne Pkwy, Ste 123, Maricopa, AZ 85239-8979 | 2005-12-19 |
| Find all providers in MARICOPA | ||||
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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.