LOREN L FAABORG (NPI# 1659378479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659378479 |
| Entity Type | Individual |
| Full Name | LOREN L FAABORG |
| Credential | MD |
| Practice Address |
14044 W Camelback Rd Suite 118 Litchfield Park AZ 85340-9428 |
| Mailing Address |
13050 N 103rd Ave Sun City AZ 85351-3011 |
| Practice Telephone | 6235472600 |
| Practice Fax Number | 6235471899 |
| Mailing Telephone | 6235472600 |
| Mailing Fax Number | 6235471899 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
33356 | AZ | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
13067 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 103447200 | 05 | |
| NE | BCBS | 04010 | 01 |
| Street Address |
14044 W CAMELBACK RD SUITE 118 |
| City | LITCHFIELD PARK |
| State | AZ |
| Zip Code | 85340-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205360559 | Acute Services Providerllc | Exclusive Provider Organization | 14044 W Camelback Rd, 118, Litchfield Park, AZ 85340-9428 | 2017-04-13 |
| 1144683061 | Litchfield Dental Care | Dentist | 14044 W Camelback Rd, Suite 106, Litchfield Park, AZ 85340-9428 | 2016-03-29 |
| 1538564778 | Patricia Jean Jalomo | Nurse Practitioner | 14044 W Camelback Rd, Ste 118, Litchfield Park, AZ 85340-9481 | 2014-10-30 |
| 1932528510 | Danielle Broadfoot | Nurse Practitioner | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2014-04-10 |
| 1851722342 | Jamie Tumbleson | Nurse Practitioner | 14044 W Camelback Rd, Suite 118 and 216, Litchfield Park, AZ 85340-9428 | 2013-12-09 |
| 1811237548 | Beth Ann Graupe | Clinical Nurse Specialist | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2013-02-16 |
| 1750642245 | Kay Stastny | Physical Therapy Assistant | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2012-05-31 |
| 1447545389 | Arizona Center for Hematology and Oncology, Plc | Urology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2011-06-17 |
| 1417265117 | Boston Interventional Pain Center, Pllc | Specialist | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2010-09-16 |
| 1790092203 | Boston Interventional Pain Group, Pllc | Specialist | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104393826 | Nelson J. Mar Dds PC | Dentist | 5220 N. Dysart Rd #144, Litchfield Park, AZ 85340 | 2018-10-31 |
| 1841771920 | Harmony Health and Wellness Foundation | Clinic/Center | 5220 N Dysart Rd Building C, Litchfield Park, AZ 85340 | 2018-08-27 |
| 1346726676 | Vista Counseling and Consulting | Community/Behavioral Health | 501 East Plaza Circle, Suite 3, Litchfield Park, AZ 85340 | 2018-07-19 |
| 1982194148 | Melinda Michelle Melvin | Registered Nurse | 255 E Wigwam Blvd., Litchfield Park, AZ 85340 | 2018-05-14 |
| 1952803652 | Comfort Care Providers, LLC. | Physiological Laboratory | 555 E Plaza Cir Dr Ste C, Litchfield Park, AZ 85340 | 2018-03-08 |
| 1992204614 | Angelo J Maisano | Occupational Therapy Assistant | 4870 N Litchfield Road Suite #101, Litchfield Park, AZ 85340 | 2018-02-08 |
| 1114438645 | Lori Ann Compiani | Licensed Practical Nurse | 272 E. Sagebrush St., Litchfield Park, AZ 85340 | 2017-10-24 |
| 1265972947 | Christina Martinez | Specialist/Technologist | 4870 North Litchfield Rd #101, Litchfield Park, AZ 85340 | 2017-03-01 |
| 1457802019 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 13840 W. Camelback Rd, Suite 10, Litchfield Park, AZ 85340 | 2016-10-19 |
| 1336698034 | Judy Tooley | Licensed Practical Nurse | 255 E Wigwam Blvd, Litchfield Park, AZ 85340 | 2016-09-23 |
| Find all providers in zip 85340 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720618374 | Denise Lynn Gallus | Obstetrics & Gynecology | 1000 Willow Creek Rd Ste E, Prescott, AZ 86301-1645 | 2020-01-23 |
| 1417471954 | Samuel R Blakesley | Obstetrics & Gynecology | 6522 E Carondelet Dr Ste A, Tucson, AZ 85710-2197 | 2017-07-26 |
| 1326493768 | Desert Princess Medical Grp | Obstetrics & Gynecology | 9377 E Bell Rd Ste 131, Scottsdale, AZ 85260-1503 | 2016-05-03 |
| 1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
| 1568889939 | Anthea Dixon Md Ltd | Obstetrics & Gynecology | 5190 E Farness Dr Ste 106, Tucson, AZ 85712-2142 | 2014-03-24 |
| 1205174729 | Scott Alan Rovner | Obstetrics & Gynecology | 7619 E Medlock Dr, Scottsdale, AZ 85250-7720 | 2013-01-17 |
| 1336486679 | Raul A Osorio Md PC | Obstetrics & Gynecology | 6242 E Arbor Ave Ste 118, Mesa, AZ 85206-1309 | 2013-01-07 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1750556338 | Judith C Scott | Obstetrics & Gynecology | 215 S Power Rd Ste 218, Mesa, AZ 85206-5238 | 2008-04-24 |
| 1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
| Find all providers with the same taxonomy | ||||
| City | LITCHFIELD PARK |
| Zip Code | 85340 |
Please comment or provide details below to improve the information on LOREN L FAABORG.
| 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.