DR. WILL INNOCENT (NPI# 1659471555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659471555 |
| Entity Type | Individual |
| Full Name | DR. WILL INNOCENT |
| Credential | M.D |
| Practice Address |
515 W Buckeye Rd Suite 303 Phoenix AZ 85003-2647 |
| Mailing Address |
Po Box 10176 Glendale AZ 85318-0176 |
| Practice Telephone | 6023745353 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32113 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME92937 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 849713 | 05 |
| Street Address |
515 W BUCKEYE RD SUITE 303 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314191 | Warren Harvey Heller | Specialist | 515 W Buckeye Rd, Suite 104, Phoenix, AZ 85003-3699 | 2005-11-23 |
| 1891150868 | Schlotterer Gynecology LLC | Obstetrics & Gynecology | 515 W Buckeye Rd, Suite # 402, Phoenix, AZ 85003-2647 | 2015-12-17 |
| 1881954642 | Arizona Center for Clinical Trials LLC | Clinic/Center | 515 W Buckeye Rd, Suite 206, Phoenix, AZ 85003-2647 | 2012-05-25 |
| 1912275538 | Patterson Gastroenterology Pllc | Clinic/Center | 515 W Buckeye Rd, Suite 105, Phoenix, AZ 85003-2647 | 2011-12-09 |
| 1063667095 | Armadillo Pediatrics Plc | Pediatrics | 515 W Buckeye Rd, Ste 402, Phoenix, AZ 85003-2647 | 2008-11-18 |
| 1073700852 | Marcus L Paulus | Dentist | 515 W Buckeye Rd, # 405, Phoenix, AZ 85003-2647 | 2007-09-26 |
| 1962600171 | Clinica Familiar Bella Vista | Family Medicine | 515 W Buckeye Rd, Ste 303, Phoenix, AZ 85003-2647 | 2007-07-10 |
| 1306966684 | Joanne R Padilla | Physician Assistant | 515 W Buckeye Rd, Suite 402, Phoenix, AZ 85003-2647 | 2007-03-30 |
| 1720107659 | P S Medical Group | Physician Assistant | 515 W Buckeye Rd, Suite 402, Phoenix, AZ 85003-2647 | 2007-03-29 |
| 1912039942 | Leslie Diane Bajuscak | Audiologist | 515 W Buckeye Rd, Suite 106, Phoenix, AZ 85003-2647 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| 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 |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. WILL INNOCENT.
| 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.