CAREATC-PHOENIX (NPI# 1659823235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659823235 |
| Entity Type | Organization |
| Organization Name | CAREATC-PHOENIX |
| Practice Address |
3201 W Peoria Ave D707 Phoenix AZ 85029-4608 |
| Practice Telephone | 6023548311 |
| Mailing Telephone | 6023548311 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | KEITH GUCWA (DIR OF PURCHASING AND FACILITIES) |
| Authorized Official Telephone | 9187797416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3201 W PEORIA AVE D707 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304840 | Thomas J Long | Physical Therapist | 3201 W Peoria Ave, Suite D800, Phoenix, AZ 85029-4608 | 2005-08-26 |
| 1639608599 | Jacqueline Barrera Olvera | Nurse Practitioner | 3201 W Peoria Ave, Phoenix, AZ 85029-4608 | 2017-06-05 |
| 1487108593 | Emily Bowen | Physical Therapist | 3201 W Peoria Ave, Ste B408, Phoenix, AZ 85029 | 2016-08-05 |
| 1386051159 | Danette Moe | Physical Therapist | 3201 W Peoria Ave, Suite B-408, Phoenix, AZ 85029-4608 | 2014-07-14 |
| 1144648940 | Michael Kay | Physical Therapist | 3201 W Peoria Ave, B-408, Phoenix, AZ 85029-4608 | 2014-03-31 |
| 1801210893 | Medstaffpc | Family Medicine | 3201 W Peoria Ave, Ste D707, Phoenix, AZ 85029-4608 | 2014-02-11 |
| 1083042030 | Valley View Dental Pllc | Clinic/Center | 3201 W Peoria Ave, Suite A104, Phoenix, AZ 85029-4608 | 2013-10-29 |
| 1689006678 | Patrick Mills | Physical Therapist | 3201 W Peoria Ave, B408, Phoenix, AZ 85029-4608 | 2013-08-01 |
| 1083046288 | Jason M Klepfisz | Optometrist | 3201 W Peoria Ave, Suite D704, Phoenix, AZ 85029-4608 | 2013-07-30 |
| 1073851481 | Larry D. Stark, D.o., P.C. | Family Medicine | 3201 W Peoria Ave, #a100, Phoenix, AZ 85029-4608 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
| 1952945313 | Arizona Primary Care & Regenerative Medicine LLC | Clinic/Center | 1611 W Silver Pine Dr, Phoenix, AZ 85086-1930 | 2019-10-29 |
| 1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
| 1568937407 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2018-10-08 |
| 1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
| 1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
| 1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
| 1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
| Find all providers in PHOENIX | ||||
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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.