RICHARD MOGULL (NPI# 1659994127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659994127 |
| Entity Type | Individual |
| Full Name | RICHARD MOGULL |
| Credential | PARAMEDIC |
| Practice Address |
3640 E Louise Dr Phoenix AZ 85050-8312 |
| Practice Telephone | 3038187585 |
| Mailing Telephone | 3038187585 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | P00090800 | AZ | Emergency Medical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Kayenta Health Center, Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 9286974000 |
| Street Address |
3640 E LOUISE DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1780934265 | Joseph Norman Surdynski | Emergency Medical Technician, Paramedic | 16611 S 15th Dr, Phoenix, AZ 85045-0772 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442035 | Rodney Kent Courtney | Emergency Medical Technician, Paramedic | 4930 N. Tenderfoot Trail, Rimrock, AZ 86335 | 2020-09-17 |
| 1598385783 | City of Goodyear Fire Department | Emergency Medical Technician, Paramedic | 14455 W Van Buren St # E102, Goodyear, AZ 85338-9209 | 2020-04-17 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1205361995 | Val Gale | Emergency Medical Technician, Paramedic | 151 E Boston St, Chandler, AZ 85225-1944 | 2017-05-01 |
| 1346696259 | Hellsgate Fire District | Emergency Medical Technician, Paramedic | 80 S Walters Ln, Payson, AZ 85541-2589 | 2016-05-10 |
| 1932194677 | Christopher David Sullivan | Emergency Medical Technician, Paramedic | 5555 W Thunderbird Rd, Glendale, AZ 85306 | 2005-09-20 |
| 1295266351 | Ems Advisors | Emergency Medical Technician, Paramedic | 207 N Gilbert Rd, Suite 1, Gilbert, AZ 85234-5812 | 2017-03-21 |
| 1457743916 | Antoinette Russell | Emergency Medical Technician, Paramedic | 2922 W White Mountain Blvd, Lakeside, AZ 85929-6152 | 2015-02-20 |
| 1417006867 | Sunsites Pearce Fire District | Emergency Medical Technician, Paramedic | 105 N Tracy Road, Pearce, AZ 85625-0412 | 2007-01-08 |
| 1215936018 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson Area Sells Hospital | Emergency Medical Technician, Paramedic | Highway 86 At Topawa Road, Sells, AZ 85634 | 2005-07-14 |
| Find all providers with the same taxonomy | ||||
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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.