MERIDIAN THERAPEUTICS CLINIC LLC (NPI# 1689035479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689035479 |
| Entity Type | Organization |
| Organization Name | MERIDIAN THERAPEUTICS CLINIC LLC |
| Practice Address |
4045 E Bell Rd Ste 111 Phoenix AZ 85032-2236 |
| Practice Telephone | 6026062658 |
| Practice Fax Number | 6024287003 |
| Mailing Telephone | 6026062658 |
| Mailing Fax Number | 6024287003 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | DR. KIMARA VAUGHN (OWNER/ NURSE PRACTITIONER) |
| Authorized Official Telephone | 6026062658 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNKNOWN | 000000 | 01 |
| Street Address |
4045 E BELL RD STE 111 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881698256 | Casey L Huston | Surgery | 4045 E Bell Rd, Suite 127, Phoenix, AZ 85032-2236 | 2005-06-13 |
| 1659800951 | Cale Nichols | Physical Therapist | 4045 E Bell Rd, Phoenix, AZ 85032-2236 | 2017-06-08 |
| 1922549039 | Kim Fischer | Orthotist | 4045 E Bell Rd, # 119, Phoenix, AZ 85032-2236 | 2017-03-09 |
| 1598216467 | Vitalab Pharmacy Inc | Pharmacy | 4045 E Bell Rd, Suite 163, Phoenix, AZ 85032-2236 | 2016-10-17 |
| 1952775256 | Integrated Pain Management Solutions Pllc | Anesthesiology | 4045 E Bell Rd, Suite 147, Phoenix, AZ 85032-2236 | 2015-11-24 |
| 1861868978 | Richard Shively | Physical Therapist | 4045 E Bell Rd, Phoenix, AZ 85032-2236 | 2015-08-12 |
| 1407247489 | Lb Dental Inc. | Dentist | 4045 E Bell Rd, Suite 115, Phoenix, AZ 85032-2236 | 2015-02-11 |
| 1861813156 | Alliance Dermatology & Mohs Center, PC | Specialist | 4045 E Bell Rd, Suite 125, Phoenix, AZ 85032-2238 | 2014-01-03 |
| 1194042291 | Whitman Physical Therapy Pllc | Physical Therapist | 4045 E Bell Rd, Suite 105, Phoenix, AZ 85032-2236 | 2010-04-28 |
| 1518295013 | Robert J Fauer M.d. P.c | Clinic/Center | 4045 E Bell Rd, Suite 105, Phoenix, AZ 85032-2236 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| 1164905733 | Heart Rhythm and Vascular LLC | Clinic/Center | 1848 E Thomas Rd Ste 200, Phoenix, AZ 85016-8104 | 2018-09-10 |
| 1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| 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.