THUMB BUTTE RADIOLOGY, LLC (NPI# 1689239824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689239824 |
| Entity Type | Organization |
| Organization Name | THUMB BUTTE RADIOLOGY, LLC |
| Practice Address |
3120 Willow Creek Rd Prescott AZ 86301-6699 |
| Mailing Address |
3120 Willow Creek Rd Unit 100 Prescott AZ 86301-6852 |
| Practice Telephone | 4807508130 |
| Mailing Telephone | 4807508130 |
| Mailing Fax Number | 4805902479 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | AYAD AGHA (OWNER) |
| Authorized Official Telephone | 4805430300 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3120 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-6699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588961585 | Bruce Medford Burtan | Radiology | 2097 Summer Breeze Dr, Prescott, AZ 86303-7412 | 2011-02-28 |
| 1679511356 | Karen Stark Caldemeyer | Radiology | 9925 N Clear Fork Rd, Prescott, AZ 86305-9016 | 2006-06-03 |
| 1932171618 | David K Lloyd | Radiology | 1000 Ainsworth Dr Ste 115, Prescott, AZ 86305-1667 | 2006-02-06 |
| 1225019425 | Timothy D Olthoff | Radiology | 810 Whipple St, Prescott, AZ 86301-1606 | 2005-11-07 |
| 1669476123 | Karl Theodore Wickstrom | Radiology | 790 Gail Gardner Way, Prescott, AZ 86305-2337 | 2005-06-10 |
| 1609960707 | Mary M Poncel | Radiology | 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-10-03 |
| 1235236589 | Bernard Sakowicz | Radiology | 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| 1962418863 | Richard Wallace Vanbuskirk Sr. | Radiology | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-07-31 |
| 1427006253 | Medwise PC | Radiology | 790 Gail Gardner Way, Prescott, AZ 86305-2337 | 2006-05-04 |
| 1639132095 | Mohamed A Kirdani | Radiology | 980 Willow Creek Rd, Prescott, AZ 86301-1611 | 2006-04-07 |
| Find all providers in PRESCOTT | ||||
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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.