DISTRICT MEDICAL GROUP, INC (NPI# 1700119815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700119815 |
| Entity Type | Organization |
| Organization Name | DISTRICT MEDICAL GROUP, INC |
| Practice Address |
2525 E Roosevelt St Med Clinic - Pulmonary Phoenix AZ 85008-4948 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6023441095 |
| Mailing Telephone | 6024705000 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | TERESA CORDEIRO (CREDENTIALING DIRECTOR) |
| Authorized Official Telephone | 6024705000 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISTRICT MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667555 | District Medical Group, Inc | Family Medicine | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 | 2020-01-02 |
| 1366081705 | District Medical Group, Inc | Family Medicine | 3624 W Anthem Way Ste C116, Anthem, AZ 85086-0457 | 2020-01-02 |
| 1831722768 | District Medical Group, Inc | Surgery | 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 | 2020-02-19 |
| 1144860016 | District Medical Group, Inc | Internal Medicine | 6315 E Main St, Mesa, AZ 85205-8953 | 2020-01-08 |
| 1063052934 | District Medical Group, Inc | Family Medicine | 1805 N Scottsdale Rd, Tempe, AZ 85281-1556 | 2020-01-08 |
| 1538708979 | District Medical Group, Inc | Family Medicine | 10144 W Lake Pleasant Pkwy Ste 1110, Peoria, AZ 85382-9716 | 2020-01-02 |
| 1548653934 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Toxicology, Phoenix, AZ 85008-4973 | 2015-03-10 |
| 1144624339 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Emergency Medicine, Phoenix, AZ 85008-4973 | 2014-10-16 |
| 1407106719 | District Medical Group, Inc | Clinic/Center | 3141 N 3rd Ave, Phoenix, AZ 85013-4345 | 2012-09-13 |
| 1538484993 | District Medical Group, Inc | Internal Medicine | 2601 E Roosevelt St, Rheumatology, Phoenix, AZ 85008-4973 | 2010-03-29 |
| Street Address |
2525 E ROOSEVELT ST MED CLINIC - PULMONARY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083698955 | Surabhi Amar | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2005-12-02 |
| 1982202982 | Katherine Brown | Dietitian, Registered | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2020-10-12 |
| 1295360287 | Stephanie Nicole Steeves | Dietitian, Registered | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2020-03-10 |
| 1154967602 | Danielle Fleck | Occupational Therapist | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2019-11-19 |
| 1336614858 | Teresa Dejesus Loera | Registered Nurse | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2018-10-11 |
| 1518445519 | Ari Blechner | Counselor | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2018-08-01 |
| 1194211755 | Adrienne Anne Jean Robb | Student in an Organized Health Care Education/Training Program | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2018-07-06 |
| 1629575246 | Andrea Jeanne Klock | Nurse Practitioner | 2525 E Roosevelt St, Phoenix, AZ 85008 | 2018-04-10 |
| 1003320904 | Sarah Taraborelli | Physician Assistant | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2017-11-30 |
| 1538680079 | Tessa Bowie | Physician Assistant | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2017-07-06 |
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|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518502558 | Arcadia Lung and Wellness Center LLC | Internal Medicine | 4402 E Marion Way, Phoenix, AZ 85018-1251 | 2019-11-13 |
| 1689136160 | Honorhealth Medical Group, LLC | Internal Medicine | 9250 N 3rd St Ste 2030, Phoenix, AZ 85020-2407 | 2019-04-03 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1346480332 | Carla J. Rotering, Md, Plc | Internal Medicine | 1401 W Beck Ln, Phoenix, AZ 85023-4457 | 2009-03-03 |
| 1215025671 | Khaled Saleh | Internal Medicine | 3781 E Ringtail Way, Phoenix, AZ 85050-5008 | 2006-10-11 |
| 1659324721 | J Burr Ross | Internal Medicine | 3811 E Bell Rd Ste 107, Phoenix, AZ 85032-2158 | 2006-05-18 |
| 1215991617 | Sunil Santhanakrishnan | Internal Medicine | 5090 North 40th Street, Suite 122, Phoenix, AZ 85018 | 2006-04-13 |
| 1841266681 | Hesham E Abdelrazek | Internal Medicine | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013 | 2006-02-23 |
| 1629042601 | Joseph A Colorafi | Internal Medicine | 11434 N 13th Ter, Phoenix, AZ 85020-1226 | 2006-02-15 |
| 1780657668 | John D Roehrs | Internal Medicine | 9310 N Central Ave Ste 1, Phoenix, AZ 85020 | 2006-02-10 |
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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.