MT MORIAH MEDICAL CENTER PC (NPI# 1700992260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700992260 |
| Entity Type | Organization |
| Organization Name | MT MORIAH MEDICAL CENTER PC |
| Other Organization Name | MT MORIAH MEDICAL CLINIC |
| Practice Address |
1828 E Florence Blvd #a111 Casa Grande AZ 85222-4783 |
| Practice Telephone | 5204261034 |
| Practice Fax Number | 5204233810 |
| Mailing Telephone | 5204261034 |
| Mailing Fax Number | 5204233810 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELIAS A NALLI (OWNER) |
| Authorized Official Telephone | 5204261034 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mt Moriah Medical Clinic | Former Legal Business Name - Organization |
| Street Address |
1828 E FLORENCE BLVD #A111 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-4783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538456 | Francis Charles Salisbury | Obstetrics & Gynecology | 1828 E Florence Blvd, Building C, Ste 142, Casa Grande, AZ 85222-4783 | 2005-06-15 |
| 1831655331 | Nicholetta Fortunato-tamayo | Occupational Therapist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2019-02-20 |
| 1295235505 | Charissa Wee | Speech-Language Pathologist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-02-14 |
| 1144729211 | Trevor Dickman | Physical Therapist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-02-05 |
| 1598264665 | Erica A Dickman | Physical Therapist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-02-05 |
| 1356858906 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-01-04 |
| 1679851760 | Yoosif Mohamed Ali Abdalla | Internal Medicine | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2011-07-25 |
| 1649563412 | Lashonda Ann Carlton | Obstetrics & Gynecology | 1828 E Florence Blvd, Ste 110, Casa Grande, AZ 85122-4783 | 2011-05-26 |
| 1851601488 | Ambar Rahman | Internal Medicine | 1828 E Florence Blvd, 138, Casa Grande, AZ 85122-4783 | 2010-10-17 |
| 1932365954 | Praveen Devardhan | Hospitalist | 1828 E Florence Blvd, Suite C-138, Casa Grande, AZ 85222-4783 | 2008-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558419 | Ranjit Kumar Sood | Surgery | 633 E Cottonwood Ln, Ste B, Casa Grande, AZ 85222-2056 | 2005-06-16 |
| 1174568786 | Elias A Nalli | Surgery | 1828 E Florence Blvd, Building A Ste 111, Casa Grande, AZ 85222-4783 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365702 | Ducharme General Surgery, Pllc | Surgery | 1200 N El Dorado Pl Ste E-520, Tucson, AZ 85715-4637 | 2020-10-27 |
| 1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
| 1588285910 | Casey Leonard Charlton | Surgery | 1300 E Fort Lowell Rd, Tucson, AZ 85719-2222 | 2020-04-27 |
| 1235760406 | Star Surgery Center, LLC | Surgery | 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 | 2020-01-28 |
| 1841842747 | Scottsdale Outpatient Surgery | Surgery | 8994 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-7901 | 2019-07-10 |
| 1730744228 | Zona Surgery Center, LLC | Surgery | 8994 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-7901 | 2019-05-09 |
| 1033684741 | Michael Joseph Pllc | Surgery | 29455 N Cave Creek Rd Ste 118-451, Cave Creek, AZ 85331-3245 | 2018-10-09 |
| 1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1831686112 | Facasurgery LLC | Surgery | 1831 E Queen Creek Rd # 120, Chandler, AZ 85286-2019 | 2018-04-22 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
Please comment or provide details below to improve the information on MT MORIAH MEDICAL CENTER PC.
| 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.