CACTUS MEDICAL CENTER LLC (NPI# 1710487905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710487905 |
| Entity Type | Organization |
| Organization Name | CACTUS MEDICAL CENTER LLC |
| Practice Address |
20255 N Lake Pleasant Rd Ste 102 Peoria AZ 85382-9747 |
| Practice Telephone | 6233768225 |
| Mailing Telephone | 6233768225 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | BRANDON KULP (OWNER) |
| Authorized Official Telephone | 6233768225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
20255 N LAKE PLEASANT RD STE 102 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073801254 | Casey J Kulp | Physical Therapist | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2011-07-21 |
| 1366049025 | Cactus Pain Relief, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2020-10-06 |
| 1477199701 | Cactus Pain Solutions, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1912367582 | Perfectbalance Md Sc | General Practice | 7720 N Grand Prairie Dr, Peoria, IL 61615-9242 | 2016-02-25 |
| 1285012666 | Joshua James Johnson | General Practice | 9401 W Thunderbird Rd Ste 155, Peoria, AZ 85381-4238 | 2015-05-18 |
| 1295131712 | Integra Home Doctors, Inc. | General Practice | 16165 N 83rd Ave, Suite 200, Peoria, AZ 85382-5816 | 2014-11-11 |
| 1922449172 | Chinenye Chioma Anako | General Practice | 611 W Glen Ave Apt B, Peoria, IL 61614-4874 | 2013-07-16 |
| 1366049025 | Cactus Pain Relief, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2020-10-06 |
| 1477199701 | Cactus Pain Solutions, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2019-11-21 |
| 1861836991 | David Kindred Integerated Medicine PC | General Practice | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-04-19 |
| 1639443757 | Vital4men LLC | General Practice | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382-2101 | 2012-03-07 |
| Find all providers in PEORIA | ||||
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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.