DR. HOLLIS J. C. UNDERWOOD (NPI# 1770640369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770640369 |
| Entity Type | Individual |
| Full Name | DR. HOLLIS J. C. UNDERWOOD |
| Credential | M.D. |
| Practice Address |
6611 W Peoria Ave Glendale AZ 85302-7000 |
| Practice Telephone | 6023255580 |
| Mailing Telephone | 6023255580 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 22415 | AZ | Other Service Providers |
| Y | 207R00000X | Internal Medicine | 22415 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8414 E Shea Blvd, Suite 103, Scottsdale, AZ 852606665 | 4807673877 | 4807673878 |
| Street Address |
6611 W PEORIA AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528140209 | Rayette Pollard Casiano | Internal Medicine | 6611 W Peoria Ave, Glendale, AZ 85302-7000 | 2006-10-20 |
| 1871089318 | Angelia Marie Corley | Psychologist | 6611 W Peoria Ave, Glendale, AZ 85302-7000 | 2018-07-09 |
| 1215456538 | Erin Rose Kube | Psychologist | 6611 W Peoria Ave, Glendale, AZ 85302-7000 | 2017-09-19 |
| 1457755563 | Iora Senior Health Inc | Internal Medicine | 6611 W Peoria Ave, Glendale, AZ 85302-7000 | 2014-10-17 |
| 1114364361 | Giao Quach | Family Medicine | 6611 W Peoria Ave, Suite 13, Glendale, AZ 85302-7000 | 2013-05-29 |
| 1083927420 | Tigger R Mathis | Nurse Practitioner | 6611 W Peoria Ave, Glendale, AZ 85302-7000 | 2010-07-14 |
| 1568665990 | Jeffrey D. Laufenberg D.c., P.C. | Chiropractor | 6611 W Peoria Ave, Ste. 3, Glendale, AZ 85302-7000 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| 1831704063 | New Horizon Medical Center, Inc. | Internal Medicine | 1101 N Pacific Ave Ste 103, Glendale, CA 91202-4312 | 2020-09-14 |
| 1043848062 | Jennifer Huddleston, Physician Assistant PC | Internal Medicine | 1560 E Chevy Chase Dr Ste 200, Glendale, CA 91206-4140 | 2020-03-27 |
| 1679120463 | Eruman, Pllc | Internal Medicine | 18275 N 59th Ave Ste G138, Glendale, AZ 85308-1260 | 2019-08-26 |
| 1033672738 | First Step Medical LLC | Internal Medicine | 5620 W Thunderbird Rd Ste E5, Glendale, AZ 85306-4651 | 2019-04-09 |
| 1760901375 | Western Medical LLC | Internal Medicine | 21554 N 57th Ave, Glendale, AZ 85308 | 2017-09-14 |
| 1487187910 | Daniel Adam Davis | Internal Medicine | 11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823 | 2017-04-11 |
| 1104212422 | Robert Allen | Internal Medicine | 1731 N Pacific Ave, Glendale, CA 91202-1108 | 2015-04-14 |
| 1790185403 | Us Housecalls, Inc. | Internal Medicine | 7881 81st St, 1st Floor, Glendale, NY 11385-7652 | 2014-08-29 |
| 1265842389 | Hani Rashid | Internal Medicine | 5681 W Beverly Ln Ste 100, Glendale, AZ 85306-9800 | 2014-04-28 |
| Find all providers in GLENDALE | ||||
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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.