REECHA MADAN (NPI# 1770746554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770746554 |
| Entity Type | Individual |
| Full Name | REECHA MADAN |
| Credential | MD |
| Practice Address |
3411 N 5th Ave Ste 209 Phoenix AZ 85013 |
| Mailing Address |
3411 N 5th Ave Ste 209 Phoenix AZ 85013-3812 |
| Practice Telephone | 0267890344 |
| Practice Fax Number | 6027898389 |
| Mailing Telephone | 0267890344 |
| Mailing Fax Number | 6027898389 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | P3193 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
55748 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLMED MEDICAL GROUP PA | TXB154750 | 01 | |
| TX | WELLMED NETWORKS INC | 263996YMHS | 01 |
| Street Address |
3411 N 5TH AVE STE 209 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568444644 | Jasmine D Kelley | Internal Medicine | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2005-11-15 |
| 1649797218 | Liviu Vladoianu | Nurse Practitioner | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2017-08-24 |
| 1659427680 | Julia Williams | Emergency Medicine | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2007-01-25 |
| 1952329328 | Brian S Chasin | Internal Medicine | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2006-07-17 |
| 1841218138 | Lois Marion Judd | Nurse Practitioner | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2006-07-17 |
| 1891722302 | Gregory Scallon | Physician Assistant | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2006-06-28 |
| 1164463568 | Julie Annette Mays | Physician Assistant | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2006-06-09 |
| 1518934074 | Maria E Pina | Internal Medicine | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2006-03-03 |
| 1992789135 | Melissa Elizabeth Hoover | Physician Assistant | 3411 N 5th Ave Ste 209, Phoenix, AZ 85013-3812 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073148326 | Team Select Mobile Physicians Az LLC | Family Medicine | 2999 N 44th St Ste 110, Phoenix, AZ 85018-7247 | 2020-03-06 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1225236367 | Thomas J Cuomo Jr Md PC | Family Medicine | 13835 N Tatum Blvd # 9468, Phoenix, AZ 85032-5581 | 2007-07-10 |
| 1225132608 | Sona S Giknavorian | Family Medicine | 2345 E Thomas Rd Ste 420, Suite # 420, Phoenix, AZ 85016-7862 | 2006-09-07 |
| 1598702086 | Robin F Macdougall | Family Medicine | 4626 E. Shea Blvd, Suite C230, Phoenix, AZ 85028 | 2006-06-01 |
| 1205812757 | Thomas J Cuomo Jr | Family Medicine | 13835 N Tatum Blvd, 9615, Phoenix, AZ 85032-5581 | 2005-12-16 |
| 1710255088 | Mh7, LLC | Family Medicine | 4520 N 12th St, Suite 103, Phoenix, AZ 85014-4233 | 2011-12-01 |
| 1861624702 | John C. Lincoln, LLC | Family Medicine | 1668 W Glendale Ave, Suite 128, Phoenix, AZ 85021-8948 | 2009-08-11 |
| Find all providers in PHOENIX | ||||
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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.