DJLW HEALTH SERVICES, INC (NPI# 1790081149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790081149 |
| Entity Type | Organization |
| Organization Name | DJLW HEALTH SERVICES, INC |
| Other Organization Name | MCCLEVE ORTHOTICS AND PROSTHETICS |
| Practice Address |
444 W Osborn Rd 101 Phoenix AZ 85013-3814 |
| Mailing Address |
5431 E Southern Ave 106 Mesa AZ 85206-2772 |
| Practice Telephone | 6022000397 |
| Practice Fax Number | 6022000399 |
| Mailing Telephone | 4809816767 |
| Mailing Fax Number | 4808022330 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MR. DEAN E MCCLEVE (PRESIDENT) |
| Authorized Official Telephone | 4809816767 |
| Authorized Official Credential | CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 20001304 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Mccleve Orthotics and Prosthetics | Doing Business As Name - Organization |
| Street Address |
444 W OSBORN RD 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044751 | George A Van De Wyngaerde | Orthopaedic Surgery | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2005-06-21 |
| 1164851267 | Isaak Duncan | Physical Therapist | 444 W Osborn Rd, Suite 303, Phoenix, AZ 85013-3814 | 2013-11-08 |
| 1154762888 | Colleen Bonner | Nurse Practitioner | 444 W Osborn Rd, Suite 301, Phoenix, AZ 85013-3814 | 2013-07-10 |
| 1285981399 | Terry Sue Wilcox | Nurse Practitioner | 444 W Osborn Rd, Suite 301, Phoenix, AZ 85013-3814 | 2012-08-08 |
| 1104103829 | Jerry Lee Lloyd Jr. | Specialist/Technologist | 444 W Osborn Rd, Suite 303, Phoenix, AZ 85013-3814 | 2011-11-09 |
| 1336461144 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2010-02-20 |
| 1477887982 | Az-tech Radiology & Open Mri | Specialist | 444 W Osborn Rd, Suite 105, Phoenix, AZ 85013-3814 | 2009-09-30 |
| 1144317637 | Rafael M Garcia | Physician Assistant | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2006-10-06 |
| 1104937853 | William Friedman | Podiatrist | 444 W Osborn Rd, Suite 301, Phoenix, AZ 85013-3814 | 2006-08-31 |
| 1851302947 | Arizona Orthopedic & Fracture Surgeons | Orthopaedic Surgery | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2006-08-11 |
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| 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 |
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| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1548787930 | Limb Center LLC | Prosthetic/Orthotic Supplier | 3020 N 44th St, Phoenix, AZ 85018-7206 | 2017-08-25 |
| 1003341959 | Team Makena LLC | Prosthetic/Orthotic Supplier | 3702 E Roeser Rd, 4, Phoenix, AZ 85040-9046 | 2017-04-28 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1750693982 | Orthotic & Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 236 E Hatcher Rd, Phoenix, AZ 85020-2423 | 2010-07-02 |
| 1942409487 | Barbara Goldstein | Prosthetic/Orthotic Supplier | 5350 N 16 St, 101, Phoenix, AZ 85016-3213 | 2007-07-14 |
| 1386786614 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3636 N 3rd Ave, Suite 100, Phoenix, AZ 85013-3904 | 2007-02-13 |
| 1386718260 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 4050 E Cotton Center Blvd, Suite 60, Phoenix, AZ 85040-8861 | 2006-11-20 |
| 1275605461 | Medsource Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 9305 W. Thomas Rd, Suite 150, Phoenix, AZ 85037 | 2006-11-14 |
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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.