THE PHOENIX CHILDREN'S CENTER, LTD (NPI# 1801985486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801985486 |
| Entity Type | Organization |
| Organization Name | THE PHOENIX CHILDREN'S CENTER, LTD |
| Practice Address |
5040 N 15th Ave Ste 104 Phoenix AZ 85015-3328 |
| Practice Telephone | 6022639550 |
| Practice Fax Number | 6022741552 |
| Mailing Telephone | 6022639550 |
| Mailing Fax Number | 6022741552 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BARBARA ANNE LEDNICKY (OFFICER) |
| Authorized Official Telephone | 6022639550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643632 | The Phoenix Children's Center, Ltd | Clinic/Center | 1661 E Camelback Rd, Ste 170, Phoenix, AZ 85016-3911 | 2016-07-18 |
| Street Address |
5040 N 15TH AVE STE 104 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778167 | Nilesh Patel | Internal Medicine | 5040 N 15th Ave, Suite 107, Phoenix, AZ 85015-3328 | 2005-05-27 |
| 1508487158 | Emily Ann Burks | Social Worker | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2020-05-05 |
| 1073011912 | Michelle Purkat | Dietitian, Registered | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2018-01-25 |
| 1811416001 | Erin Ashley Kellogg Truong | Psychologist | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2017-09-19 |
| 1174065791 | Phoenix Vamc | Clinic/Center | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2016-11-14 |
| 1881147593 | Karen Cruz | Social Worker | 5040 N 15th Ave, Phoenix, AZ 85015 | 2016-07-28 |
| 1356701247 | Akdhc, LLC | Internal Medicine | 5040 N 15th Ave, Suite 107, Phoenix, AZ 85015-3328 | 2016-03-04 |
| 1568866069 | Andrew Bohn | Physician Assistant | 5040 N 15th Ave, Suite 104, Phoenix, AZ 85015-3328 | 2014-10-14 |
| 1992147276 | Akdhc, LLC | Internal Medicine | 5040 N 15th Ave, Suite 205, Phoenix, AZ 85015-3328 | 2013-07-26 |
| 1306075924 | Scott Ungar | Internal Medicine | 5040 N 15th Ave, Ste 205, Phoenix, AZ 85015 | 2009-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114271798 | Kristen Marie Buchanan | Pediatrics | 4700 N 51st Ave Ste 4, Phoenix, AZ 85031-1237 | 2012-11-02 |
| 1295930980 | Mary Ellen Rimsza | Pediatrics | 518 S 3rd St, Phoenix, AZ 85004-2506 | 2007-06-20 |
| 1508957101 | John Curley | Pediatrics | 4434 N 12th St, Phoenix, AZ 85014-4507 | 2006-09-27 |
| 1780775395 | Shannon Forshey | Pediatrics | 4434 N 12th Street, Phoenix, AZ 85014-1101 | 2006-09-27 |
| 1194816702 | Brad Golner | Pediatrics | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 | 2006-09-27 |
| 1134473515 | Lizzette Pagan Pllc | Pediatrics | 1823 E Mcdowell Rd, Phoenix, AZ 85006-3052 | 2012-11-06 |
| 1831373562 | Agnes Ida Bartha | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3111 | 2007-12-17 |
| 1497964449 | Arizona Pediatric Clinics Pllc | Pediatrics | 809 E Washington St, Suite 106, Phoenix, AZ 85034-1052 | 2007-05-22 |
| 1053491316 | Anthony Nagorka | Pediatrics | 4434 N 12th Street, Phoenix, AZ 85014-1101 | 2006-10-17 |
| 1568550085 | Robyn Gutman | Pediatrics | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 | 2006-10-10 |
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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.