ELAINE (NPI# 1821648494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821648494 |
| Entity Type | Organization |
| Organization Name | ELAINE |
| Practice Address |
220 S 12th Ave Phoenix AZ 85007-3101 |
| Practice Telephone | 6023841432 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | VIVIENNE GELLERT (CEO) |
| Authorized Official Telephone | 6023841432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ELAINE A JACKSON LLC | 956 S Elizabeth St, Denver, CO 80209 |
| Oklahoma Business Registrations | ELAINE A RENNINGER | 909 N Palm Ave #203, West Hollywood, CA 90069-4046 |
| Virginia Business Entities | ELAINE A. LEDERMAN PC | 105 Peach Orchard Rd, Strasburg, Virginia 22657 |
| Connecticut Business Registrations | ELAINE ALMEIDA LMFT, LLC | 78 New Lebbon Rd, Sandy Hook, CT 06482 |
| Colorado Business Entities | Elaine and Jeffrey Lovell Foundation | 36 Greystone Court, Beaver Creek, CO 81620 |
| Colorado Business Entities | elaine and poodle LLC | 2201 S. Adams St., Denver, CO 80210 |
| Colorado Business Entities | ELAINE AND ROBERT GERK, LP | |
| System for Award Management (SAM) Entities | ELAINE ANN TUBB | 2890 Dares Beach Rd, Prince Frederick, MD 20678-4217 |
| Oregon Corporations, Companies and Business Names | ELAINE ANNEN DOLL MUSEUM | 500 Wilco Highway, Mt Angel, OR 97362 |
| System for Award Management (SAM) Entities | ELAINE APARTMENTS | 101 E Michigan Ave Lbby, Jackson, MI 49201-1485 |
| Street Address |
220 S 12TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649254301 | Jann'e M Croll | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2005-12-05 |
| 1548775570 | Circle The City | Clinic/Center | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1174063176 | Bethany Hultstrand | Dietitian, Registered | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-02-24 |
| 1437523115 | Lynn Meadows | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2015-11-18 |
| 1477818672 | Kathryn King | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2012-07-12 |
| 1386818334 | Margaret Elizabeth Gunn | Nurse Practitioner | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2008-04-21 |
| 1730377938 | Susan Kay Stutenroth | Social Worker | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-10-12 |
| 1063565455 | Jeff S Jirak | Counselor | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-01-19 |
| 1780733352 | Allan J Gange | Counselor | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-01-10 |
| 1255378915 | Jonathan Cartsonis | Family Medicine | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2006-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| Find all providers in zip 85007 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942826219 | Ashraf Ali Omer Sr. | Non-emergency Medical Transport (VAN) | 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 | 2020-06-22 |
| 1184240954 | Extreme Medical Transportation | Non-emergency Medical Transport (VAN) | 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 | 2020-06-17 |
| 1770122103 | Teodor Daniel Oprea | Non-emergency Medical Transport (VAN) | 514 E Morrow Dr, Phoenix, AZ 85024-2860 | 2020-01-02 |
| 1740827765 | Omer Mohamed | Non-emergency Medical Transport (VAN) | 1606 W Peoria Ave Apt 103, Phoenix, AZ 85029-5702 | 2019-12-09 |
| 1255977930 | Prince Med Trans LLC | Non-emergency Medical Transport (VAN) | 3834 W Golden Ln, Phoenix, AZ 85051-3759 | 2019-11-18 |
| 1730738915 | Shareef Daoud | Non-emergency Medical Transport (VAN) | 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021-5168 | 2019-09-10 |
| 1184273401 | Best Deal LLC | Non-emergency Medical Transport (VAN) | 4020 E Thomas Rd, Phoenix, AZ 85018-7514 | 2019-09-09 |
| 1972064228 | Medlift Inc. | Non-emergency Medical Transport (VAN) | 3311 E Washington St, Phoenix, AZ 85034-1609 | 2019-03-28 |
| 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.