ARIZONA ALLERGY AND ASTHMA SPECIALISTS P C (NPI# 1831557321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831557321 |
| Entity Type | Organization |
| Organization Name | ARIZONA ALLERGY AND ASTHMA SPECIALISTS P C |
| Practice Address |
16611 S 40th St Suite 170 Phoenix AZ 85048-0562 |
| Practice Telephone | 4807058844 |
| Practice Fax Number | 4807058838 |
| Mailing Telephone | 4807058844 |
| Mailing Fax Number | 4807058838 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | DR. BRIAN WADE MILLHOLLON (DOCTOR/PRESIDENT) |
| Authorized Official Telephone | 4807058844 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 21604 | AZ | Ambulatory Health Care Facilities |
| Street Address |
16611 S 40TH ST SUITE 170 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-0562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373971 | Khristina M Ramirez | Specialist | 16611 S 40th St, Suite 160, Phoenix, AZ 85048-0562 | 2005-11-15 |
| 1972996841 | Courtney R Domingo | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048-0562 | 2015-03-16 |
| 1295134914 | Brian Bartow | Physical Therapist | 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 | 2014-08-19 |
| 1033532692 | Tara N. Becher | Physician Assistant | 16611 S 40th St, Suite 100, Phoenix, AZ 85048 | 2014-01-31 |
| 1346682119 | Audra Lynn Zachman | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048 | 2013-07-22 |
| 1760769020 | Kaylene M Christensen | Physical Therapist | 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 | 2011-11-14 |
| 1871872267 | Peter G Gorman | Physical Therapist | 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 | 2011-08-16 |
| 1730467960 | Jenna Leigh Salber | Physical Therapist | 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 | 2011-07-21 |
| 1639485105 | Larissa E Shaps | Physical Therapist | 16611 S 40th St, Suite 130, Phoenix, AZ 85048-0562 | 2010-08-23 |
| 1225359946 | Holly L Campbell | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048 | 2010-06-16 |
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|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
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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.