SALLY CARGILL (NPI# 1851518849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851518849 |
Entity Type | Individual |
Full Name | SALLY CARGILL |
Credential | M.D. |
Practice Address |
5891 W Eugie Ave Glendale AZ 85304-1252 |
Practice Telephone | 6025886600 |
Mailing Telephone | 6025886600 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
15526 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 258980 | 05 |
Street Address |
5891 W EUGIE AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85304-1252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497747455 | Cigna Health Care of Arizona Inc | Pharmacy | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2005-08-16 |
1891301131 | Hana Pajazetovic | Pharmacist | 5891 W Eugie Ave, Glendale, AZ 85304-1253 | 2020-09-22 |
1790394450 | Jacob Nathaniel Bell | Pharmacist | 5891 W Eugie Ave, Glendale, AZ 85304-1253 | 2020-07-29 |
1306203195 | Jonathan D Fosbre | Nurse Practitioner | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2016-01-25 |
1437596772 | Alexis Ryon | Pharmacist | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2013-05-28 |
1831458066 | Nedda Alemi | Internal Medicine | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2012-05-08 |
1396971586 | Parul Agarwal | Internal Medicine | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2009-06-02 |
1871763433 | Robyn L Rumple | Social Worker | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2008-03-10 |
1609928639 | Suzanne D Myers | Family Medicine | 5891 W Eugie Ave, Cigna Paseo, Glendale, AZ 85304-1252 | 2007-01-18 |
1689745333 | Cigna Health Care of Arizona Inc. | Clinic/Center | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2006-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
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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 |
---|---|---|---|---|
1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
1093733644 | Rumbha Virasoontara Bhandhusavee | Pediatrics | 13980 N 67th Ave, Suite Number 1, Glendale, AZ 85306-3715 | 2006-07-18 |
1649206921 | Margaret W Zdarzyl | Pediatrics | 1818 Verdugo Blvd Ste 407, Glendale, CA 91208-1446 | 2006-06-25 |
1457681884 | Happy N Khanna, M.d. Inc | Pediatrics | 1818 Verdugo Blvd, Suite 300, Glendale, CA 91208-1403 | 2010-01-07 |
1427195387 | Lelanie M. Luna, M.d., Faap, Inc. | Pediatrics | 1500 S Central Ave, Suite 310, Glendale, CA 91204-2530 | 2007-01-31 |
1093878811 | Marylu Reyes Macabuhay | Pediatrics | 6120 W Bell Rd, Suite 160, Glendale, AZ 85308-3781 | 2006-12-19 |
1962415141 | Lelanie Medina Luna | Pediatrics | 1500 S Central Ave, Suite 310, Glendale, CA 91204-2530 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114271798 | Kristen Marie Buchanan | Pediatrics | 4700 N 51st Ave Ste 4, Phoenix, AZ 85031-1237 | 2012-11-02 |
1992060222 | Patti J. Perry, M.d. PC | Pediatrics | 1832 S. 8th Avenue, Yuma, AZ 85364 | 2012-07-12 |
1952626053 | Joseph King Hindman | Pediatrics | 8375 Koch Field Rd, Flagstaff, AZ 86004-1255 | 2010-03-31 |
1669679098 | Stefanie Ann Workman | Pediatrics | 2929 N Power Rd, Suite 101, Mesa, AZ 85215-1745 | 2007-06-29 |
1295930980 | Mary Ellen Rimsza | Pediatrics | 518 S 3rd St, Phoenix, AZ 85004-2506 | 2007-06-20 |
1255544987 | Jeffrey Siegel | Pediatrics | 10200 N 92nd St Ste 150, Scottsdale, AZ 85258-4535 | 2007-05-08 |
1629296249 | Good Night Pediatrics East Valley PC | Pediatrics | 1452 N Higley Rd, Gilbert, AZ 85234-1600 | 2007-04-20 |
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 |
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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.