GEPS PHYSICIAN GROUP OF PENNSYLVANIA, PC (NPI# 1851774897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851774897 |
| Entity Type | Organization |
| Organization Name | GEPS PHYSICIAN GROUP OF PENNSYLVANIA, PC |
| Practice Address |
350 E La Canada Blvd Avondale AZ 85323-1643 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 6239322282 |
| Mailing Telephone | 4104947607 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MR. ERIC SHAPIRO (VP/AREA CONTROLLER) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689077893 | Geps Physician Group of Pennsylvania, PC | Internal Medicine | 820 Nw 95th St, Seattle, WA 98117 | 2014-10-01 |
| Street Address |
350 E LA CANADA BLVD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043638596 | Sonia Luevano | Occupational Therapy Assistant | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2014-04-02 |
| 1801427596 | Brandon Bracy | Occupational Therapy Assistant | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2020-01-31 |
| 1164974804 | Francis Hinton IIi | Speech-Language Pathologist | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2016-10-28 |
| 1649649385 | Jasmine Azucena Fernandez | Occupational Therapy Assistant | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2015-09-23 |
| 1356726434 | Riley Palmer IIi | Occupational Therapist | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2015-07-30 |
| 1154725166 | Sharee Oakes Holmes | Speech-Language Pathologist | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2014-10-20 |
| 1518360569 | Miranda Rouw | Occupational Therapist | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2014-10-06 |
| 1518360593 | Karen Zehtab | Physical Therapist | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2014-10-03 |
| 1275936536 | Kathleen Manzano | Physical Therapy Assistant | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2014-10-01 |
| 1215330576 | Nancy Zapien | Physical Therapy Assistant | 350 E La Canada Blvd, Avondale, AZ 85323-1643 | 2014-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1669942645 | Golden Trinity Healthcare LLC | Internal Medicine | 40616 W Art Pl, Maricopa, AZ 85138-5221 | 2018-12-03 |
| 1013485762 | Todd Charles Coslett | Internal Medicine | 4149 W Kaler Dr, Phoenix, AZ 85055 | 2018-11-09 |
| 1689126971 | Azmobilemd | Internal Medicine | 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 | 2016-11-02 |
| 1699190777 | Matthew D Skinner, Md, P.C. | Internal Medicine | 6740 W Deer Valley Rd Ste D107, Pmb 105, Glendale, AZ 85310-5952 | 2014-02-26 |
| 1114218088 | Toh-hoai W. Lim, I | Internal Medicine | 24407 S Agate Dr, Sun Lakes, AZ 85248-0878 | 2011-04-27 |
| 1437457058 | Southwest Geriatrics & Internal Medicine Pllc | Internal Medicine | 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 | 2011-03-06 |
| 1538473483 | Wissam Fayad Md PC | Internal Medicine | 1841 W 25th Street, Ste A, Yuma, AZ 85364 | 2010-08-03 |
| 1417103599 | D & M Medical Clinic, PC | Internal Medicine | 10503 W Thunderbird Blvd Ste 202, Sun City, AZ 85351-2746 | 2008-08-08 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
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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.