DESERT RIDGE URGENT CARE LLC (NPI# 1861458309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861458309 |
| Entity Type | Organization |
| Organization Name | DESERT RIDGE URGENT CARE LLC |
| Other Organization Name | NEXTCARE |
| Practice Address |
20950 N Tatum Blvd Ste. 190 Phoenix AZ 85050-4200 |
| Mailing Address |
1710 Thistle Rd Flagstaff AZ 86004-7739 |
| Practice Telephone | 4807761588 |
| Practice Fax Number | 4807760026 |
| Mailing Telephone | 9285228006 |
| Mailing Fax Number | 9285228556 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | JOHN SHUFELDT (CEO) |
| Authorized Official Telephone | 4809248382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OTC3658 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | DD5596 | 01 |
| AZ | 906159 | 05 |
| Other Name | Type Code |
|---|---|
| NextCare | Doing Business As Name - Organization |
| Street Address |
20950 N TATUM BLVD STE. 190 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604708 | Steven Cary Simon | Surgery | 20950 N Tatum Blvd, Suite 308, Phoenix, AZ 85050-4200 | 2005-07-22 |
| 1689110314 | Trusted Care Surgery Centers LLC | Clinic/Center | 20950 N Tatum Blvd, Suite 170, Phoenix, AZ 85050-4200 | 2017-01-19 |
| 1790141224 | Cheryl Schaaf | Registered Nurse | 20950 N Tatum Blvd, Suite 150, Phoenix, AZ 85050-4200 | 2016-01-13 |
| 1659749190 | Micheal Papademetriou | Dentist | 20950 N Tatum Blvd, 370, Phoenix, AZ 85050-4200 | 2015-09-14 |
| 1124427828 | Derrick A. Debenedetto | Physical Therapist | 20950 N Tatum Blvd, Ste. 100, Phoenix, AZ 85050-4200 | 2014-08-19 |
| 1770997413 | Kaitlyn Kakar | Physical Therapist | 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 | 2014-06-19 |
| 1568874683 | Az Pain Consultants LLC | Pain Medicine | 20950 N Tatum Blvd, Suite 220, Phoenix, AZ 85050-4200 | 2014-05-22 |
| 1215363320 | Desert Ridge Oral,facial & Implant Surgery, Pllc | Dentist | 20950 N Tatum Blvd, Suite 120, Phoenix, AZ 85050-4200 | 2013-09-20 |
| 1427490242 | Lauren K. Hasquet | Physical Therapist | 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 | 2013-07-22 |
| 1588960512 | Desert Ridge Implant & Oral Surgery PC | Dentist | 20950 N Tatum Blvd, Ste. 120, Phoenix, AZ 85050-4200 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1700493343 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3131 E Thunderbird Rd Ste 73, Phoenix, AZ 85032-5642 | 2020-09-28 |
| 1366059982 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 5259 W Indian School Rd Ste 100, Phoenix, AZ 85031-2651 | 2020-09-28 |
| 1376154625 | Memd Provider Network LLC | Clinic/Center | 6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054-5162 | 2020-08-11 |
| 1801431465 | Us Careways PC LLC | Clinic/Center | 3800 E Sky Harbor Blvd # L-r12, Phoenix, AZ 85034-3712 | 2019-11-07 |
| 1245886795 | Banner Urgent Care Services, LLC | Clinic/Center | 1 N Central Ave Ste 105, Phoenix, AZ 85004-4416 | 2019-08-12 |
| 1972069417 | Honorhealth Urgent Care, LLC | Clinic/Center | 1515 E Bethany Home Rd Ste 120b, Phoenix, AZ 85014-2495 | 2019-02-20 |
| 1649736380 | Honorhealth Urgent Care, LLC | Clinic/Center | 18404 N Tatum Blvd Ste 101c, Phoenix, AZ 85032-1511 | 2019-02-19 |
| 1063984680 | Banner Urgent Care Services, LLC | Clinic/Center | 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 2018-12-20 |
| 1750853388 | Banner Urgent Care Services, LLC | Clinic/Center | 3247 E Bell Rd Ste 1, Phoenix, AZ 85032-2707 | 2018-12-20 |
| 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.