DR. JAMES NICHOLAS YARUSSO (NPI# 1871855072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871855072 |
| Entity Type | Individual |
| Full Name | DR. JAMES NICHOLAS YARUSSO |
| Other Name | DR. JAMES NICHOLAS YARUSSO |
| Credential | MD |
| Practice Address |
4824 E Baseline Rd Suite 140 Mesa AZ 85206-4678 |
| Practice Telephone | 4809694040 |
| Practice Fax Number | 4808301042 |
| Mailing Telephone | 4809694040 |
| Mailing Fax Number | 4808301042 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
31732 | AZ | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
31732 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 31732 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | Z90122 | 01 |
| WASHINGTON LABOR & INDUSTRY | 106567 | 01 | |
| AZ | 756430 | 05 |
| Street Address |
4824 E BASELINE RD SUITE 140 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144220526 | Christopher R Carlson | Physician Assistant | 4824 E Baseline Rd, Suite 113, Mesa, AZ 85206-4676 | 2005-07-28 |
| 1548614936 | Cooper Duane Anderson | Chiropractor | 4824 E Baseline Rd, Mesa, AZ 85206-4676 | 2016-04-21 |
| 1871976456 | Dylan Thomas | Dentist | 4824 E Baseline Rd, #140, Mesa, AZ 85206-4676 | 2015-07-01 |
| 1467848242 | Dewane Arthur Brueske | Dentist | 4824 E Baseline Rd, Ste 140, Mesa, AZ 85206-4676 | 2015-04-08 |
| 1497144786 | Rachael Greensides | Nurse Practitioner | 4824 E Baseline Rd, 3-125, Mesa, AZ 85206-4676 | 2015-01-09 |
| 1902219256 | New Direction Fertility Centers | Obstetrics & Gynecology | 4824 E Baseline Rd, Suite 132, Mesa, AZ 85206-4676 | 2014-06-04 |
| 1861804429 | Chad Joseph Wolsey | Chiropractor | 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206-4676 | 2014-05-29 |
| 1730422692 | Arizona Women's Health Partners Pllc | Obstetrics & Gynecology | 4824 E Baseline Rd, Ste 129, Mesa, AZ 85206-4676 | 2013-03-29 |
| 1134467970 | Verve Physical Therapy Group LLC | Physical Therapist | 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206-4676 | 2013-01-30 |
| 1255676300 | Raheel Ashraf Mann | Chiropractor | 4824 E Baseline Rd, Ste 140, Mesa, AZ 85206-4676 | 2012-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
| 1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
| 1831757152 | Jamie Todd | General Practice | 1140 N Higley Rd, Mesa, AZ 85205-5386 | 2019-06-01 |
| 1760969190 | Provider Provider PC | General Practice | 841 W 11th St, Mesa, AZ 85201-3109 | 2018-07-28 |
| 1538533799 | Feliz Care Centers Pllc | General Practice | 1345 E Main St Ste 100, Mesa, AZ 85203-8950 | 2015-11-25 |
| 1457755514 | Svelte LLC | General Practice | 6344 E Broadway Rd Ste 101, Mesa, AZ 85206-1634 | 2014-10-20 |
| 1336583186 | Chelsea Alexandra Roberts | General Practice | 4111 E Valley Auto Dr Ste 209, Mesa, AZ 85206-4609 | 2013-04-23 |
| 1194001198 | Keith Krein | General Practice | 3227 N 88th St, Mesa, AZ 85207-9782 | 2011-10-24 |
| 1396934402 | James S Cerneka Do Pllc | General Practice | 500 W 10th Pl Ste 120, Mesa, AZ 85201-3218 | 2007-10-15 |
| 1730390691 | Quirino B Valeros | General Practice | 2104 E Enid Ave, Mesa, AZ 85204-4512 | 2007-05-24 |
| Find all providers in MESA | ||||
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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.