SOUTHWEST CENTER FOR NEUROLOGICAL SURGEONS PC (NPI# 1891901088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891901088 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST CENTER FOR NEUROLOGICAL SURGEONS PC |
| Practice Address |
4566 E Inverness Ave 205 Mesa AZ 85206-4633 |
| Practice Telephone | 4807301844 |
| Practice Fax Number | 4807301404 |
| Mailing Telephone | 4807301844 |
| Mailing Fax Number | 4807301404 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARC ALAIN LETELLIER (OWNER) |
| Authorized Official Telephone | 4807301844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 18410 | AZ | Other Service Providers |
| Street Address |
4566 E INVERNESS AVE 205 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917463 | Gary Thomas Purcell | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 202, Mesa, AZ 85206-4633 | 2006-01-21 |
| 1346677242 | Gateway Physical Therapy LLC | Health Maintenance Organization | 4566 E Inverness Ave, Suite 103, Mesa, AZ 85206-4633 | 2013-10-09 |
| 1396028841 | Yeon Hee Park | Acupuncturist | 4566 E Inverness Ave, Suite 201, Mesa, AZ 85206-4633 | 2011-09-21 |
| 1235427709 | Desert Spine and Scoliosis Center | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 208, Mesa, AZ 85206-4633 | 2011-07-18 |
| 1265755375 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 108, Mesa, AZ 85206-4633 | 2010-03-03 |
| 1255567004 | Absolute Sleep Medical | Durable Medical Equipment & Medical Supplies | 4566 E Inverness Ave, Mesa, AZ 85206-4633 | 2009-06-08 |
| 1891976569 | Desert Neurosurgery, PC | Neurological Surgery | 4566 E Inverness Ave, Ste #208, Mesa, AZ 85206 | 2007-11-21 |
| 1194883223 | Rafath U Baig | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 208, Mesa, AZ 85206-4633 | 2006-12-04 |
| 1427154442 | Southeast Valley Obstetrics & Gynecology Plc | Obstetrics & Gynecology | 4566 E Inverness Ave, Suite 202, Mesa, AZ 85206-4633 | 2006-09-16 |
| 1770525396 | Sidney Semrad | Obstetrics & Gynecology | 4566 E Inverness Ave, #202, Mesa, AZ 85206-4634 | 2006-06-11 |
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| 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 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1558884866 | Affiliated Pro Monitoring, LLC | Specialist | 6424 E Broadway Rd Ste 120, Mesa, AZ 85206-1750 | 2017-07-18 |
| 1861863011 | Christina Wright | Specialist | 11033 E Abilene Ave, Mesa, AZ 85208-8645 | 2015-10-14 |
| 1821465584 | Arizona Medical Associates Inc | Specialist | 1301 South Rismon Road, Mesa, AZ 85209-3767 | 2015-08-28 |
| 1174926794 | Breast Ink Plc | Specialist | 2321 S Alta Vista Cir, Mesa, AZ 85202-6474 | 2014-09-28 |
| 1780957985 | Clear Choice Physicians, LLC | Specialist | 6328 E Brown Rd Ste 106, Mesa, AZ 85205-4841 | 2012-02-17 |
| 1538445812 | Modocurogyn, Pllc | Specialist | 6632 E. Baseline Rd, Ste 101, Mesa, AZ 85206 | 2011-10-31 |
| 1508140005 | Janice A Spears | Specialist | 1840 W Emelita Ave, #1144, Mesa, AZ 85202-4035 | 2011-10-03 |
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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.