DR. JEREMIAH JACOB MAUPIN (NPI# 1922486489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922486489 |
| Entity Type | Individual |
| Full Name | DR. JEREMIAH JACOB MAUPIN |
| Credential | MD |
| Practice Address |
18444 N 25th Ave Ste 210 Phoenix AZ 85023-1264 |
| Practice Telephone | 6235375600 |
| Practice Fax Number | 4052714719 |
| Mailing Telephone | 6235375600 |
| Mailing Fax Number | 4052714719 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 60067 | AZ | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 31525 | OK | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
60067 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
18444 N 25TH AVE STE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85023-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942279948 | Kelly D Krohn | Internal Medicine | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2006-03-14 |
| 1578029336 | Chad Gleason | Physician Assistant | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2019-02-18 |
| 1407343510 | Joseph Duke | Physician Assistant | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2018-04-16 |
| 1508368101 | Robert Ravinsky | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2018-02-28 |
| 1457866147 | Marshall Mckinley Hughes | Physician Assistant | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2017-12-04 |
| 1629580436 | Jesse Anderson | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2017-11-02 |
| 1932610862 | Kristen Nicole Hogan | Nurse Practitioner | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2017-10-18 |
| 1922530724 | Jessica Arneson | Podiatrist | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2017-03-30 |
| 1841641974 | Tonda Wooten Silva | Podiatrist | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2016-06-30 |
| 1861840274 | Jordan W Crafton | Assistant, Podiatric | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2016-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
| 1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
| 1518475755 | Ami Marie Podlesnik | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
| 1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
| 1184974115 | Craig R Kurtz | Physical Therapy Assistant | 722 W. Beck Lane, Phoenix, AZ 85023 | 2012-09-18 |
| 1578836078 | In Touch Chiropractic | Chiropractor | 2302 W. Greenway Rd., Phoenix, AZ 85023 | 2012-02-14 |
| 1336410448 | Daniel Jerome Shumway | Massage Therapist | 3033 W. Bell Rd Ste 101-a, Phoenix, AZ 85023 | 2012-01-20 |
| 1659640266 | Valley of The Sun Assisted Living Homes LLC | Custodial Care Facility | 18039 N. 19th Ln., Phoenix, AZ 85023 | 2011-12-28 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
| Find all providers in zip 85023 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275729345 | Dan H Heller | Orthopaedic Surgery | 9327 N 3rd St Ste 101, Phoenix, AZ 85020-2471 | 2007-09-21 |
| 1760811988 | James Anthony St. Ville | Orthopaedic Surgery | 2500 N 24th St, Phoenix, AZ 85008-1842 | 2013-11-07 |
| 1093066193 | E Michael Lucero, Md PC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2012-09-28 |
| 1154388981 | Alex C Mclaren | Orthopaedic Surgery | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2006-04-26 |
| 1194790188 | Marc J Rosen | Orthopaedic Surgery | 19636 N 27th Ave, Phoenix, AZ 85027-4013 | 2006-02-22 |
| 1265406714 | Arizona Bone & Joint Surgeons Ltd | Orthopaedic Surgery | 9327 N 3rd St, Ste 101, Phoenix, AZ 85020-2470 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114172251 | James Alan Rand | Orthopaedic Surgery | 6621 E Ironwood Dr, Paradise Valley, AZ 85253-2621 | 2008-11-17 |
| 1609901057 | Salvatore G Lacognata | Orthopaedic Surgery | 3941 E Baseline Rd Ste 102, Gilbert, AZ 85234-2750 | 2007-02-23 |
| 1285781401 | Doug Steven Clouse | Orthopaedic Surgery | 3530 S Val Vista Dr Ste B105, Gilbert, AZ 85297-7318 | 2007-01-03 |
| 1841202678 | The Joint Replacement Center of Scottsdale | Orthopaedic Surgery | 10250 North 92nd Street, Suite 202, Scottsdale, AZ 85258-6709 | 2006-08-12 |
| 1396716262 | Brent Paul Hansen | Orthopaedic Surgery | 6320 W Union Hills Dr Ste 1800, Glendale, AZ 85308-1372 | 2006-01-30 |
| 1154327815 | Stuart Craig Kozinn | Orthopaedic Surgery | 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 | 2005-06-27 |
| 1508340209 | Orthopaedic Specialists of Scottsdale, Pllc | Orthopaedic Surgery | 20401 N 73rd St Ste 135, Scottsdale, AZ 85255-4148 | 2018-09-18 |
| 1629439005 | Greater Phoenix Orthopedics | Orthopaedic Surgery | 20401 N 73rd St, Suite 155, Scottsdale, AZ 85255-4107 | 2016-03-14 |
| 1760892483 | Gregory T Evangelista Md LLC | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2014-05-02 |
| 1538500046 | Joseph M Janzer, Do PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
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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.