MIDWESTERN UNIVERSITY (NPI# 1932206414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932206414 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN UNIVERSITY |
| Other Organization Name | MIDWESTERN UNIVERSITY MULTISPECIALTY CLINIC |
| Practice Address |
19389 N 59th Ave Glendale AZ 85308-6500 |
| Practice Telephone | 6235376000 |
| Practice Fax Number | 6235376000 |
| Mailing Telephone | 6235376000 |
| Mailing Fax Number | 6235376014 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | MR. GREGORY J GAUS (SR.VP/CFO) |
| Authorized Official Telephone | 6235723407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 306545 | 05 |
| Other Name | Type Code |
|---|---|
| Midwestern University Multispecialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164744009 | Midwestern University | Clinic/Center | 5855 W Utopia Road, Glendale, AZ 85308-6500 | 2010-02-19 |
| 1891017745 | Midwestern University | Optometrist | 5865 W Utopia Road, Glendale, AZ 85308-6500 | 2010-02-19 |
| 1245739481 | Midwestern University | Physical Therapist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-02-02 |
| 1639610942 | Midwestern University | Dentist | 555 31st St, Downers Grove, IL 60515-1235 | 2017-03-20 |
| 1255799839 | Midwestern University | Physician Assistant | 555 31st St, Downers Grove, IL 60515-1235 | 2016-02-10 |
| 1437524246 | Midwestern University | Physician Assistant | 555 31st Street, Downers Grove, IL 60515-1235 | 2015-12-04 |
| 1295126324 | Midwestern University | Optometrist | 3450 Lacey Rd, Suite 210, Downers Grove, IL 60515-5430 | 2015-02-11 |
| 1033558952 | Midwestern University | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2013-06-25 |
| 1861747248 | Midwestern University | Clinic/Center | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2012-07-20 |
| 1538445317 | Midwestern University | Clinic/Center | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2011-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MIDWESTERN UNIVERSITY, INC. | 555 31st St, Downers Grove, IL 60515 |
| Street Address |
19389 N 59TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378651 | Lori A Kemper | Family Medicine | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2005-07-05 |
| 1801433669 | Roxana Magee | Student in an Organized Health Care Education/Training Program | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2019-11-28 |
| 1730736000 | Maura Jacqueline Jones | Pharmacist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2019-08-21 |
| 1568957884 | Tina Zhu | Optometrist | 19389 N 59th Ave, Glendale, AZ 85308 | 2018-06-28 |
| 1780194670 | Stephanie Patricia Sanchez | Speech-Language Pathologist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2017-10-05 |
| 1730622960 | Martin Faridian | Pharmacist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2016-11-20 |
| 1528516770 | Lucia Lopes Fischer Smith | Speech-Language Pathologist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2016-09-16 |
| 1760868996 | Mardoqueo Joseph Martinez IIi | Pharmacist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2015-08-11 |
| 1871904797 | Gary Nathan Nakken | Family Medicine | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2014-05-13 |
| 1962743393 | Hillary Key | Student in an Organized Health Care Education/Training Program | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2013-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1992136576 | Best Choice Medical | Clinic/Center | 541 W Colorado St Ste 206, Glendale, CA 91204-3640 | 2013-12-06 |
| 1134412323 | Riverside Fletcher Medical Group | Clinic/Center | 1915 W Glenoaks Blvd # 101, Glendale, CA 91201-1541 | 2011-05-20 |
| 1396903571 | The Massage Fix Inc | Clinic/Center | 3600 Ocean View Blvd, Suite 1, Glendale, CA 91208-1272 | 2008-05-24 |
| 1023208212 | Arrowhead Health Center & Spa, Pllc | Clinic/Center | 17100 W 67th Ave, 300, Glendale, AZ 85308-3605 | 2007-07-25 |
| 1376582775 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2006-06-05 |
| 1831685320 | Healing Service Agency LLC | Clinic/Center | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2018-07-08 |
| 1659735504 | Tulaya Wellness Corp | Clinic/Center | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2016-04-07 |
| 1912379090 | Quick Med Center LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301 | 2015-10-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
| Find all providers in GLENDALE | ||||
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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.