PATRICE M CHURCHILL (NPI# 1942395314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942395314 |
| Entity Type | Individual |
| Full Name | PATRICE M CHURCHILL |
| Credential | D.O. |
| Practice Address |
174 W Highway 287 Florence AZ 85132 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
| Practice Telephone | 5208685811 |
| Practice Fax Number | 5208681223 |
| Mailing Telephone | 5208363446 |
| Mailing Fax Number | 5208368807 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 005146 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 398605 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 865 N Arizola Rd, Casa Grande, AZ 851226011 | 5208363446 | 5208368807 |
| Street Address |
174 W HIGHWAY 287 |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922644533 | Susan Packer | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2019-11-19 |
| 1528576907 | Paula J Pieratt | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2018-01-19 |
| 1376052779 | Kenneth Gene Leutz | Pharmacist | 174 W Highway 287, Florence, AZ 85132 | 2017-09-28 |
| 1043740566 | Sun Life Family Health Center, Inc. | Pharmacy | 174 W Highway 287, Florence, AZ 85132-8170 | 2017-06-18 |
| 1750735023 | Samantha Currier | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2016-04-22 |
| 1821352410 | Debra A Rodgers Herington | Registered Nurse | 174 W Highway 287, Florence, AZ 85132 | 2012-06-27 |
| 1740594522 | Betty Jean Hahn | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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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.