MODERN SPORTS MEDICINE LLC (NPI# 1942810833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942810833 |
Entity Type | Organization |
Organization Name | MODERN SPORTS MEDICINE LLC |
Practice Address |
6242 E Arbor Ave Unit 1 Mesa AZ 85206-1309 |
Mailing Address |
1840 E Warner Rd Ste 121 Tempe AZ 85284-3445 |
Practice Telephone | 4808784806 |
Practice Fax Number | 4808401672 |
Mailing Telephone | 4808784806 |
Mailing Fax Number | 4808401672 |
Enumeration Date | 2020-08-05 |
Last Update Date | 2020-08-05 |
Authorized Official Name | MRS. HALEIGH SHEREE MERSHON (DIRECTOR OF REVENUE) |
Authorized Official Telephone | 4803325926 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568072387 | Modern Sports Medicine LLC | Physical Therapist | 1840 E Warner Rd Ste 121, Tempe, AZ 85284-3445 | 2020-08-06 |
1285295089 | Modern Sports Medicine LLC | Family Medicine | 10450 E Riggs Rd Ste 104, Sun Lakes, AZ 85248-7759 | 2019-06-24 |
1700495892 | Modern Sports Medicine LLC | Preventive Medicine | 14821 N Del Webb Blvd, Sun City, AZ 85351-2145 | 2020-07-24 |
Street Address |
6242 E ARBOR AVE UNIT 1 |
City | MESA |
State | AZ |
Zip Code | 85206-1309 |
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 | 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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366920910 | Haleys Designer Wigs | Specialist | 6017 E Mckellips Rd Ste 109, Mesa, AZ 85215-2824 | 2018-08-04 |
1831604990 | Shanna Kay Parker | Specialist | 1055 W Baseline Rd Apt 1049, Mesa, AZ 85210-9504 | 2017-12-11 |
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 |
1043512015 | Julie Patten | Specialist | 2946 E Grove Cir, Mesa, AZ 85204-6302 | 2010-11-24 |
Find all providers in MESA |
Please comment or provide details below to improve the information on MODERN SPORTS MEDICINE LLC.
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.