DESERET MEDICAL ASSOCIATES PLC (NPI# 1962989244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962989244 |
| Entity Type | Organization |
| Organization Name | DESERET MEDICAL ASSOCIATES PLC |
| Practice Address |
6410 S Kings Ranch Rd Ste 1 Gold Canyon AZ 85118 |
| Mailing Address |
6410 S Kings Ranch Rd Ste 1 Gold Canyon AZ 85118-7352 |
| Practice Telephone | 4809813000 |
| Practice Fax Number | 4803253614 |
| Mailing Telephone | 4809813000 |
| Mailing Fax Number | 4803253614 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | HUGO FAZZ (OWNER) |
| Authorized Official Telephone | 4809813000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1425 S Greenfield Rd Ste 101, Mesa, AZ 852065505 | 4809813000 | 4803253614 |
| Street Address |
6410 S KINGS RANCH RD STE 1 |
| City | GOLD CANYON |
| State | AZ |
| Zip Code | 85118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989190 | Christi Larson | Pharmacist | 6788 S Kings Ranch Rd, Suite 1, Gold Canyon, AZ 85118 | 2019-09-03 |
| 1467956425 | Gold Canyon Contemporary Dentistry | Dentist | 6900 E. Us Highway 60 Ste. #110, Gold Canyon, AZ 85118 | 2018-03-22 |
| 1699945998 | Randal Lavern Johnson | Pharmacist | 6832 S Kings Ranch Rd Ste 2, Gold Canyon, AZ 85118 | 2008-03-03 |
| 1649780420 | Ronald J Creasman | Internal Medicine | 3969 S Juniper Village Ct, Gold Canyon, AZ 85118-1700 | 2017-10-05 |
| 1033448352 | Mark Randall Grover | Social Worker | 6965 E Hacienda La Noria Ln, Gold Canyon, AZ 85118-1834 | 2009-12-15 |
| 1043418015 | Leslie D. Crabtree | Speech-Language Pathologist | 5044 S Las Mananitas Trl, Gold Canyon, AZ 85118-1847 | 2007-07-10 |
| 1366557381 | Bashas Inc | Pharmacy | 5311 S Superstition Mountain Dr, Gold Canyon, AZ 85118-1918 | 2006-08-20 |
| 1427665801 | Heargen LLC | Hearing Instrument Specialist | 5331 S Superstition Mountain Dr Ste C-107, Gold Canyon, AZ 85118-1921 | 2020-09-29 |
| 1841500824 | Gold Canyon Hearing, Pllc | Hearing Aid Equipment | 5331 S Superstition Mountain Dr, Suite C107, Gold Canyon, AZ 85118-1921 | 2010-10-08 |
| 1578872172 | Lisa M Marshall | Hearing Instrument Specialist | 5331 S Superstition Mountain Dr, Suite C-107, Gold Canyon, AZ 85118-1921 | 2010-09-29 |
| Find all providers in zip 85118 | ||||
| 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 |
|---|---|---|---|---|
| 1871638056 | Bruno Frank Mirowski | Family Medicine | 5273 S Emerald Desert Dr, Gold Canyon, AZ 85218-5096 | 2007-02-21 |
| 1528004363 | Robert D. Lancaster, Md, PC | Family Medicine | 2421 S. Rainbows End, Gold Canyon, AZ 85118-4891 | 2006-06-21 |
| 1295729853 | Bobbi D Lancaster | Family Medicine | 2421 S Rainbows End, Gold Canyon, AZ 85218 | 2005-09-09 |
| 1104287697 | Restore Dme Medical Group, LLC | Family Medicine | 6410 S Kings Ranch Rd, Ste 1, Gold Canyon, AZ 85118-7352 | 2016-03-11 |
| 1639195977 | Robert C Allen | Family Medicine | 6410 S Kings Ranch Rd, 1, Gold Canyon, AZ 85218-7352 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446349 | Holding Hands Medical Pllc | Family Medicine | 8515 S College Ln, Tempe, AZ 85284-2342 | 2020-10-29 |
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | GOLD CANYON |
| Zip Code | 85118 |
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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.