Exceptional Physicians Group Yuma Hospital PLLC
Organization Active NPI Emergency Medicine Physician · Yuma, AZ
NPI 1235857699 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1235857699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EXCEPTIONAL PHYSICIANS GROUP YUMA HOSPITAL PLLC
- Practice address
- 2648 S Araby Rd
Yuma, AZ 85365-7236 - Phone
- (469) 341-7800
- NPI assigned
- Aug 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Ronald Collins
- Title
- Financial Systems Advisor
- Phone
- (972) 888-7216
Practitioners 154
-
Nataraj Desai, MD
-
Brian Gallman, D.O.
-
Peter S Gills, DO
-
Luke Hise, M.D.
-
David Allen Horwitz, M.D.
-
Leala Adel Martinez, FNP-BC
-
Douglas J. Smith, M.D.
-
Jon J. Vasquez, M.D.
-
Ashvin George Felix, M.D
-
Paul Gilbert, MD
-
Donald G Hubbard, MD
-
Bruce Teich, MD
-
Daniel Joseph Trueba Jr., M.D.
-
Jonathan D Woolery, MD, MPH, MS
-
Nitish Aggarwal, MD/MBA
-
Oday Al Rabadi, M.D.
-
Fadi Atassi, MD
-
Maher Mark Awar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230721000455 | AZ | Part B Supplier - Clinic/Group Practice | 3173983186 |
Receives reassigned benefits from 152 practitioners Practice locations: Yuma, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
2648 S Araby Rd
Yuma, AZ 85365-7236
Mailing address
PO Box 191308
Dallas, TX 75219-8308
Phone (469) 341-7800
NPI Registry JSON
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1235857699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191308",
"city": "DALLAS",
"state": "TX",
"postal_code": "752198308",
"telephone_number": "469-341-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2648 S ARABY RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853657236",
"telephone_number": "469-341-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEPTIONAL PHYSICIANS GROUP YUMA HOSPITAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-19",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "FINANCIAL SYSTEMS ADVISOR",
"authorized_official_telephone_number": "972-888-7216"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
- Marilyn Ann Evans
- Matthew Dylan Evans
- Jannet Carol Everson
- Excellence Healthcare Management Inc
- Exceptional Health Care Yuma LLC
- Exceptional Physicians Group Yuma Hospital, PLLC
- Extensive Foot and Ankle, PLLC
- Extreme Performance and Rehabilitation,LLC
- Eyemart Express LLC
- Kari Fager
All providers in Yuma, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.