Bella Healthcare LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

BELLA HEALTHCARE LLC

Practice address

1001 E Warner Rd
Ste 107
Tempe, AZ 85284-3224

Phone

(480) 897-3300

Fax

(480) 897-3312

NPI assigned

Dec 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeremy R Buckner, D.C.

Title

Ceo

Phone

(480) 897-3300

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel L Bonilla, MD

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1023080744
  Medicare reassignment NPD
• Harolyn C Gilles, MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1437478583
  Medicare reassignment NPD
• Lisa Teresa Greene, NP

  • Family Nurse Practitioner
  • Sun City, AZ
  • NPI 1215436233
  Medicare reassignment NPD
• Drew C Hunter, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1649415308
  Medicare reassignment NPD
• Evan Short

  • Physical Therapist
  • Mesa, AZ
  • NPI 1518343003
  Medicare reassignment NPD
• Scott Alexander Taylor, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1023381340
  Medicare reassignment NPD
• Joshua Adam Levy, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Charlotte, NC
  • NPI 1942238357

  AZ

  Medicare reassignment NPD
• Joseph Jean Vigneau, D.C.

  • Chiropractor
  • Clinton Township, MI
  • NPI 1750636007

  AZ

  Medicare reassignment NPD
• Susan Elaine Lasala-Wood, DNP FNP-C, RNFA

  • Family Nurse Practitioner
  • Show Low, AZ
  • NPI 1457667016
  Medicare reassignment
• Daisy Hannah Liljenquist, PA

  • Physician Assistant
  • Mesa, AZ
  • NPI 1740858976
  Medicare reassignment
• Jason Frank Pace, PA

  • Medical Physician Assistant
  • Show Low, AZ
  • NPI 1932423381
  Medicare reassignment
• Mark J Troy Hudson III, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1538754353
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1386065183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E WARNER RD",
            "address_2": "STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843224",
            "telephone_number": "480-897-3300",
            "fax_number": "480-897-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E WARNER RD",
            "address_2": "STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843224",
            "telephone_number": "480-897-3300",
            "fax_number": "480-897-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-897-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751579",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Belcastro, PHARM D.
• Sara Ann Belk
• Bethany Mae Bell, PHARM.D
• Laura Bell
• Matthew David Bell, AU.D.
• Charmayne Bellamy, LMSW
• Najiyyah Jamilah Bellmon-Cooper
• Lakeitha Bellmon
• Gail Seiler Belus, AU.D.
• Cole Bembenek, DPT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.