CHARLES H PSHAENICH (NPI# 1023093085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023093085 |
| Entity Type | Individual |
| Full Name | CHARLES H PSHAENICH |
| Credential | MD |
| Practice Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
| Mailing Address |
Po Box 7127 Phoenix AZ 85011-7127 |
| Practice Telephone | 4804569500 |
| Practice Fax Number | 4808207623 |
| Mailing Telephone | 4804569500 |
| Mailing Fax Number | 4808207623 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2012-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25570 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 401349 | 05 |
| Street Address |
1400 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102977 | Nabin Sharma | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2005-05-23 |
| 1902429012 | Melanie Louise Ryan | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-05-22 |
| 1154951150 | Mistelle Allan | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-01-19 |
| 1225672785 | Roberta Lee Nixon | Nurse Practitioner | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-10-28 |
| 1831742618 | Misty Villar | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-07-19 |
| 1407318819 | Jamie Lynn Petersen | Speech-Language Pathologist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1124580691 | Quality Time Anesthesia, Pllc | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1477013704 | Amanda Sweig | Physical Therapist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-03-22 |
| 1922587195 | Serena Chonglun Zhou | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-08-09 |
| 1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889636 | Michael Steven Prescott | Emergency Medicine | 2747 E University Dr # 32016, Mesa, AZ 85213-8437 | 2007-05-13 |
| 1538371752 | Betty Hadji Momenian Dinarte | Emergency Medicine | 6644 E Baywood Avenue, Mesa, AZ 85206 | 2007-05-03 |
| 1164642963 | Mountain Vista Emergency Physicians | Emergency Medicine | 1301 South Crismon Rd, Emergency Department, Mesa, AZ 85209 | 2007-04-26 |
| 1609807031 | Mary L. Mazza | Emergency Medicine | Banner Mesa Medical Center, 1010 N. Country Club Drive, Mesa, AZ 85201-3309 | 2006-07-05 |
| 1194754341 | Scott H Gulbranson | Emergency Medicine | 9903 E Monterey Ave, Mesa, AZ 85209-2597 | 2006-07-01 |
| 1801824925 | Bruce Keith Adams | Emergency Medicine | Banner Baywood Medical Center, 6644 Baywood Avenue, Mesa, AZ 85253 | 2006-06-29 |
| 1427085141 | Robert Scott Orava | Emergency Medicine | 1660 S Alma School Rd, Mesa, AZ 85210-3069 | 2006-06-27 |
| 1962453514 | Emergency & Acute Care Medical Company - Az | Emergency Medicine | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2006-05-16 |
| 1104889294 | Diane L. Elmore | Emergency Medicine | 450 N Dobson Rd Ste 108, Mesa, AZ 85201-5278 | 2006-04-10 |
| 1467432245 | Allan M Soo | Emergency Medicine | 1265 W Guadalupe Rd, Ste Nppes, Mesa, AZ 85202-9101 | 2006-01-18 |
| Find all providers in MESA | ||||
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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.