DR. JOHN CHARLES EGELHOFF (NPI# 1053327460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053327460 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES EGELHOFF |
| Other Name | DR. JOHN CHARLES EGELHOFF |
| Credential | D.O. |
| Practice Address |
1919 E Thomas Rd Radiology Phoenix AZ 85016-7710 |
| Mailing Address |
1919 E Thomas Rd Bldg 2108 101 Phoenix AZ 85016-7710 |
| Practice Telephone | 6029331213 |
| Practice Fax Number | 6029331214 |
| Mailing Telephone | 6025128029 |
| Mailing Fax Number | 6025128161 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
4510 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
34.003661 | OH | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
34.003661 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1919 E THOMAS RD RADIOLOGY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162953 | Richard N Southard | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2005-05-31 |
| 1265049472 | Chelsea Agricola | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-30 |
| 1871109686 | Madeline Rose Mcnamee | Audiologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-17 |
| 1699380212 | Lindsey N Manz | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-10 |
| 1376156331 | Jena Paige Buck | Occupational Therapist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1386257244 | Alia Torfa | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1336751999 | Cassandra E Martinez | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-17 |
| 1811508708 | Clara A Hart | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-13 |
| 1811505571 | Daniela M Giralt | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-20 |
| 1902424179 | Soren B Mickelsen | Speech-Language Pathologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
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| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134312044 | Hedieh Saghari | Radiology | 19646 N 27th Ave Ste 205, Department of Radiology, Phoenix, AZ 85027-4026 | 2007-08-23 |
| 1245277185 | Sandra Schimel | Radiology | 14 E Maryland Ave, Phoenix, AZ 85012-1124 | 2006-05-31 |
| 1528035920 | Arash Delshad | Radiology | 1111 E Mcdowel Rd, Phoenix, AZ 85006 | 2006-03-03 |
| 1417344573 | Tanner Jugler | Radiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2015-04-16 |
| 1871885400 | Kevin Welker | Radiology | 10835 N 25th Ave Ste 240, Phoenix, AZ 85029-3458 | 2011-05-16 |
| 1992022305 | Nathalie Victoria Andry | Radiology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2010-04-24 |
| 1073775482 | Jennifer Ann Vaughn | Radiology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2008-06-26 |
| 1467612648 | Jeremy Nelson Hughes | Radiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2008-06-11 |
| 1528230612 | Medical Professional Associates of Arizona | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-03-28 |
| 1265610638 | Steven I Zell | Radiology | 1111 E Mcdowell Rd, Dept. of Radiology, Phoenix, AZ 85006-2612 | 2008-02-07 |
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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.