DR. ROBERT L KISTNER JR. (NPI# 1063404572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063404572 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L KISTNER JR. |
| Credential | M.D. |
| Practice Address |
1909 E Ray Rd Ste 9-154 Chandler AZ 85225-8735 |
| Mailing Address |
Po Box 50970 Phoenix AZ 85076-0970 |
| Practice Telephone | 4807066151 |
| Practice Fax Number | 4807068908 |
| Mailing Telephone | 4807066151 |
| Mailing Fax Number | 4807068908 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AZ20804 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 130170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487976098 | Robert Michael Kistner | Physician Assistant | 126 James Creek Rd, Southern Pines, NC 28387-6819 | 2010-02-23 |
| 1568541506 | Robert Kistner | Surgery | 848 S Beretania St, Ste 307, Honolulu, HI 96813-2551 | 2006-11-02 |
| Street Address |
1909 E RAY RD STE 9-154 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831548296 | Laura Brenza | Specialist | 3110 N Bentrup Cir, Chandler, AZ 85224-1008 | 2016-06-07 |
| 1043671282 | Daniel Lovelace | Specialist | 1392 N Santa Anna Ct, Chandler, AZ 85224-8527 | 2016-03-16 |
| 1699150318 | Shaena Lutz | Specialist | 1889 W Queen Creek Rd, #2062, Chandler, AZ 85248-3079 | 2015-07-23 |
| 1528445442 | Rachel Brodie | Specialist | 1976 N Lemon Tree Ln Unit 10, Chandler, AZ 85224-2536 | 2015-04-29 |
| 1942623939 | Wallace Medical Group | Specialist | 1986 E Glacier Pl, Chandler, AZ 85249-2886 | 2014-01-27 |
| 1619301264 | Ucr Medical Group Pllc | Specialist | 2745 S Alma School Rd Ste 2, Chandler, AZ 85286-4405 | 2013-08-29 |
| 1861783730 | Corliss Colleen Jackson | Specialist | 1519w. Mesquite Street, Chandler, AZ 85224-5235 | 2011-04-27 |
| 1114159803 | Ashley Marie Christensen | Specialist | 5590 W Chandler Blvd, Suite 4, Chandler, AZ 85226-3697 | 2009-08-14 |
| 1336385640 | Paul Harris | Specialist | 870 N Evergreen St, Chandler, AZ 85225-7236 | 2008-12-17 |
| 1215103080 | Koki K Amin | Specialist | 643 W San Carlos Way, Chandler, AZ 85248-5173 | 2008-05-01 |
| Find all providers in CHANDLER | ||||
Please comment or provide details below to improve the information on DR. ROBERT L KISTNER JR..
| 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.