DR. RICHARD W TREPETA (NPI# 1093780561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093780561 |
| Entity Type | Individual |
| Full Name | DR. RICHARD W TREPETA |
| Credential | M.D. |
| Practice Address |
350 W Thomas Rd Phoenix AZ 85013-4409 |
| Mailing Address |
Po Box 42210 Phoenix AZ 85080-2210 |
| Practice Telephone | 6022639007 |
| Mailing Telephone | 6232667770 |
| Mailing Fax Number | 6233224639 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
16208 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBSAZ-PATH ASSOC | AZ0182900 | 01 |
| AZ | BCBSAZ-SUN CITY PATH | AZ0828960 | 01 |
| AZ | 111279 | 05 | |
| AZ | HEALTH NET AZ-SUN CITY PA | 1Z7112 | 01 |
| AZ | HEALTH NET AZ-PATH ASSOC | AX4478 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14502 W Meeker Blvd, Sun City West, AZ 853755282 | 6026855211 | 6026855325 |
| Street Address |
350 W THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795415 | Select Specialty Hospital - Phoenix Inc | Long Term Care Hospital | 350 W Thomas Rd, 3rd Flr, Phoenix, AZ 85013-4409 | 2005-07-26 |
| 1053928267 | Zion Specialty Pllc | Specialist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-30 |
| 1598370603 | Park Central Anesthesia | Anesthesiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-15 |
| 1760093553 | Marissa Karrina Lopez | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-08-13 |
| 1497373252 | Bernardo De Andrada Pereira | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-08 |
| 1700403185 | Janae Marie Herrera | Registered Nurse | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-01 |
| 1649896267 | Benjamin Craig Seleen | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-06-19 |
| 1588285902 | Chandra Marie Tontsch | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-27 |
| 1568083970 | Cody Wong | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-04-27 |
| 1427678200 | Timothy Eugene Hollowed | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1063666543 | Renuka Pathi | Pathology | 22216 N 36th St, Phoenix, AZ 85050-7396 | 2008-11-10 |
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1982703757 | Christina Irene Fredenberg | Pathology | 9250 No. 3rd St., Suite 4000, Phoenix, AZ 85020 | 2006-09-21 |
| 1942316161 | Western Pathology Associates, Ltd. | Pathology | 9250 N. 3rd St, Suite 4000, Phoenix, AZ 85020 | 2006-08-21 |
| 1881651701 | Clarke David Kareus Lambe | Pathology | 9250 N 3rd St., Ste 4000, Phoenix, AZ 85020 | 2006-04-26 |
| 1699744169 | Thaddeus Khachaturian | Pathology | 15612 N 32nd St, Ste. #3, Phoenix, AZ 85032-3859 | 2006-03-16 |
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1871575746 | Thomas V Colby | Pathology | 424 S 56th St Ste 120, Phoenix, AZ 85034-2177 | 2005-11-16 |
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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.