DAMIAN ESTEBAN BEREZOVSKY (NPI# 1144653437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144653437 |
| Entity Type | Individual |
| Full Name | DAMIAN ESTEBAN BEREZOVSKY |
| Credential | M.D. |
| Practice Address |
240 W Thomas Rd # 400 Phoenix AZ 85013-4407 |
| Practice Telephone | 6024066262 |
| Practice Fax Number | 6024066261 |
| Mailing Telephone | 6024066262 |
| Mailing Fax Number | 6024066261 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2017-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
53907 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
75927 | GA | Allopathic & Osteopathic Physicians |
| Y | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
53907 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA MEDICAL LICENSE | 75927 | 01 |
| AZ | 284746 | 05 | |
| NM | NEW MEXICO TRAINING LICENSE | RS2013-0696 | 01 |
| Street Address |
240 W THOMAS RD # 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518929249 | Paul R Macdonald | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2006-04-06 |
| 1669848297 | Karissa A Secora | Physician Assistant | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2015-08-18 |
| 1356786800 | Kelly Lauren Braun | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2013-05-09 |
| 1780930172 | Ram Narendra Narayan | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013 | 2012-08-03 |
| 1912137985 | Teddy Si Youn | Internal Medicine | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2009-07-23 |
| 1740450295 | Vladimir Shvarts | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013 | 2008-03-11 |
| 1831297274 | David Wang | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2006-09-20 |
| 1255365920 | Susan T Herman | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2006-07-10 |
| 1184682882 | Jeremy M Shefner | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013 | 2006-05-02 |
| 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 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 207WX0109X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
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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.