DR. JACK W HARBELL (NPI# 1164758264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164758264 |
| Entity Type | Individual |
| Full Name | DR. JACK W HARBELL |
| Credential | M.D. |
| Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
| Practice Telephone | (480) 301-8000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 53996 | AZ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 110117 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 53996 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
13400 E SHEA BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
| 1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
| 1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
| 1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
| 1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
| 1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
| 1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
| 1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| 1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601941 | Keita Okubo | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-05-21 |
| 1275152142 | Brandon Robert Braaksma | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-04-10 |
| 1124580287 | Amanda Ellen Ardale | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2019-04-05 |
| 1891814034 | Amit Kumar Mathur | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-03-28 |
| 1871642538 | Januario E Castro | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2007-01-10 |
| 1780611855 | Andrew Lawrence Singer | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2006-06-26 |
| 1831174796 | Kunam S Reddy | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2005-12-13 |
| 1356326813 | Adyr A Moss | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2005-12-07 |
| 1144204116 | Vijayan Balan | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2005-12-02 |
| 1871582593 | Winston Rupert Hewitt Jr. | Transplant Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2005-10-15 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
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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.