STELLA KIDWELL (NPI# 1184696122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184696122 |
| Entity Type | Individual |
| Full Name | STELLA KIDWELL |
| Practice Address |
1501 N Campbell Avenue, 6th Floor Department of Neurology, 6th Floor Tucson AZ 85721 |
| Practice Telephone | 5206948888 |
| Practice Fax Number | 5206940235 |
| Mailing Telephone | 5206948888 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
47718 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1501 N CAMPBELL AVENUE, 6TH FLOOR DEPARTMENT OF NEUROLOGY, 6TH FLOOR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154737674 | Vladyslav Revin | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Tucson, AZ 85724-5023 | 2014-07-03 |
| 1952668915 | Ealaf Ahmed Alrabia | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85724 | 2012-04-16 |
| 1912276221 | Mohammad Hassan El-ghanem | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85724 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598701 | Patti Norris | Counselor | 1224 E. Lowell St. Bldg. 95, Tucson, AZ 85721 | 2018-11-27 |
| 1275976706 | Elle Ross | Internal Medicine | 5265 E. Knight Drive, Tucson, AZ 85721 | 2013-04-15 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1053509679 | University of Arizona | Audiologist | 1131 E. 2nd Street, Tucson, AZ 85721 | 2007-10-09 |
| 1730307083 | Trae Tashiro | Specialist/Technologist | 1 National Championship Drive, Mckale Center N108, Tucson, AZ 85721 | 2007-04-23 |
| 1275661332 | The University of Arizona College of Pharmacy | Pharmacist | 220 W 6th St. Usa B113, Tucson, AZ 85721 | 2007-03-01 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1669520730 | Linda Lundergan | Preventive Medicine | Campus Health University of Arizona, 1224 E. Lowell, Tucson, AZ 85721 | 2007-01-08 |
| 1861590242 | Cynthia Klatte | Social Worker | 1224 E. Lowell Street, Counseling & Psych. Services, Tucson, AZ 85721 | 2006-09-20 |
| 1437679586 | Andrea Rodriguez | Anesthesiology | 1501 N Campbell Ave, Tucson, AZ 85721 | 2017-06-20 |
| Find all providers in zip 85721 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294607 | Kathryn Clare Krulisky | Psychiatry & Neurology | 1501 N Campbell Ave Rm 6204a, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1730603283 | Gilbert Rene Gonzales | Psychiatry & Neurology | 863 W Calle De Los Higos, Tucson, AZ 85745-3250 | 2017-07-26 |
| 1376902536 | Vimala Sravanthi Vajjala | Psychiatry & Neurology | 1501 N Campbell Ave Fl 6, Tucson, AZ 85724-1962 | 2016-02-16 |
| 1568842961 | Judy Dawod | Psychiatry & Neurology | 3838 N Campbell Avenue, Bldg 2, Clinic E, Tucson, AZ 85719 | 2015-06-02 |
| 1942546841 | Northstar Neurology, PC | Psychiatry & Neurology | 7596 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2012-12-20 |
| 1720391279 | Muhammad Awais Khan | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg2, Clinic E, Tucson, AZ 85719 | 2010-07-26 |
| 1730344102 | Mateja De Leonni Stanonik | Psychiatry & Neurology | 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013 | 2008-07-24 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1700074507 | Kamakshi A. Patel | Psychiatry & Neurology | 6261 N. La Cholla Blvd, Suite 131, Tucson, AZ 85741 | 2007-10-05 |
| 1164627329 | Valerie Ann Cwik | Psychiatry & Neurology | 3300 E Sunrise Dr, Tucson, AZ 85718-3208 | 2007-06-18 |
| Find all providers in TUCSON | ||||
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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.