DR. ANDREWS C NINAN (NPI# 1205095817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205095817 |
Entity Type | Individual |
Full Name | DR. ANDREWS C NINAN |
Credential | MD |
Practice Address |
2601e Roosevelt Street Maricopa Medical Center Phoenix AZ 85008 |
Mailing Address |
3419 Amber Ct Bowling Green KY 42104-0823 |
Practice Telephone | 6023445637 |
Practice Fax Number | 6023440793 |
Mailing Telephone | 2708469977 |
Mailing Fax Number | 5138980771 |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-06-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
APPLIED FOR | AZ | Allopathic & Osteopathic Physicians |
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
APPLIED FOR | AZ | Allopathic & Osteopathic Physicians |
Street Address |
2601E ROOSEVELT STREET MARICOPA MEDICAL CENTER |
City | PHOENIX |
State | AZ |
Zip Code | 85008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
Find all providers in zip 85008 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215939566 | Nirav Y Patel | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2005-06-01 |
1649546193 | Ace Assaf Ovil | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2012-03-29 |
1750543757 | Natasha Keric | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2008-06-30 |
1639268048 | Marc Alan Levison | Surgery | 9327 N 3rd St, Suite 200, Phoenix, AZ 85020-2470 | 2006-10-12 |
1144330408 | Kevin P Mcgeever | Surgery | 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224 | 2006-08-30 |
1215975966 | Jcl Surgery, LLC | Surgery | 3201 W Peoria Ave, Suite C500, Phoenix, AZ 85029-4608 | 2006-06-03 |
1376590679 | Kevin Foster | Surgery | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2006-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477871002 | Robert John Hoffman | Surgery | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2010-05-06 |
1336784735 | Amber Rose Ward | Surgery | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-11-10 |
1326513730 | Haley Linaman | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-10-11 |
1871093195 | Lone Star Med PC | Surgery | 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 | 2018-02-13 |
1558818211 | Clair Watkins | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-09-09 |
1932532249 | Richard H Carmona | Surgery | 8600 E Rockcliff Rd, Tucson, AZ 85750-9733 | 2013-08-11 |
1194006577 | Trauma and Acute Care Surgeons of Northern Arizona | Surgery | 77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 | 2011-08-30 |
1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
1790803260 | Kara Villareal Md PC | Surgery | 17250 N 43rd Ave, Glendale, AZ 85308-4035 | 2007-03-26 |
1780730309 | Lynn Gries | Surgery | University of Arizona, 1501 N. Campbell Ave. Rm 5411, Tucson, AZ 85724-5063 | 2007-01-26 |
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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.