DR. VLADIMIR KATYSHEV (NPI# 1235417551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235417551 |
| Entity Type | Individual |
| Full Name | DR. VLADIMIR KATYSHEV |
| Credential | M.D. |
| Practice Address |
250 E Dunlap Ave Phoenix AZ 85020-2825 |
| Mailing Address |
111 E Dunlap Ave Ste 1-279 Phoenix AZ 85020-7805 |
| Practice Telephone | 3137454275 |
| Mailing Telephone | 3137454275 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
53271 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
53271 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301098616 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
53271 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
250 E DUNLAP AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771634 | Patrick Kelledy | Anesthesiology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2005-06-23 |
| 1285258137 | Honorhealth Ambulatory | Psychiatry & Neurology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2020-06-05 |
| 1962038232 | Elisa Martinez | Registered Nurse | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2020-03-19 |
| 1235761115 | Kathleen Elias | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2020-02-07 |
| 1801430541 | Neurone, PC | Psychiatry & Neurology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2019-11-06 |
| 1700435005 | Alexandra Anna Maga | Pharmacist | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2019-09-09 |
| 1306300777 | Dustin Bruce Hahn | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2019-01-29 |
| 1780167155 | Amy Hoagland | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2018-09-12 |
| 1063991388 | Danielle Leora Colin | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2018-08-08 |
| 1598254138 | On Day 8 LLC | Surgery | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285087528 | Sina. Inc | Psychiatry & Neurology | 9326 N Cholla Pl, Paradise Valley, AZ 85253-1808 | 2016-07-21 |
| 1598960429 | Ahmed El-gengaihy | Psychiatry & Neurology | 18723 N 77th Ave, Glendale, AZ 85308-6112 | 2007-06-20 |
| 1982004883 | Marko Perovic | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2014-08-27 |
| 1952729493 | Sneha Jacob | Psychiatry & Neurology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2014-04-02 |
| 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 |
| 1255384558 | Oro Valley Hospital LLC | Psychiatry & Neurology | 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | 2006-05-18 |
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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.