DR. MARY DIANE LEVY (NPI# 1255577094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255577094 |
| Entity Type | Individual |
| Full Name | DR. MARY DIANE LEVY |
| Credential | D.O. |
| Practice Address |
4207 E Cotton Center Blvd # Cc10 Phoenix AZ 85040-8893 |
| Mailing Address |
Po Box 840294 Dallas TX 75284-0294 |
| Practice Telephone | 6026488900 |
| Mailing Telephone | 8883441160 |
| Mailing Fax Number | 9723313148 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
20A10247 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
233277 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4114 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023332632 | Mary Ellen Levy | Pharmacist | 103 E Mechanic St, Harrisonville, MO 64701-2461 | 2010-03-25 |
| 1679799738 | Mary Ann Levy | Psychoanalyst | 1660 S Albion St, Suite 903, Denver, CO 80222-4008 | 2007-04-17 |
| Street Address |
4207 E COTTON CENTER BLVD # CC10 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-8893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912976770 | Michael Lawrence Miller | Pathology | 4207 E Cotton Center Blvd # Cc10, Phoenix, AZ 85040-8893 | 2006-03-15 |
| 1558507467 | Agatha Michaela Bogard | Pathology | 4207 E Cotton Center Blvd # Cc10, Phoenix, AZ 85040-8893 | 2008-12-23 |
| 1457528663 | Ahmed S Bedeir | Pathology | 4207 E Cotton Center Blvd # Cc10, Phoenix, AZ 85040-8893 | 2008-05-15 |
| 1609085422 | Parag Jhaver Patel | Pathology | 4207 E Cotton Center Blvd # Cc10, Phoenix, AZ 85040-8893 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1063666543 | Renuka Pathi | Pathology | 22216 N 36th St, Phoenix, AZ 85050-7396 | 2008-11-10 |
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1982703757 | Christina Irene Fredenberg | Pathology | 9250 No. 3rd St., Suite 4000, Phoenix, AZ 85020 | 2006-09-21 |
| 1942316161 | Western Pathology Associates, Ltd. | Pathology | 9250 N. 3rd St, Suite 4000, Phoenix, AZ 85020 | 2006-08-21 |
| 1881651701 | Clarke David Kareus Lambe | Pathology | 9250 N 3rd St., Ste 4000, Phoenix, AZ 85020 | 2006-04-26 |
| 1699744169 | Thaddeus Khachaturian | Pathology | 15612 N 32nd St, Ste. #3, Phoenix, AZ 85032-3859 | 2006-03-16 |
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1871575746 | Thomas V Colby | Pathology | 424 S 56th St Ste 120, Phoenix, AZ 85034-2177 | 2005-11-16 |
| Find all providers in PHOENIX | ||||
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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.