DAVID MEDANSKY


Address: 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623
Phone: 6027215218

DAVID MEDANSKY (NPI# 1275099020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275099020
Entity Type Individual
Full Name DAVID MEDANSKY
Practice Address 11980 W Shifting Sands Dr
Peoria
AZ 85383-2623
Practice Telephone 6027215218
Mailing Telephone 6027215218
Enumeration Date 2019-02-18
Last Update Date 2019-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TAXONOMY 2083B002X 01

Office Location

Street Address 11980 W SHIFTING SANDS DR
City PEORIA
State AZ
Zip Code 85383-2623

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NPI Name Taxonomy Address Enumeration
1831701218 West Point Optical Group Optometrist 24775 N. Pleasant Pkwy, Peoria, AZ 85383 2020-08-18
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1962994012 Reach for The Stars Pediatric Therapy Pllc Physical Therapy Assistant 8662 W Lariat Ln, Peoria, AZ 85383 2018-06-05
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1255857827 Advanced Air Amulance LLC Ambulance 9463 West El Cortez Place, Peoria, AZ 85383 2017-08-16
1427578996 Paul R Arthur Physical Therapist 9745 W. Happy Valley Rd, Peoria, AZ 85383 2017-06-26
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1801263579 John Leano Pharmacist 26898 N 87th Dr, Peoria, AZ 85383 2015-08-28
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396916029 Melody Oaks Nutritionist 21731 N 86th Ln, Peoria, AZ 85382-2497 2008-03-20
1154567733 Meghann Schwartz Nutritionist 8600 North Route 91, Peoria, IL 61615 2009-01-02
1639328495 Ruth E Towns Nutritionist 8600 North Route 91, Peoria, IL 61615 2008-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164029385 Charlotte Marie Mcintyre Nutritionist 1000 E Water St Apt 7, Tucson, AZ 85719-3075 2020-10-01
1881219707 Gabrielle Hungate Nutritionist 10754 N Chapin Ct, Tucson, AZ 85737-6634 2020-06-16
1538780598 Penny Jean Stadick Nutritionist 20259 N Ryans Trl, Maricopa, AZ 85138-2446 2020-04-30
1306345780 Christine Inez Cintron Nutritionist 9231 E Carol Ave, Mesa, AZ 85208-2497 2018-02-12
1285143115 Charles Higgins Jr. Nutritionist 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 2017-09-22
1326568486 Damian Dube Nutritionist 1503 N Rockwell St, Gilbert, AZ 85234-1436 2017-06-20
1427593391 Martha Imelda Huizar Nutritionist 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 2016-12-30
1639622434 Jenny Woelk Nutritionist 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 2016-07-27
1356790158 Banner Umc Dpec Nutritionist 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 2016-06-13
1053783829 Debra L Mcdaniel-perez Nutritionist 28784 E Aster Ln, Marana, AZ 85658-9223 2015-10-20
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Competitor

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City PEORIA
Zip Code 85383

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Dataset Information

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.

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