JEFFREY SCOTT NINE (NPI# 1285649756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285649756 |
| Entity Type | Individual |
| Full Name | JEFFREY SCOTT NINE |
| Credential | M.D. |
| Practice Address |
918 Prosser Ln Prescott AZ 86301-1751 |
| Practice Telephone | 9287713163 |
| Practice Fax Number | 9287713504 |
| Mailing Telephone | 9287713163 |
| Mailing Fax Number | 9287713504 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
28464 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
MD051862L | PA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
28464 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD051862L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
918 PROSSER LN |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598973851 | Philip Earl Keen | Pathology | 980 Division St, Prescott, AZ 86301-1604 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307715 | John Xiaojiang Hu | Pathology | Po Box 2728, Florence, AZ 85132-3051 | 2017-10-18 |
| 1265881312 | Michael Iliescu | Pathology | 2276 W Periwinkle Way, Chandler, AZ 85248-4180 | 2016-06-09 |
| 1972867638 | Kevin Michael Lougee | Pathology | 2825 E District St, Tucson, AZ 85714-2081 | 2012-06-27 |
| 1356499891 | Kevin Daniel Horn | Pathology | 701 W Jefferson St, Phoenix, AZ 85007-2908 | 2007-01-08 |
| 1669953840 | Gregory L Hess | Pathology | 2825 E District St, Tucson, AZ 85714-2081 | 2018-08-24 |
| 1609150945 | Vladimir Shvarts | Pathology | 701 W Jefferson St, Phoenix, AZ 85007-2908 | 2011-10-05 |
| 1972687218 | Gloria Esther Castro | Pathology | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-10-24 |
| 1972594158 | Victor Manuel Alvarez | Pathology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2005-11-04 |
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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.