DR. RENUKA B. NIGAM (NPI# 1386691988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386691988 |
| Entity Type | Individual |
| Full Name | DR. RENUKA B. NIGAM |
| Credential | MD |
| Practice Address |
59 S Hibbert Mesa AZ 85210-1414 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 4803446226 |
| Practice Fax Number | 4803446201 |
| Mailing Telephone | 6024705000 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28287 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 547565 | 05 |
| Street Address |
59 S HIBBERT |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104331115 | Maricopa County Special Health Care District | Clinic/Center | 59 S Hibbert, Mesa, AZ 85210-1414 | 2017-12-13 |
| 1356853824 | Stephanie Peishan Yu | Physician Assistant | 59 S Hibbert, Mesa, AZ 85210-1414 | 2017-10-24 |
| 1275952525 | Jayakrishna Paineni | Family Medicine | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-15 |
| 1306265145 | Maricopa County Special Health Care District | General Acute Care Hospital | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-09 |
| 1710229406 | Jamie Bohannon | Nurse Practitioner | 59 S Hibbert, Mesa, AZ 85210-1414 | 2013-03-21 |
| 1750391272 | Michael Wahbah | Dentist | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-08-08 |
| 1518902725 | Maricopa County Special Health Care District | Pharmacy | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-06-19 |
| 1043254261 | Pacita Tee Opulencia | Pediatrics | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295250009 | Pleasant Pediatrics Plc | Pediatrics | 421 W Brown Rd, Mesa, AZ 85201-3336 | 2017-08-14 |
| 1407285307 | Noel John M. Carrasco | Pediatrics | 6540 E Redmont Dr, #14, Mesa, AZ 85215-1088 | 2013-11-01 |
| 1609171115 | Marc Andrew Ellsworth | Pediatrics | 4107 E Grove Cir, Mesa, AZ 85206-3313 | 2011-01-13 |
| 1033422571 | Eric Gabriel Gonzalez | Pediatrics | 616 E Southern Ave, #103, Mesa, AZ 85204 | 2010-07-26 |
| 1033388780 | Jyoti S. Lebonheur | Pediatrics | 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 | 2008-02-27 |
| 1265619373 | Anthony Ikechukwu Ani | Pediatrics | 1400 S Dobson Rd Fl 5, Mesa, AZ 85202-4707 | 2008-01-31 |
| 1235316175 | Bernadette R Rosenberg | Pediatrics | 815 E University Dr, Mesa, AZ 85203-8032 | 2008-01-23 |
| 1477748259 | Ayah Yousif Elmaghrabi | Pediatrics | 1367 S Country Club Dr Unit 1072, Mesa, AZ 85210-5289 | 2007-09-13 |
| 1578763751 | Melanie Alarcio | Pediatrics | 2812 N Norwalk Ste 10-119, Mesa, AZ 85215-1148 | 2007-07-25 |
| 1164621470 | Ruben Omar Espinoza | Pediatrics | 1950 S. Country Club Suite 101, Mesa, AZ 85210-6871 | 2007-07-16 |
| Find all providers in MESA | ||||
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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.