NATHANIEL FASTENBERG


Address: 6111 E Arbor Ave, Mesa, AZ 85206-6059
Phone: 4809811326

NATHANIEL FASTENBERG (NPI# 1417942905) 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) 1417942905
Entity Type Individual
Full Name NATHANIEL FASTENBERG
Credential MD
Practice Address 6111 E Arbor Ave
Mesa
AZ 85206-6059
Mailing Address Po Box 6423
Chandler
AZ 85246-6423
Practice Telephone 4809811326
Practice Fax Number 4809811445
Enumeration Date 2005-09-12
Last Update Date 2014-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
11622 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ RAILROAD MEDICARE P00329821 01
AZ AHCCCS 236217 01

Office Location

Street Address 6111 E ARBOR AVE
City MESA
State AZ
Zip Code 85206-6059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497369334 Nicole Diane Burca Gin Nurse Practitioner 6111 E Arbor Ave, Mesa, AZ 85206-6059 2020-09-08
1851912158 Ironwood Physicians, PC Internal Medicine 6111 E Arbor Ave, Mesa, AZ 85206-6059 2020-04-28
1962926071 Marie Nicole Conn Nurse Practitioner 6111 E Arbor Ave, Mesa, AZ 85206-6059 2017-07-31
1164977492 Jasiya Paika Nurse Practitioner 6111 E Arbor Ave, Mesa, AZ 85206-6059 2016-08-16
1205238722 Neale M Spender Nurse Practitioner 6111 E Arbor Ave, Mesa, AZ 85206-6059 2014-09-17
1265873566 Manisha Chandar Internal Medicine 6111 E Arbor Ave, Mesa, AZ 85206-6059 2013-07-15
1922341924 Jennifer-lee Thornton Nurse Practitioner 6111 E Arbor Ave, Mesa, AZ 85206-6059 2013-03-28
1629359591 Emily T Ho Surgery 6111 E Arbor Ave, Mesa, AZ 85206-6059 2011-09-06
1942388442 Michael A. Musci Internal Medicine 6111 E Arbor Ave, Mesa, AZ 85206-6059 2006-11-01
1811922198 Roopesh K Kantala Specialist 6111 E Arbor Ave, Mesa, AZ 85206-6059 2006-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693062 Inner Balance Counseling LLC Counselor 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 2020-09-14
1356978969 Choices 4 Change Counseling and Coaching LLC Social Worker 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 2020-03-24
1023651288 Jason Mcclure Hearing Instrument Specialist 5540 E Broadway Rd., Mesa, AZ 85206 2019-10-21
1255995361 Vhs of Phoenix Inc General Acute Care Hospital 5750 E. Baseline Rd., Mesa, AZ 85206 2019-04-24
1932682184 Adam Fishel Frose Psychologist 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 2018-09-13
1376024737 Robyn Kathleen Hall Psychologist 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 2018-08-23
1790264984 Perspective Health, LLC Clinic/Center 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 2018-08-09
1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1982195624 Spark Performance and Physiotherapy Clinic/Center 6056 East Basline Road, Suite 147, Mesa, AZ 85206 2018-05-29
1336645993 Ashley Wright Audiologist-Hearing Aid Fitter 1423 S Higley Rd Ste 119, Mesa, AZ 85206 2018-04-03
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679770929 Desert Oncology PC Internal Medicine 1432 S Dobson Rd, 106, Mesa, AZ 85202-4768 2007-06-29
1447457684 Marvin M Chassin Md PC Internal Medicine 1432 S Dobson Rd, 106, Mesa, AZ 85202-4768 2007-06-29
1669445441 Marvin M Chassin Internal Medicine 1432 S Dobson Rd, 106, Mesa, AZ 85202-4769 2006-02-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528526472 Ctca Physicians Group of Arizona, Inc. Internal Medicine 3530 S Val Vista Dr Ste C203, Gilbert, AZ 85297-7318 2019-03-11
1184126344 Ctca Physicians Group of Arizona, Inc. Internal Medicine 9755 N 90th St Ste A105, Scottsdale, AZ 85258-5046 2018-03-05
1174882690 Douglas Robinson Internal Medicine 10624 N Crestview Dr, Fountain Hills, AZ 85268-6107 2012-05-04
1528258662 Joshua Labaer Internal Medicine 1001 S Mcallister Ave, Tempe, AZ 85287-0001 2007-07-25
1548349707 Morris H. Fine Internal Medicine 4090 N Painted Quail Pl, Tucson, AZ 85750-6140 2006-11-06
1013954858 Cochise Oncology LLC Internal Medicine 5151 E Highway 90, Sierra Vista, AZ 85635-2436 2006-06-01
1205890530 William Bruce Ethridge Internal Medicine 1951 W 25th Street, Ste F, Yuma, AZ 85364 2006-04-13
1255322871 Robert Gary Gagliano Internal Medicine 203 S Candy Ln, Suite 9a, Cottonwood, AZ 86326-4120 2005-11-02
1801397658 Ctca Physicians Group of Arizona, Inc. Internal Medicine 2925 W Rose Garden Ln, Phoenix, AZ 85027-3135 2018-02-27
1497143895 Arizona Oncology Associates PC Internal Medicine 10460 N 92nd St, Ste. # 402, Scottsdale, AZ 85258-4548 2015-01-07
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Competitor

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City MESA
Zip Code 85206

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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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