DR. SHIRLEY C F NORONHA (NPI# 1467566141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467566141 |
Entity Type | Individual |
Full Name | DR. SHIRLEY C F NORONHA |
Credential | MD |
Practice Address |
2082 Mesquite Ave Suite 106 Lake Havasu City AZ 86403-6710 |
Mailing Address |
Po Box 147 Lake Havasu City AZ 86405-0147 |
Practice Telephone | 9286804233 |
Practice Fax Number | 9286806522 |
Mailing Telephone | 9286804233 |
Mailing Fax Number | 9286806522 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 43800 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE GROUP PTAN | Z143367 | 01 |
AZ | MEDICARE INDIVIDUAL PTAN | Z143368 | 01 |
Street Address |
2082 MESQUITE AVE SUITE 106 |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-6710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700864436 | Elizabeth Anne Smith-tryon | Internal Medicine | 2082 Mesquite Ave, Ste 106, Lake Havasu City, AZ 86403-6710 | 2006-01-03 |
1790253318 | Cardiovascular and Thoracic Solutions | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2018-11-13 |
1861905416 | Kasey Cox | Nurse Practitioner | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2017-11-06 |
1982123618 | Paul Andrew Mahnke | Nurse Practitioner | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2017-09-13 |
1669729851 | Weiss Pediatrics Pllc | Pediatrics | 2082 Mesquite Ave, Suite A-102, Lake Havasu City, AZ 86403-6710 | 2012-08-07 |
1881941169 | Cornerstone Family Healthcare | Internal Medicine | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 | 2012-08-06 |
1104102482 | Sego Medical Associates LLC | Internal Medicine | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 | 2011-10-31 |
1790088250 | Shirley Noronha Md LLC | Internal Medicine | 2082 Mesquite Ave, Suite106, Lake Havasu City, AZ 86403-6710 | 2010-12-06 |
1548426489 | Arizona Family Medicine PC | Family Medicine | 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403-6710 | 2008-07-30 |
1851553119 | Fadi Atassi | Internal Medicine | 2082 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-6710 | 2008-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
Find all providers in zip 86403 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386095743 | Steven Massad | Internal Medicine | 1851 Mesquite Ave Ste 202, Lake Havasu City, AZ 86403-5681 | 2016-06-28 |
1053512632 | Arizona Heart Institute Lake Havasu | Internal Medicine | 1845 Mcculloch Blvd N, Suite A6, Lake Havasu City, AZ 86403-6759 | 2007-05-30 |
1497965594 | Rajitha L Premaratne | Internal Medicine | 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403-7713 | 2007-05-23 |
1720181332 | Blue Water Internal Medicine Associates PC | Internal Medicine | 1987 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-5682 | 2006-09-07 |
1336104462 | Smith Tryon Family Health Inc D.b.a. Blue Water Medical | Internal Medicine | 1801 Mesquite Ave, Lake Havasu City, AZ 86403-5664 | 2006-04-20 |
1700864436 | Elizabeth Anne Smith-tryon | Internal Medicine | 2082 Mesquite Ave, Ste 106, Lake Havasu City, AZ 86403-6710 | 2006-01-03 |
1831174093 | Robert D Peterson | Internal Medicine | 2035 Mesquite Ave, Suite C, Lake Havasu City, AZ 86403-5894 | 2005-12-09 |
1447251798 | Harrison Mark Mcdonald | Internal Medicine | 1923 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403 | 2005-08-09 |
1609876499 | Mesquite Medical Associates,ltd | Internal Medicine | 1830 Mesquite Ave, Ste. A, Lake Havasu City, AZ 86403-5885 | 2005-07-22 |
1780067280 | Samer Asem Haddad | Internal Medicine | 101 Civic Center Ln, Lake Havasu City, AZ 86403 | 2015-07-01 |
Find all providers in LAKE HAVASU CITY |
City | LAKE HAVASU CITY |
Zip Code | 86403 |
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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.