DR. NATHAN MATTHEW WNUK (NPI# 1558700716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558700716 |
| Entity Type | Individual |
| Full Name | DR. NATHAN MATTHEW WNUK |
| Credential | M.D. |
| Practice Address |
2400 S Avenue A Yuma AZ 85364-7170 |
| Mailing Address |
1911 Holcombe Blvd Apt 906 Houston TX 77030-4183 |
| Practice Telephone | 9283361759 |
| Practice Fax Number | 9283361758 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
57732 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R7145 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
57732 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Holcombe Blvd, Houston, TX 77030 | 6177022291 |
| Street Address |
2400 S AVENUE A |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-7170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458182 | Rajesh S Khona | Anesthesiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2005-06-27 |
| 1235737594 | Briana Smith | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-10-09 |
| 1295343853 | Anne Paetra Flanagan | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-07-20 |
| 1215551023 | Miriam Alvarez | Advanced Practice Midwife | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-06-08 |
| 1174145304 | Marjorie Dina Bacon | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1720600950 | Lee Barnwell | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-05-11 |
| 1306468582 | Mina Tawadrous | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1487276614 | Stephanie Donoso Clark | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1336775766 | Ashley Taylor Nickerson | Physician Assistant | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-03-17 |
| 1598397317 | Monica G. Lopez | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649681842 | Vascular Vein & Imaging Center | Radiology | 2899 S Hope Dr, Yuma, AZ 85364-7487 | 2014-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139958 | Banner Imaging Services LLC | Radiology | 10474 W Thunderbird Blvd Ste 100, Sun City, AZ 85351-3015 | 2019-08-14 |
| 1629535091 | Comprehensive Interventional Care Centers, Pllc | Radiology | 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 | 2019-02-21 |
| 1720542137 | Priority Interventional Radiology LLC | Radiology | 8787 N Scottsdale Rd Ste 105, Scottsdale, AZ 85253-2338 | 2019-01-30 |
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1134633837 | Association of University Radiologists, PC | Radiology | 3900 N Camino Ojo De Agua, Tucson, AZ 85749-7819 | 2017-11-17 |
| 1295262160 | Vein Ablation Specialists and Consultants LLC | Radiology | 7047 E Greenway Pkwy Ste 250, Scottsdale, AZ 85254-8113 | 2017-05-22 |
| 1588029672 | Advanced Vein Institute of Arizona, LLC | Radiology | 2155 E Conference Dr Ste 101, Tempe, AZ 85284-2604 | 2015-12-16 |
| 1255601613 | High Desert Radiology, P.C. | Radiology | 3439 Southern Vista Dr, Kingman, AZ 86401-0630 | 2012-01-03 |
| 1447316054 | Gnr Ventures, LLC | Radiology | 9440 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4569 | 2006-12-28 |
| 1295760916 | Pain Management & Rehabilitation Medicine Center PC | Radiology | 535 E Mckellips Rd Ste 111, Mesa, AZ 85203-2525 | 2006-07-11 |
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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.