MICHAEL DALE FIDLER (NPI# 1578753315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578753315 |
| Entity Type | Individual |
| Full Name | MICHAEL DALE FIDLER |
| Credential | EDD |
| Practice Address |
1158 E Hackamore St Mesa AZ 85203-4333 |
| Practice Telephone | 4805234840 |
| Mailing Telephone | 4805234840 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468130 | Michael J Fidler | Dentist | 161 Riverside Dr, Ste 201, Binghamton, NY 13905-4178 | 2005-06-28 |
| 1336489061 | Michael Dennis Fidler | Psychiatry & Neurology | 2523 El Portal Dr, Suite 101, San Pablo, CA 94806-3305 | 2013-02-16 |
| 1083682926 | Michael O'neil Fidler | Orthopaedic Surgery | 100 Tracy Way, Charleston, WV 25311 | 2006-03-08 |
| Street Address |
1158 E HACKAMORE ST |
| City | MESA |
| State | AZ |
| Zip Code | 85203-4333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378209 | Shanna Schopmeyer | Psychologist | 9646 E Baltimore St, Mesa, AZ 85207-8030 | 2017-11-02 |
| 1063806354 | Shannon Follett | Psychologist | 10020 E Isleta Ave, Mesa, AZ 85209-7783 | 2015-03-24 |
| 1326356221 | Todd Mckay | Psychologist | 2055 S Rogers, Mesa, AZ 85202-6524 | 2010-09-14 |
| 1720394042 | Kerry Rae Williams | Psychologist | 738 S Longmore, Mesa, AZ 85202-1908 | 2010-08-24 |
| 1639300098 | Heather Hynes | Psychologist | 4831 E Dixon St, Mesa, AZ 85205-6456 | 2009-08-03 |
| 1255562120 | Steven Casamento | Psychologist | 1710 S Gilbert Rd, Apt 1090, Mesa, AZ 85204-8031 | 2009-07-27 |
| 1871749846 | Gg Heintz-jacobs | Psychologist | 2940 E Broadway Rd, #231, Mesa, AZ 85204-1751 | 2008-08-11 |
| 1851517833 | Bonnie Jean Bartol | Psychologist | 705 S 32nd St, Mesa Public Schools Taylor Jr High, Mesa, AZ 85204 | 2007-04-18 |
| 1669514329 | Elizabeth Danielson | Psychologist | 3120 N Red Mountain, Mesa, AZ 85207-1068 | 2007-02-12 |
| 1033250675 | David S Conroy | Psychologist | 1313 W Medina Ave, Mesa, AZ 85202-6610 | 2007-02-08 |
| 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.