SHAM M VENGURLEKAR, MD, PC (NPI# 1649239013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649239013 |
| Entity Type | Organization |
| Organization Name | SHAM M VENGURLEKAR, MD, PC |
| Practice Address |
7010 E Chauncey Ln Suite 215 Phoenix AZ 85054-3117 |
| Mailing Address |
7010 E Chauncey Ln Suite 215 Phoenix AZ 85054-3111 |
| Practice Telephone | 4803142288 |
| Practice Fax Number | 4803141113 |
| Mailing Telephone | 4803142288 |
| Mailing Fax Number | 4803141113 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | DR. SHAM M VENGURLEKAR (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4803142288 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 20227 | AZ | Other Service Providers |
| Street Address |
7010 E CHAUNCEY LN SUITE 215 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| 1457883142 | Scottsdale Medical Innovations, LLC | Clinic/Center | 7010 E Chauncey Ln, Suite 215, Phoenix, AZ 85054-3111 | 2017-03-31 |
| 1386186351 | Jessica Etchells | Physician Assistant | 7010 E Chauncey Ln, Phoenix, AZ 85054 | 2016-11-08 |
| 1407225733 | Stephanie Marie Poterack | Nurse Practitioner | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3111 | 2015-09-16 |
| 1851715106 | Kimberly Birch | Physician Assistant | 7010 E Chauncey Ln, Suite 210, Phoenix, AZ 85054-3111 | 2014-02-06 |
| 1316291479 | Stacey Michelle Hopper | Nurse Practitioner | 7010 E Chauncey Ln, Suite 145, Phoenix, AZ 85054-3111 | 2012-10-28 |
| 1124271598 | Diane Michele Smith | Nurse Practitioner | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2008-10-29 |
| 1710136809 | Rebecca Joyce Hogan | Nurse Practitioner | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3117 | 2008-09-12 |
| 1053577502 | Nichole Lee Thomas | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2008-08-04 |
| 1316106263 | Rachael Beth Blumenthal | Pediatrics | 7010 E Chauncey Ln, Ste 225, Phoenix, AZ 85054-3111 | 2008-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| Find all providers in PHOENIX | ||||
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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.