INTERVENTIONAL NEUROLOGY OF AZ LLC (NPI# 1659914018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659914018 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL NEUROLOGY OF AZ LLC |
| Practice Address |
2000 W Bethany Home Rd Phoenix AZ 85015-2443 |
| Mailing Address |
2875 W Ray Rd Ste 6-343 Chandler AZ 85224-3524 |
| Practice Telephone | 6022490212 |
| Mailing Telephone | 4803363816 |
| Mailing Fax Number | 4803369063 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | AHMED EL-GENGAIHY (CHAIRMAN) |
| Authorized Official Telephone | 4803818398 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13677 W Mcdowell Rd, Goodyear, AZ 853952635 | 6238821500 | |
| 1400 S Dobson Rd, Mesa, AZ 852024707 | 4804123000 | |
| 18701 N 67th Ave, Glendale, AZ 853087100 | 6235611000 | |
| 19829 N 27th Ave, Phoenix, AZ 850274001 | 6238796100 | |
| 250 E Dunlap Ave, Phoenix, AZ 850202825 | 6029432381 | |
| 9003 E Shea Blvd, Scottsdale, AZ 852606709 | 4803233000 |
| Street Address |
2000 W BETHANY HOME RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413524 | Ahmed K Agha | Pharmacist | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2005-08-09 |
| 1649897091 | Carolyne N Simiyu Karuku | Registered Nurse | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-07-01 |
| 1619592490 | Kyndall Elizabeth Cline | Nurse Practitioner | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-06-08 |
| 1629607924 | Elizabeth Ann Gaddi Nguyen | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-04-07 |
| 1104455989 | Ashley Marie Desmarais | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-04-03 |
| 1710514963 | Ann Therese Peer | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-26 |
| 1427685973 | Asta Brianna Jakobsson | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-25 |
| 1588291298 | Sandra Shi | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-24 |
| 1881221471 | Louis Justin Needleman | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-24 |
| 1821658584 | Liudmila Pecherski | Nurse Practitioner | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2019-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285087528 | Sina. Inc | Psychiatry & Neurology | 9326 N Cholla Pl, Paradise Valley, AZ 85253-1808 | 2016-07-21 |
| 1598960429 | Ahmed El-gengaihy | Psychiatry & Neurology | 18723 N 77th Ave, Glendale, AZ 85308-6112 | 2007-06-20 |
| 1982004883 | Marko Perovic | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2014-08-27 |
| 1952729493 | Sneha Jacob | Psychiatry & Neurology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2014-04-02 |
| 1952668915 | Ealaf Ahmed Alrabia | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85724 | 2012-04-16 |
| 1912276221 | Mohammad Hassan El-ghanem | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85724 | 2011-12-16 |
| 1255384558 | Oro Valley Hospital LLC | Psychiatry & Neurology | 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | 2006-05-18 |
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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.