DR. STEVEN SAMUEL TRAIKOVICH (NPI# 1669576948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669576948 |
| Entity Type | Individual |
| Full Name | DR. STEVEN SAMUEL TRAIKOVICH |
| Credential | D.O |
| Practice Address |
19636 N 27th Ave Ste 206 Phoenix AZ 85027-4015 |
| Mailing Address |
9967 E Desert Beauty Dr Scottsdale AZ 85255-2579 |
| Practice Telephone | 6235160930 |
| Practice Fax Number | 6235809084 |
| Mailing Telephone | 6023179347 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
3330 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0884120 | 01 |
| AZ | TAX ID | 861012817 | 01 |
| Street Address |
19636 N 27TH AVE STE 206 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882990 | Robert S Bridge | Specialist | 19636 N 27th Ave Ste 206, Phoenix, AZ 85027 | 2005-06-22 |
| 1376985549 | Arizona Minimally Invasive Sinus Institute Pllc | Otolaryngology | 19636 N 27th Ave Ste 206, Phoenix, AZ 85027-4015 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437387883 | Luis Vazquez | Otolaryngology | 2340 E Beardsley Rd, Suite 260, Phoenix, AZ 85024-1285 | 2009-06-24 |
| 1861571960 | Thomas G Kotoske | Otolaryngology | 19636 N 27th Ave, #101, Phoenix, AZ 85027 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346662939 | Duane Martin | Otolaryngology | 1089 S Justine Ct, Gilbert, AZ 85296-8653 | 2014-01-15 |
| 1881038966 | Sidney Jonathan Starkman | Otolaryngology | 8560 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6679 | 2013-04-19 |
| 1396097580 | About Face- Ear Nose & Throat Facial Plastic Surgery PC | Otolaryngology | 9767 N 91st St # B102, Scottsdale, AZ 85258-5086 | 2012-10-11 |
| 1528356284 | Michael Rodriguez | Otolaryngology | 20325 N 51st Ave Ste 154, Glendale, AZ 85308-4622 | 2011-07-15 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1427023456 | James John Bouzoukis | Otolaryngology | 9155 E Bell Rd, Scottsdale, AZ 85260 | 2006-02-22 |
| 1477553543 | Richard Lefroy Bailey | Otolaryngology | 3750 Hwy 95, Suite 101, Bullhead City, AZ 86442-6050 | 2005-07-29 |
| 1972915403 | Jonnae Y Ostrom | Otolaryngology | 2121 N Craycroft Rd Bldg 5, Tucson, AZ 85712-2801 | 2014-06-02 |
| 1558618645 | Pamela S. Henderson, M.d., P.C. | Otolaryngology | 7425 E Shea Blvd Ste 105, Scottsdale, AZ 85260-6411 | 2012-08-08 |
| 1043523608 | Holden Facial Plastic Surgery A Professional Corporation | Otolaryngology | 9522 E San Salvador Dr, Suite 301, Scottsdale, AZ 85258-5557 | 2010-07-23 |
| Find all providers with the same taxonomy | ||||
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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.