KEVIN A RODRIGUEZ (NPI# 1710961792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710961792 |
| Entity Type | Individual |
| Full Name | KEVIN A RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
5777 E Mayo Blvd Phoenix AZ 85054-4502 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 32395 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 841173 | 05 | |
| AZ | RAILROAD MEDICARE | P00321427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581368 | Kevin Omar Rodriguez | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-07-26 |
| 1881198661 | Kevin Irvain Rodriguez | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1245748532 | Kevin Bernard Rodriguez I | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-01-20 |
| 1831638709 | Kevin Rodriguez | Physical Therapist | 7430 Remcon Cir, Bldg A, El Paso, TX 79912-3514 | 2017-02-13 |
| 1659779841 | Kevin Neftali Rodriguez | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2014-12-20 |
| 1720226327 | Kevin Robert Rodriguez | Physical Therapist | 1827 S Court St, Suite C, Visalia, CA 93277-5469 | 2009-02-04 |
| Street Address |
5777 E MAYO BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
| 1871194563 | Courtney Comstock | Nurse Practitioner | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-11-08 |
| 1740819796 | Daniel Alan Salevitz | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
| 1417586413 | Phylicia Dzifa Gawu | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
| 1083242283 | Ashley Swan | Physician Assistant | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-01 |
| 1659909612 | Puneet Raman | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-27 |
| 1609403336 | Mary E Quense | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-24 |
| 1942836473 | Aditya Khurana | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-16 |
| 1265064539 | Caitlin Marie Woerner | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-02-05 |
| 1730719972 | Sarah Pluto | Dietetic Technician, Registered | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-15 |
| Find all providers in the same location | ||||
| 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 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627815 | Fep Ncch | Emergency Medicine | 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 | 2020-10-22 |
| 1669861423 | Arthur Barker | Emergency Medicine | 4205 W Reddie Loop, Phoenix, AZ 85083-1610 | 2015-01-16 |
| 1326481102 | Adrienne R Azurdia | Emergency Medicine | 4237 E Liberty Ln, Phoenix, AZ 85048-0537 | 2013-04-11 |
| 1538401930 | Hannah Malashock | Emergency Medicine | 129 W Coronado Rd, Phoenix, AZ 85003-1144 | 2013-03-23 |
| 1982977922 | Robert Ellis George | Emergency Medicine | 1011 W. Golden Ln., Phoenix, AZ 85021 | 2012-02-22 |
| 1588972889 | Glenn Richard Kunsman | Emergency Medicine | 3507 N Central Ave Ste 403, Phoenix, AZ 85012-2124 | 2010-09-21 |
| 1073849501 | Melissa Denny | Emergency Medicine | 4225 E Mcdowell Rd Apt 1039, Phoenix, AZ 85008-4418 | 2009-10-17 |
| 1700111689 | Rachel Levitan | Emergency Medicine | 2601 E. Roosevelt, Department of Emergency Medicine, Phoenix, AZ 85008 | 2009-10-09 |
| 1891029328 | Patrick Godwin | Emergency Medicine | 5045 E Oneida St, Phoenix, AZ 85044-3325 | 2009-09-30 |
| 1689802209 | Robert John Mintz | Emergency Medicine | 9225 N 3rd St Ste 307, Phoenix, AZ 85020-2466 | 2009-06-23 |
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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.