DR. NATASHA KERIC (NPI# 1750543757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750543757 |
Entity Type | Individual |
Full Name | DR. NATASHA KERIC |
Credential | M.D. |
Practice Address |
1441 N 12th St Fl 1 Phoenix AZ 85006-2837 |
Practice Telephone | 6025215968 |
Mailing Telephone | 6025215968 |
Enumeration Date | 2008-06-30 |
Last Update Date | 2017-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
49865 | AZ | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
P2471 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
925 E Mcdowell Rd, 2nd Floor, Phoenix, AZ 850062502 | 6028394325 |
Street Address |
1441 N 12TH ST FL 1 |
City | PHOENIX |
State | AZ |
Zip Code | 85006-2837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215939566 | Nirav Y Patel | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2005-06-01 |
1073133294 | Steve Thanh Duc Pham | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2020-04-17 |
1316567522 | Amber Melanie Sandoval Menendez | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2020-04-17 |
1962021394 | Makenzie Rae Fortney | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2020-04-15 |
1245859818 | Justin Nicholas Hamman | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2020-04-13 |
1083233720 | Luc Alexander Colburn | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2020-04-13 |
1245859834 | Katelyn Marie Sainz | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2020-04-13 |
1639737000 | Kelsey Rupp | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2019-05-31 |
1346808797 | Taylor Norton | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2019-05-31 |
1568020915 | Alexandra Weston | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2019-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
Find all providers in zip 85006 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215939566 | Nirav Y Patel | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2005-06-01 |
1649546193 | Ace Assaf Ovil | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2012-03-29 |
1639268048 | Marc Alan Levison | Surgery | 9327 N 3rd St, Suite 200, Phoenix, AZ 85020-2470 | 2006-10-12 |
1144330408 | Kevin P Mcgeever | Surgery | 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224 | 2006-08-30 |
1215975966 | Jcl Surgery, LLC | Surgery | 3201 W Peoria Ave, Suite C500, Phoenix, AZ 85029-4608 | 2006-06-03 |
1376590679 | Kevin Foster | Surgery | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2006-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477871002 | Robert John Hoffman | Surgery | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2010-05-06 |
1336784735 | Amber Rose Ward | Surgery | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-11-10 |
1326513730 | Haley Linaman | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-10-11 |
1871093195 | Lone Star Med PC | Surgery | 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 | 2018-02-13 |
1558818211 | Clair Watkins | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-09-09 |
1932532249 | Richard H Carmona | Surgery | 8600 E Rockcliff Rd, Tucson, AZ 85750-9733 | 2013-08-11 |
1194006577 | Trauma and Acute Care Surgeons of Northern Arizona | Surgery | 77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 | 2011-08-30 |
1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
1790803260 | Kara Villareal Md PC | Surgery | 17250 N 43rd Ave, Glendale, AZ 85308-4035 | 2007-03-26 |
1780730309 | Lynn Gries | Surgery | University of Arizona, 1501 N. Campbell Ave. Rm 5411, Tucson, AZ 85724-5063 | 2007-01-26 |
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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.