DR. KARTIK MODY (NPI# 1770867061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770867061 |
| Entity Type | Individual |
| Full Name | DR. KARTIK MODY |
| Other Name | NA NA |
| Practice Address |
300 W Clarendon Ave Ste 375 Phoenix AZ 85013-3476 |
| Mailing Address |
1242 E Presidio Rd Phoenix AZ 85022-4946 |
| Practice Telephone | 6022774161 |
| Practice Fax Number | 6022652011 |
| Mailing Telephone | 8484676493 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
45673 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
300 W CLARENDON AVE STE 375 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861509465 | Zahi Haidar-ahmad | Pediatrics | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2006-08-23 |
| 1982995585 | Ma Aimee Baradero Benigno | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2011-04-29 |
| 1609189562 | Joy Allison Condie | Pediatrics | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2010-07-21 |
| 1790925766 | Carol Ann Harrigan | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2009-03-03 |
| 1578703542 | Megan Marie Shea | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2009-03-03 |
| 1003067836 | Sara Julander | Registered Nurse | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2008-10-10 |
| 1598844003 | Melissa Lynn Liggins | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245490754 | Harriet Nkhwanjiwa Banda | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2008-06-10 |
| 1841469046 | Suma P Rao | Pediatrics | 901 E Willetta St Ste 2503, Phoenix, AZ 85006-2727 | 2008-02-21 |
| 1861509465 | Zahi Haidar-ahmad | Pediatrics | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2006-08-23 |
| 1356333660 | Pranav Patel | Pediatrics | 4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 | 2005-08-22 |
| 1962926584 | Audrey Ann Nervig | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2017-07-26 |
| 1295138691 | Sheridan Childrens Healthcare Services of Arizona, Inc. | Pediatrics | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2014-09-30 |
| 1225440258 | Jennifer Weber | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2014-05-26 |
| 1063823078 | Soumini Chintala | Pediatrics | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2014-05-13 |
| 1508277708 | Jessica Wickland | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-05-11 |
| 1912331109 | Anshul Arora | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2013-08-24 |
| 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.