SONORAN VEIN AND ENDOVASCULAR LLC (NPI# 1790049617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790049617 |
| Entity Type | Organization |
| Organization Name | SONORAN VEIN AND ENDOVASCULAR LLC |
| Practice Address |
9200 W Union Hills Dr Ste A-103 Peoria AZ 85382-8210 |
| Mailing Address |
10115 E Bell Rd Ste 107, #497 Scottsdale AZ 85260-2189 |
| Practice Telephone | 6023744101 |
| Practice Fax Number | 6024410522 |
| Mailing Telephone | 6023744101 |
| Mailing Fax Number | 6024410522 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | SEAN B D'SOUZA (MEMBER) |
| Authorized Official Telephone | 6023744101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 712219 | 05 |
| Street Address |
9200 W UNION HILLS DR STE A-103 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306043211 | Sean Benedict D'souza | Surgery | 9192 W Union Hills Dr, Peoria, AZ 85382-8208 | 2007-07-03 |
| 1912970617 | Dale M Geiss | Surgery | 515 Ne Glen Oak, Suite 105, Peoria, IL 61603-3167 | 2006-02-12 |
| 1265433882 | James Bertram Williams | Surgery | 2420 W Nebraska Ave, Peoria, IL 61604-3112 | 2005-08-04 |
| 1487281770 | Titan Medical Services, LLC | Surgery | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2020-03-25 |
| 1164700183 | Jessica L Secor | Surgery | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2011-07-25 |
| 1982929121 | Sammy Zakhary Md PC | Surgery | 15396 N 83rd Ave, Suite E, Peoria, AZ 85381-5622 | 2010-03-31 |
| 1699783886 | James R Debord | Surgery | 5409 N Knoxville Ave, Peoria, IL 61614-5016 | 2006-08-03 |
| 1962417485 | Cardiac Thoracic & Endovascular Therapies, S.c. | Surgery | 2420 W Nebraska Ave, Peoria, IL 61604-3112 | 2006-07-31 |
| 1063454197 | Andy C. Chiou | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127858 | Flagstaff Pain and Treatment Center LLC | Surgery | 823 N San Francisco St, Flagstaff, AZ 86001-3294 | 2020-08-31 |
| 1013531268 | Honorhealth Ambulatory | Surgery | 6220 W Bell Rd Ste 120, Glendale, AZ 85308-3896 | 2020-06-03 |
| 1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
| 1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1790144889 | Scottsdale Healthcare Corporation | Surgery | 7301 E Osborn Rd., Suite 100, Scottsdale, AZ 85251 | 2016-02-17 |
| 1588061535 | Eugene Melvin Zweiback Md | Surgery | 7619 E Nogales Road, Scottsdale, AZ 85258 | 2014-11-19 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1275876518 | Sara Catherine Mckeever | Surgery | 6565 E Carondelet Dr Ste 235, Tucson, AZ 85710-3533 | 2013-04-05 |
| 1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
| 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.