DR. DAVID A. NYBERG (NPI# 1790752459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790752459 |
| Entity Type | Individual |
| Full Name | DR. DAVID A. NYBERG |
| Credential | MD |
| Practice Address |
5111 N Scottsdale Rd Ste 150 Scottsdale AZ 85250-7008 |
| Mailing Address |
1015 N Marcus Ln Spokane Valley WA 99216-2374 |
| Practice Telephone | 4809701937 |
| Practice Fax Number | 4807814988 |
| Mailing Telephone | 5099934370 |
| Mailing Fax Number | 4807814988 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
29769 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 718249 | 05 | |
| DEA # | AN1052290 | 01 | |
| WA | WA LICENSE # | MD00022894 | 01 |
| AZ | AZ LICENSE # | 29769 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609884022 | David A Nyberg | Internal Medicine | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 | 2006-08-03 |
| Street Address |
5111 N SCOTTSDALE RD STE 150 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85250-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800675 | Courtney A. Hunt | Obstetrics & Gynecology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2005-06-09 |
| 1932764123 | Womens Ultrasound Services, LLC | Radiology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2019-05-03 |
| 1447771704 | Jacqueline M Reveal | Nurse Practitioner | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437671518 | Daniel Gold | Dentist | 5900 N Granite Reef Rd Ste 100, Scottsdale, AZ 85250 | 2017-07-11 |
| 1417494584 | Clinical Logistics Solutions-southern Arizona, LLC | Physical Therapist | 6619 N Scottsdale Rd # 8, Scottsdale, AZ 85250 | 2017-01-26 |
| 1558815027 | Michelle Nicole Serrano | Optometrist | 8940 E Talking Stick Way # B3, Scottsdale, AZ 85250 | 2016-08-12 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1548624562 | Wesley Hartman | Physical Therapy Assistant | 8115 E. Indian Bend Rd, Scottsdale, Scottsdale, AZ 85250 | 2016-04-06 |
| 1255752838 | Isaac Yosef | Naturopath | 5011 N. Granite Reef Rd., Scottsdale, AZ 85250 | 2013-12-26 |
| 1265863393 | John N. Simons | Plastic Surgery | 4800 North 68th Street, Scottsdale, AZ 85250 | 2013-11-27 |
| 1992046932 | Shannon Marie Fore | Counselor | 7500 E Mcdonald Dr Ste 400a, Scottsdale, AZ 85250 | 2013-03-14 |
| 1871892703 | Lamar Day Spa LLC | Reflexologist | 5115 N Scottsdale Rd, Scottsdale, AZ 85250 | 2011-03-17 |
| 1316267412 | Eileen Susan Ballungay | Occupational Therapist | 8115 E. Indian Bend Rd., Ste 123, Scottsdale, AZ 85250 | 2010-06-11 |
| Find all providers in zip 85250 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910814 | Vpa PC | Radiology | 15610 N 63rd St, Scottsdale, AZ 85254-1938 | 2015-04-21 |
| 1265860449 | John Louis Castiglia | Radiology | 5995 N. 78th Street, Unit 2112, Scottsdale, AZ 85250-6124 | 2013-10-24 |
| 1194009225 | Advanced Pain Clinic LLC | Radiology | 33747 N Scottsdale Rd, Suite 135, Scottsdale, AZ 85266-1565 | 2011-10-07 |
| 1386953032 | Janet R. Martin, M.d., P.C. | Radiology | 27218 N 71st Pl, Scottsdale, AZ 85266-8836 | 2010-09-29 |
| 1548591548 | Southwest Mri LLC | Radiology | 11013 N Scottsdale Rd, Scottsdale, AZ 85254-5243 | 2010-01-15 |
| 1679706865 | Smi Imaging, LLC | Radiology | 7304 E Deer Valley Rd Ste 105, Scottsdale, AZ 85255-7459 | 2009-09-03 |
| 1417198417 | Scs Radiology | Radiology | 7903 E Via Linda, Scottsdale, AZ 85258-2817 | 2009-03-20 |
| 1376791343 | Kamiar Massrour | Radiology | 9977 N 95th St Ste 101, Scottsdale, AZ 85258-4595 | 2008-09-03 |
| 1366698367 | Darian Michael Pajak | Radiology | 6740 E Camelback Rd, Suite 101, Scottsdale, AZ 85251-2096 | 2008-08-11 |
| 1255505699 | Alfred Carl Rice | Radiology | 7802 North Via De Frontera, Scottsdale, AZ 85258-3045 | 2008-04-16 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85250 |
Please comment or provide details below to improve the information on DR. DAVID A. NYBERG.
| 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.