DR. NITIN MISHRA (NPI# 1790940708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790940708 |
| Entity Type | Individual |
| Full Name | DR. NITIN MISHRA |
| Credential | M.D. |
| Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208C00000X | Colon & Rectal Surgery | 64938 | MN | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 50719 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
13400 E SHEA BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
| 1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
| 1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
| 1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
| 1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
| 1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
| 1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
| 1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| 1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306278403 | Arizona Colorectal Surgery Pllc | Colon & Rectal Surgery | 3501 N Scottsdale Rd Ste 222, Scottsdale, AZ 85251-5649 | 2013-07-31 |
| 1447694856 | John Thomas Kidwell | Colon & Rectal Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-04-29 |
| 1548506983 | Valley Colon & Rectal Surgical Specialist, Pllc | Colon & Rectal Surgery | 3501 N Scottsdale Rd, Suite #222, Scottsdale, AZ 85251-5648 | 2012-12-12 |
| 1912256579 | Jamie Murphy | Colon & Rectal Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2012-08-29 |
| 1376799478 | Philippe Bouchard | Colon & Rectal Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2008-08-08 |
| 1518138999 | Abdulaziz M Saleem | Colon & Rectal Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2008-03-13 |
| 1124201777 | Colorectal Consultants, Pllc | Colon & Rectal Surgery | 9475 E Ironwood Square Dr, Suite 102, Scottsdale, AZ 85258-4576 | 2007-12-06 |
| 1245222769 | Andrew A Kassir | Colon & Rectal Surgery | 8415 N Pima Rd, Suite 288, Scottsdale, AZ 85258-4480 | 2005-08-19 |
| 1144212648 | Edmund I Leff | Colon & Rectal Surgery | 3501 N Scottsdale Rd, Suite 222, Scottsdale, AZ 85251-5648 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370511 | Emergency Surgical PC | Colon & Rectal Surgery | 4143 E Pasadena Ave, Phoenix, AZ 85018-1618 | 2017-11-29 |
| 1366956377 | Emergency Surgical Assistants LLC | Colon & Rectal Surgery | 1815 E Meadowbrook Ave, Phoenix, AZ 85016-5114 | 2017-11-29 |
| 1588924948 | Valley Colon and Rectal Surgical Specialists, Pllc | Colon & Rectal Surgery | 4153 South Power Rd, Suite 120, Mesa, AZ 85212-3626 | 2012-05-20 |
| 1376836452 | Tafadzwa P Makarawo | Colon & Rectal Surgery | 18275 N 59th Ave Ste M-176, Glendale, AZ 85308 | 2011-05-23 |
| 1033153994 | Adrienne W Forstner-barthell | Colon & Rectal Surgery | 18275 N 59th Ave Ste 176, Glendale, AZ 85308 | 2006-06-15 |
| 1689657025 | William Carmen Cirocco | Colon & Rectal Surgery | Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2005-11-21 |
| 1154317824 | Marc S Goldblatt | Colon & Rectal Surgery | 1331 N 7th St Ste 275, Phoenix, AZ 85006-2769 | 2005-09-27 |
| 1144212192 | David M Larson | Colon & Rectal Surgery | 2223 E Baseline Rd, Suite A, Gilbert, AZ 85234-2325 | 2005-08-16 |
| 1528067949 | Debora Mcclary | Colon & Rectal Surgery | 18700 N 64th Dr Ste 108, Glendale, AZ 85308-7110 | 2005-07-18 |
| 1689980088 | The Arizona Center for Colon and Rectal Diseases, Pllc | Colon & Rectal Surgery | 14420 W Meeker Blvd, 201, Sun City West, AZ 85375-5286 | 2010-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
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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.