DR. KUMARASWAMY SIVAKUMAR (NPI# 1821035254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821035254 |
| Entity Type | Individual |
| Full Name | DR. KUMARASWAMY SIVAKUMAR |
| Credential | M.D. |
| Practice Address |
4545 E Shea Blvd Ste 175 Phoenix AZ 85028-3074 |
| Practice Telephone | 4803141007 |
| Practice Fax Number | 4803141003 |
| Mailing Telephone | 4803141007 |
| Mailing Fax Number | 4803141003 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25540 | AZ | Other Service Providers |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25540 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
25540 | AZ | Allopathic & Osteopathic Physicians |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
25540 | AZ | Ambulatory Health Care Facilities |
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
25540 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 393108 | 05 |
| Street Address |
4545 E SHEA BLVD STE 175 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638492 | George J Joumas | Counselor | 4545 E Shea Blvd, Suite 112, Phoenix, AZ 85028-3074 | 2005-09-02 |
| 1538606140 | Open Hearts Open Minds Counseling Services, LLC. | Community/Behavioral Health | 4545 E Shea Blvd, Suite 235, Phoenix, AZ 85028 | 2017-01-21 |
| 1427502152 | Alessandra Goodfellow | Physical Therapist | 4545 E Shea Blvd, Suite 168, Phoenix, AZ 85028-3074 | 2016-08-10 |
| 1174932891 | Women's Center for Wellness and Rehabiliation | Naturopath | 4545 E Shea Blvd, Suite 168, Phoenix, AZ 85028-3074 | 2014-08-06 |
| 1568897619 | David Marcus Benson | Dentist | 4545 E Shea Blvd, Suite 203, Phoenix, AZ 85028-3074 | 2013-09-09 |
| 1881945517 | North Valley Chiropractic Center PC | Clinic/Center | 4545 E Shea Blvd, Ste 174, Phoenix, AZ 85028-3074 | 2012-09-20 |
| 1326327628 | Rachel B Carpenter | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-08-04 |
| 1104111053 | Yolanda Lucian George | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-06-17 |
| 1386939833 | Judith A Lane | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-06-13 |
| 1154616944 | Regional Phusician Services of Massachusetts, P.C. | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073834362 | Kathryn Elizabeth Bradley | Psychiatry & Neurology | 2450 E River Rd, Tucson, AZ 85718-6526 | 2010-06-21 |
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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.