PAUL JOSEPH RIESENMAN (NPI# 1831318195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831318195 |
| Entity Type | Individual |
| Full Name | PAUL JOSEPH RIESENMAN |
| Credential | M.D. |
| Practice Address |
6750 E Baywood Ave Ste 503 Mesa AZ 85206-1749 |
| Practice Telephone | 4805433030 |
| Practice Fax Number | 4805433031 |
| Mailing Telephone | 4805433030 |
| Mailing Fax Number | 4805433031 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
52998 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
64257 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
6750 E BAYWOOD AVE STE 503 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657910 | G Andrew Sulit | Internal Medicine | 6750 E Baywood Ave, Ste 401, Mesa, AZ 85206-1749 | 2005-08-31 |
| 1821441718 | Amy Kleinhans | Nurse Practitioner | 6750 E Baywood Ave, Suite 301, Mesa, AZ 85206-1749 | 2016-07-15 |
| 1992193957 | Robert James Mcleod | Physician Assistant | 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 | 2014-12-29 |
| 1508264201 | Suzanne Marie Woodhall | Nurse Practitioner | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2014-12-11 |
| 1003243643 | Marilyn Rose Schatz | Nurse Practitioner | 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206-1749 | 2013-09-27 |
| 1780929141 | Urologic Surgeons of Arizona Plc | Internal Medicine | 6750 E Baywood Ave, Ste 507, Mesa, AZ 85206-1749 | 2012-12-11 |
| 1720378276 | Weston William Sanders | Nurse Practitioner | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2011-04-17 |
| 1932384773 | Jacob T Green | Internal Medicine | 6750 E Baywood Ave, 301, Mesa, AZ 85206-1749 | 2007-12-28 |
| 1770762635 | Banner Cardio-thoracic and Vascular Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6750 E Baywood Ave, Suite 504, Mesa, AZ 85206-1749 | 2007-10-29 |
| 1073712154 | Denise Erickson | Pharmacist | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1154587459 | Hammad Amer | Surgery | 6636 E Baseline Rd Ste 100, Mesa, AZ 85206-4430 | 2008-08-06 |
| 1992801005 | Hani Shennib | Surgery | 3850 E Baseline Rd Ste 103, Mesa, AZ 85206-4403 | 2006-09-15 |
| 1346215589 | Henry S Tarlian Jr. | Surgery | 7165 E University Drive Suite 183, Mesa, AZ 85207-6415 | 2006-02-21 |
| 1871026484 | American Vascular Specialists LLC | Surgery | 6636 E Baseline Rd Ste 100, Mesa, AZ 85206-4430 | 2017-04-10 |
| 1265521181 | Western Vascular Institute Pllc | Surgery | 7165 E University Dr, Suite 183, Mesa, AZ 85207-6400 | 2006-10-11 |
| 1083701239 | Narendra P Myneni Md PC | Surgery | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2006-10-09 |
| 1881624732 | Arizona Vascular Surgery Consultants | Surgery | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2006-07-04 |
| 1043285299 | Mitar Vranic | Surgery | 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 | 2006-02-21 |
| 1437124732 | Narendra Prasad Myneni | Surgery | 1450 S Dobson Rd, Suite A307, Mesa, AZ 85202-4712 | 2006-02-21 |
| 1285607986 | Randall S Fortuna | Surgery | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2006-02-12 |
| Find all providers in MESA | ||||
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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.