DR. ALI AZADI (NPI# 1881810224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881810224 |
| Entity Type | Individual |
| Full Name | DR. ALI AZADI |
| Credential | M.D. |
| Practice Address |
Star Clinic/star Urogynecology 14155 N 83rd Ave, Bld 6, Suite 138 Peoria AZ 85381 |
| Mailing Address |
3983 E Scout Pass Phoenix AZ 85050-5463 |
| Practice Telephone | 6232718666 |
| Practice Fax Number | 6232719229 |
| Mailing Telephone | 6232718666 |
| Mailing Fax Number | 6232719229 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 36152 | AZ | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
38152 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
38152 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000610873 | 01 |
| KY | PASSPORT SPECIALITY | 50024900 | 01 |
| KY | PASSPORT-WS | 50069587 | 01 |
| AZ | 335673 | 05 | |
| KY | PASSPORT ADVANTAGE SPECIALITY | 3726870000 | 01 |
| KY | PASSPORT PCP | 50024904 | 01 |
| KY | 7100074140 | 05 | |
| KY | MEDICARE - FOUNDATION | 0722553 | 01 |
| KY | PASSPORT ADVANTAGE PCP | 3726874000 | 01 |
| KY | PASSPORT SPECIALITY | 50024906 | 01 |
| KY | AETNA | 9393153 | 01 |
| KY | ANTHEM-WS | 000000859185 | 01 |
| KY | SIHO-WS | 158647 | 01 |
| IN | 200943770 | 05 | |
| KY | PASSPORT ADVANTAGE | 3726876000 | 01 |
| KY | ANTHEM | 000000610828 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4123 Dutchmans Ln, Suite 307, Louisville, KY 402074707 | 5024095600 | 5024095606 |
| Street Address |
STAR CLINIC/STAR UROGYNECOLOGY 14155 N 83RD AVE, BLD 6, SUITE 138 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113809 | Venus Surgical, LLC | Obstetrics & Gynecology | 8415 N Pima Rd Ste 292, Scottsdale, AZ 85258-4488 | 2019-09-18 |
| 1851955421 | Pelvic Medicine and Reconstructive Surgery LLC | Obstetrics & Gynecology | 9700 N 91st St Ste A103, Scottsdale, AZ 85258-5077 | 2019-04-29 |
| 1801213731 | Hemikaa Devakumar | Obstetrics & Gynecology | 14404 W Camelback Road, 118, Litchfield Park, AZ 85340 | 2014-03-28 |
| 1205173788 | Robert Lewis Wechsler | Obstetrics & Gynecology | 7275 N Scottsdale Rd, #1022, Scottsdale, AZ 85253-2604 | 2013-01-03 |
| 1396358818 | Arizona Center for Chronic Pelvic Pain | Obstetrics & Gynecology | 10290 N 92nd St Ste 207, Scottsdale, AZ 85258-4500 | 2020-08-25 |
| 1801384524 | Sarah Tuli Puri | Obstetrics & Gynecology | 5310 N La Cholla Blvd, Tucson, AZ 85741-3815 | 2018-04-27 |
| 1699138248 | Dana C Mckee | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-03-31 |
| 1932519204 | Rachael Haverland | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2014-05-07 |
| 1225357395 | Daniel Stone | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2010-05-27 |
| 1942449558 | Anthony Gaddi | Obstetrics & Gynecology | 6565 E Carondelet Dr Ste 300, Tucson, AZ 85710-2158 | 2009-02-05 |
| 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.