DR. MIRELA PONDUCHI (NPI# 1902059652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902059652 |
| Entity Type | Individual |
| Full Name | DR. MIRELA PONDUCHI |
| Credential | MD |
| Practice Address |
1800 E Van Buren St. Phoenix AZ 85006-3742 |
| Mailing Address |
21001 N Tatum Blvd Suite 1630-463 Phoenix AZ 85050-4206 |
| Practice Telephone | 6022518316 |
| Practice Fax Number | 4803335165 |
| Mailing Telephone | 6024247967 |
| Mailing Fax Number | 6023315429 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036122646 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036.122646 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 42568 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125-052075 | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 525097 | 05 | |
| IL | 036122646-1 | 05 |
| Street Address |
1800 E VAN BUREN ST. |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894923 | Ortansa, PC | Internal Medicine | 1800 E Van Buren St., Phoenix, AZ 85006-3742 | 2012-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853691 | Leading Health Care, Pllc | Hospitalist | 22922 N 40th Pl, Phoenix, AZ 85050-8742 | 2017-10-26 |
| 1942749619 | Bh Hospital Specialists, LLC | Hospitalist | 25437 N Moon Blossum Ln, Phoenix, AZ 85083-1676 | 2017-02-14 |
| 1851746440 | Jonmark Moorington | Hospitalist | 1919 E Thomas Rd., Phoenix Children's Hospital, Phoenix, AZ 85016 | 2016-05-02 |
| 1629432190 | Mina Albadri | Hospitalist | 350 W Thomas Rd Ste 900a, Phoenix, AZ 85013-4409 | 2016-04-11 |
| 1396117933 | Jr Healthcare Consultants LLC | Hospitalist | 807 W Colter St Apt 88, Phoenix, AZ 85013-2296 | 2015-10-22 |
| 1336674100 | Nabiha Khalil | Hospitalist | 350 W Thomas Road, Phoenix, AZ 85013 | 2017-04-28 |
| 1477088474 | Shan Zhong | Hospitalist | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2017-04-27 |
| 1508398165 | Lauren Suzanne Cole | Hospitalist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2017-03-31 |
| 1790132744 | Meg Louise Groom | Hospitalist | 1111 E. Mcdowell Rd, Banner Good Samaritan Regional Medical Center, Phoenix, AZ 85006 | 2016-05-19 |
| 1669828612 | Rachel Thurston Neville | Hospitalist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2016-05-09 |
| Find all providers in PHOENIX | ||||
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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.