ARIZONA HEAD NECK & FACIAL SURGERY LTD (NPI# 1922126085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922126085 |
Entity Type | Organization |
Organization Name | ARIZONA HEAD NECK & FACIAL SURGERY LTD |
Practice Address |
1515 N 9th Street Suite B Phoenix AZ 85006 |
Practice Telephone | 6022589859 |
Practice Fax Number | 6022560820 |
Mailing Telephone | 6022589859 |
Mailing Fax Number | 6022560820 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | PETER H NUTLEY (PRESIDENT) |
Authorized Official Telephone | 6022589859 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
Street Address |
1515 N 9TH STREET SUITE B |
City | PHOENIX |
State | AZ |
Zip Code | 85006 |
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 | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679801526 | Richard Besserman | Otolaryngology | 3104 E Camelback Rd, #107, Phoenix, AZ 85016-4502 | 2009-12-03 |
1588651301 | Jeffrey J. Dyer | Otolaryngology | 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5155 | 2005-10-06 |
1578550398 | Don B. Headley | Otolaryngology | 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013-4224 | 2005-10-06 |
1467449298 | Entegrity Ear Nose & Throat Specialists PC | Otolaryngology | 11209 N Tatum Blvd, Suite 275, Phoenix, AZ 85028-3091 | 2005-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508111048 | Burton E Weissman | Otolaryngology | 6736 N 60th St, Paradise Valley, AZ 85253-3414 | 2012-07-20 |
1053575167 | A Sultan Lalani M D Ltd | Otolaryngology | 2175 S Avenue A Ste B, Yuma, AZ 85364-8458 | 2008-07-17 |
1508065160 | Brian Trainor, Do, Pllc | Otolaryngology | 3501 N Scottsdale Rd Ste 142, Scottsdale, AZ 85251-5632 | 2007-07-13 |
1427519255 | Daniela Ann Brake | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2019-03-26 |
1619449303 | Taylor Cave | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2018-12-19 |
1396912911 | Samuel Steven Bailey | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2008-05-13 |
1518186956 | David A Hecht Md PC | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Suite 250, Scottsdale, AZ 85255-4134 | 2007-04-24 |
1699896027 | Tracey Knott | Otolaryngology | 3420 S Mercy Rd, Suite 107, Gilbert, AZ 85297-0419 | 2007-04-03 |
1710014410 | Enticare PC | Otolaryngology | 3420 S Mercy Rd, Ste 107, Gilbert, AZ 85297-0419 | 2007-02-28 |
1174551014 | James Michael Reidy | Otolaryngology | 2680 S Val Vista Dr, Bldg 13, Unit 175, Gilbert, AZ 85295-2152 | 2006-06-29 |
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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.