MARIUS NISTOR (NPI# 1932288495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932288495 |
| Entity Type | Individual |
| Full Name | MARIUS NISTOR |
| Credential | M.D. |
| Practice Address |
483 W Seed Farm Road Sacaton AZ 85147-0038 |
| Mailing Address |
P.o. Box 38 Sacaton AZ 85147-0038 |
| Practice Telephone | 6025281200 |
| Practice Fax Number | 6025281255 |
| Mailing Telephone | 6025281200 |
| Mailing Fax Number | 6025281255 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30216 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
483 W SEED FARM ROAD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1588130918 | John L Duffy | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-10-24 |
| 1124508668 | Scott Wesley Stover | Physical Therapist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-08-15 |
| 1265924906 | Monica Isabel Torres | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-05-30 |
| 1699278515 | Ami Tamakuwala | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-03-16 |
| 1386189777 | Gerald Abastillas | Nurse Practitioner | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2016-12-21 |
| 1932406055 | Kristine Marie Wells | Pharmacist | 483 W Seed Farm Road, Sacaton, AZ 85247 | 2011-02-25 |
| 1902103559 | Julie Sue Tomes | Pharmacist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2011-02-17 |
| 1316264856 | Juli Marge Haws | Dietitian, Registered | 483 W Seed Farm Road, Sacaton, AZ 85147-0038 | 2010-04-23 |
| 1679751218 | Kevin Joseph Pollins | Counselor | 483 W Seed Farm Road, New Beginnings Building, Sacaton, AZ 85247-0038 | 2008-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| 1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124448246 | Ashley Marie Castillo | Internal Medicine | 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2014-04-17 |
| 1487942306 | Gilbert Harrison | Internal Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2011-07-12 |
| 1851412514 | Sudha D. Rao | Internal Medicine | 483 W. Seed Farm Rd., Hu Hu Kam Memorial Hospital, Sacaton, AZ 85147-0038 | 2007-04-02 |
| 1972554251 | Amjad Shehadeh | Internal Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-05-12 |
| 1922066315 | Robert L Hanson | Internal Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85247 | 2006-05-03 |
| 1265492433 | Edwin Mgbam | Internal Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-03-23 |
| 1952385650 | David P Eppehimer | Internal Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-12-06 |
| 1215918008 | Viji Murugavel | Internal Medicine | 483 W Seed Farm Rd, Sacaton, AZ 85147-0038 | 2005-11-08 |
| 1265421408 | Adelaide P Bahr | Internal Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85247 | 2005-10-20 |
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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.