SHANA NICOLLE WINGO (NPI# 1972613727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972613727 |
| Entity Type | Individual |
| Full Name | SHANA NICOLLE WINGO |
| Credential | MD |
| Practice Address |
19646 N 27th Ave Ste 403 Phoenix AZ 85027-4028 |
| Mailing Address |
1760 E River Rd Suite 350 Tucson AZ 85718-5877 |
| Practice Telephone | 6235874868 |
| Practice Fax Number | 6235825300 |
| Mailing Telephone | 5205197775 |
| Mailing Fax Number | 5205197910 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
M3796 | TX | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
4443 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 519946 | 05 |
| Street Address |
19646 N 27TH AVE STE 403 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138840 | Bridgette Harp | Nurse Practitioner | 19646 N 27th Ave Ste 403, Phoenix, AZ 85027-4028 | 2016-12-10 |
| 1457725640 | Corianna Brever | Physician Assistant | 19646 N 27th Ave Ste 403, Phoenix, AZ 85027-4028 | 2015-11-25 |
| 1972751105 | Deborah Sue Reich | Nurse Practitioner | 19646 N 27th Ave Ste 403, Phoenix, AZ 85027-4028 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114183977 | Ivor Benjamin | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2008-07-31 |
| 1033373139 | Heather Dalton | Obstetrics & Gynecology | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2008-07-17 |
| 1912167313 | Vanna L Zanagnolo | Obstetrics & Gynecology | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2008-06-10 |
| 1770544033 | David Leighton Child | Obstetrics & Gynecology | 1010 E Mcdowell Rd, Ste Ll6, Phoenix, AZ 85006 | 2006-03-28 |
| 1285600635 | Donna Smith | Obstetrics & Gynecology | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2006-02-27 |
| 1679545982 | Dennis R. Scribner Jr. | Obstetrics & Gynecology | 19646 N 27th Ave, Suite 403, Phoenix, AZ 85027-4017 | 2006-02-02 |
| 1104801471 | Rosanne Marie Kho | Obstetrics & Gynecology | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-12-09 |
| 1770575474 | Matthew P Borst | Obstetrics & Gynecology | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1891959862 | Amy Dawn Brockmeyer | Obstetrics & Gynecology | 2949 E Banner Gateway Drive, Gilbert, AZ 85234 | 2008-07-17 |
| 1679635981 | Leon A. Asadourian | Obstetrics & Gynecology | 36431 N Peaceful Place, Carefree, AZ 85377 | 2006-12-14 |
| 1447229802 | Alton Venson Hallum | Obstetrics & Gynecology | 1845 W Orange Grove Rd, Bldg 2, Tucson, AZ 85704 | 2006-03-16 |
| 1891764502 | Joseph Buscema | Obstetrics & Gynecology | 603 N Wilmot Rd Ste 151, Tucson, AZ 85711-2701 | 2006-03-15 |
| 1639171754 | Mike Franz Janicek | Obstetrics & Gynecology | 10197 N 92nd St, Suite 101, Scottsdale, AZ 85258-4560 | 2005-08-10 |
| 1174731046 | Sayeema Daudi | Obstetrics & Gynecology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-05-21 |
| 1326169699 | Kristina A Butler | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-04-03 |
| 1477689511 | Arvind Bakhru | Obstetrics & Gynecology | 8880 E Desert Cove Ave, Scottsdale, AZ 85260-6746 | 2007-02-25 |
| 1396888947 | Dana Meredith Chase | Obstetrics & Gynecology | 6424 E Broadway Rd Ste 104, Mesa, AZ 85206-1750 | 2007-02-14 |
| 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.