DR. HERNAN MEDINA


Address: 6838 N 23rd Ave, Phoenix, AZ 85015
Phone: 6028648800

DR. HERNAN MEDINA (NPI# 1982684924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982684924
Entity Type Individual
Full Name DR. HERNAN MEDINA
Credential MD
Practice Address 6838 N 23rd Ave
Phoenix
AZ 85015
Mailing Address 9590 E Ironwood Square Dr
Ste 125
Scottsdale
AZ 85258-4583
Practice Telephone 6028648800
Practice Fax Number 6028641448
Mailing Telephone 4804553000
Mailing Fax Number 8668196115
Enumeration Date 2006-01-17
Last Update Date 2016-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 30853 AZ Other Service Providers
N 207R00000X Internal Medicine 30853 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 6838 N 23RD AVE
City PHOENIX
State AZ
Zip Code 85015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225023377 Geriatric Specialties of Arizona PC Internal Medicine 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2005-09-14
1649690603 Geriatric Specialties of Arizona PC Non-Pharmacy Dispensing Site 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2014-04-17
1255528600 Sami Nabil Nasrallah Internal Medicine 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2007-10-01
1932200938 Stanley Lynn Combs Internal Medicine 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2006-09-25
1437163789 William Woods Pretlow Internal Medicine 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2006-07-29
1659319309 Morton H Dubnow Internal Medicine 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2006-06-03
1356411037 Faye Louis Bomer Obstetrics & Gynecology 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2006-05-12
1760446769 Lester Allen Epstein Specialist 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2006-04-14
1437139151 Nisha J Manek Internal Medicine 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2006-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902462179 Physician Group of Arizona Inc Specialist 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 2019-05-14
1922517655 Southwest Behavioral Health Services, Inc. Specialist 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 2017-09-26
1962936773 Zoe Reed Specialist 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 2017-04-18
1295289163 Affiliated Therapy Services Specialist 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 2016-08-09
1285084400 Jacqueline Kincer Specialist 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 2016-06-18
1750747218 Hilary Caine Specialist 6228 W Molly Dr, Phoenix, AZ 85083-6525 2016-01-13
1659757268 Armendariz Medical Associates LLC Specialist 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 2015-08-05
1669877247 Shawna Christofis Specialist 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 2014-10-25
1396151890 Michelle Rene' Reinhardt Specialist 11010 S Tomah St, Phoenix, AZ 85044-1914 2014-07-03
1518371863 Stacy Hall Brink Specialist 4713 E Michigan Ave, Phoenix, AZ 85032-9517 2014-06-15
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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