ARIZONA NEUROSURGERY AND SPINE SPECIALISTS, PC (NPI# 1083801054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083801054 |
| Entity Type | Organization |
| Organization Name | ARIZONA NEUROSURGERY AND SPINE SPECIALISTS, PC |
| Practice Address |
1331 N 7th St 275 Phoenix AZ 85006-2754 |
| Practice Telephone | 6022543151 |
| Mailing Telephone | 6022543151 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | BYRON H WILLIS (PRESIDENT) |
| Authorized Official Telephone | 6022543151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN: | Z118552 | 01 |
| Street Address |
1331 N 7TH ST 275 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748851 | Kevin S. Ladin | Physical Medicine & Rehabilitation | 1331 N 7th St, Ste 360, Phoenix, AZ 85006-2772 | 2005-05-27 |
| 1811423262 | Heather Anne Fett | Nurse Practitioner | 1331 N 7th St, Suite 405, Phoenix, AZ 85006-2754 | 2017-05-04 |
| 1760838684 | Elisabeth Mancha | Nurse Practitioner | 1331 N 7th St, Suite 400, Phoenix, AZ 85006-2754 | 2016-05-10 |
| 1255792354 | Sophia Y Weis | Nurse Practitioner | 1331 N 7th St, Ste 275, Phoenix, AZ 85006-2754 | 2016-03-16 |
| 1427432939 | Kim E Krmpotic | Clinical Nurse Specialist | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2754 | 2015-07-14 |
| 1588041156 | Barbara Marie Wysocki | Registered Nurse | 1331 N 7th St, Phoenix, AZ 85006-2754 | 2015-05-02 |
| 1285039891 | Jessica Vo | Physician Assistant | 1331 N 7th St, Suite 275, Phoenix, AZ 85006-2754 | 2014-10-24 |
| 1447692793 | Dejana Grk | Optometrist | 1331 N 7th St, Phoenix, AZ 85006 | 2013-07-26 |
| 1922359637 | Smi Imaging, LLC | Radiology | 1331 N 7th St, Suite 150, Phoenix, AZ 85006-2754 | 2012-09-21 |
| 1649581620 | Claire Julia Kelley | Nurse Practitioner | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2707 | 2010-06-24 |
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| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692005 | Sana Vitae Surgeons LLC | Neurological Surgery | 3900 E Camelback Rd Ste 195, Phoenix, AZ 85018-2614 | 2019-07-30 |
| 1558896720 | Cushing Neurosurgery & Spine Pllc | Neurological Surgery | 1530 E Captain Dreyfus Ave, Phoenix, AZ 85022-4931 | 2017-04-25 |
| 1083045637 | Coaxial Neurosurgical Specialists, Plc | Neurological Surgery | 9200 N Central Ave, Suite #3, Phoenix, AZ 85020-2463 | 2013-12-09 |
| 1043577901 | Erik I Curtis | Neurological Surgery | 2222 E Highland Ave Ste 222, Phoenix, AZ 85016 | 2012-04-17 |
| 1124330170 | Rory Kenneth Murphy | Neurological Surgery | 19841 N 27th Ave Ste 304, Phoenix, AZ 85027 | 2010-07-07 |
| 1396062386 | Michaela Lee | Neurological Surgery | 755 E Mcdowell Rd Fl 2, Phoenix, AZ 85006-2506 | 2010-04-29 |
| 1124033709 | Bruce Moffatt | Neurological Surgery | 2525 E Arizona Biltmore Cir Ste D142, Phoenix, AZ 85016 | 2006-07-30 |
| 1346263886 | Karen E Taylor | Neurological Surgery | 9222 W Milkweed Loop, Phoenix, AZ 85037-4361 | 2006-07-25 |
| 1295758035 | Vikram A Kumar | Neurological Surgery | 345 East Virginia Avenue, Phoenix, AZ 85004 | 2006-07-25 |
| 1215905401 | Arnold Barry Calica | Neurological Surgery | 525 N 18th St Ste 407, Phoenix, AZ 85006-3746 | 2006-03-14 |
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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.