SIVAKAMI BRENDA MOORTHY (NPI# 1124019575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124019575 |
| Entity Type | Individual |
| Full Name | SIVAKAMI BRENDA MOORTHY |
| Other Name | S BRENDA MOORTHY |
| Credential | DO |
| Practice Address |
5757 W Thunderbird Rd E351 Glendale AZ 85306-4641 |
| Practice Telephone | 6023743440 |
| Practice Fax Number | 6023743441 |
| Mailing Telephone | 6023743440 |
| Mailing Fax Number | 6023743441 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
4264 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 954900 | 05 |
| Street Address |
5757 W THUNDERBIRD RD E351 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299096 | William R Friese | Surgery | 5757 W Thunderbird Rd, Suite E265, Glendale, AZ 85306-4641 | 2005-07-19 |
| 1225526536 | Daniel Anthony Bos | Audiologist | 5757 W Thunderbird Rd, Glendale, AZ 85306-4641 | 2018-04-23 |
| 1053824490 | Sabrina Nicole Wade | Occupational Therapist | 5757 W Thunderbird Rd, Glendale, AZ 85306-4641 | 2017-11-07 |
| 1699154179 | Dht Hand Therapy | Occupational Therapist | 5757 W Thunderbird Rd, Suite E-465, Glendale, AZ 85306-4641 | 2015-05-29 |
| 1043645765 | Brivadental LLC | Clinic/Center | 5757 W Thunderbird Rd, W300, Glendale, AZ 85306-4641 | 2013-09-12 |
| 1548540024 | Solomon Pediatric Dental Pllc | Dentist | 5757 W Thunderbird Rd, E-451, Glendale, AZ 85306-4641 | 2011-08-28 |
| 1912236340 | Lucia Jane Lumley | Physician Assistant | 5757 W Thunderbird Rd, E255, Glendale, AZ 85306-4641 | 2009-12-14 |
| 1891930061 | Naveed Vehra Md Pllc | Psychiatry & Neurology | 5757 W Thunderbird Rd, Ste E-151, Glendale, AZ 85306-4685 | 2008-12-02 |
| 1942477492 | Diane Carol Shultz | Audiologist | 5757 W Thunderbird Rd, Ste W301, Glendale, AZ 85306 | 2008-05-14 |
| 1255514907 | Shyamala, P.C. | Psychiatry & Neurology | 5757 W Thunderbird Rd, Suite E 151, Glendale, AZ 85306-4641 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841856523 | Academic Surgical Associates Inc. | Surgery | 1505 Wilson Ter Ste 150, Glendale, CA 91206-4076 | 2019-05-17 |
| 1255571949 | Natalie Seiser | Surgery | 1505 Wilson Ter Ste 150, Glendale, CA 91206-4076 | 2009-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972805240 | James Garvey Hopkins | Surgery | 1035 N Vista Verde, Litchfield Park, AZ 85340-4501 | 2010-11-18 |
| 1487881710 | Zeynep Bostanci | Surgery | 925 E. Mcdowell Rd., Phoenix, AZ 85006 | 2009-06-12 |
| 1902049414 | Vasilena Zheleva | Surgery | 14200 West Celebrate Life Way, Cancer Treatment Centers of America, Goodyear, AZ 85338 | 2009-04-14 |
| 1992903413 | Carl E Silver | Surgery | 10085 N 135th Pl, Scottsdale, AZ 85259-5420 | 2007-07-05 |
| 1801908181 | Grace Hou | Surgery | 6320 N Lacholla Blvd, Suite 340, Tucson, AZ 85741 | 2006-08-31 |
| 1063421766 | Ronald Scott Chamberlain | Surgery | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2006-08-05 |
| 1003855214 | Michele Lynn Boyce Ley | Surgery | 2625 N Craycroft Rd Ste 201, Tucson, AZ 85712-2268 | 2006-06-05 |
| 1427538149 | Valley Emergency Surgical Services Plc | Surgery | 963 N Mcqueen Rd, Chandler, AZ 85225-8149 | 2018-08-21 |
| 1649618356 | Jacqueline Kienholz | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2013-06-05 |
| 1629359591 | Emily T Ho | Surgery | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2011-09-06 |
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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.