DR. NITEEN S ANDALKAR (NPI# 1124057070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124057070 |
| Entity Type | Individual |
| Full Name | DR. NITEEN S ANDALKAR |
| Credential | MD |
| Practice Address |
2045 S Vineyard Ste. 142 Mesa AZ 85210-6889 |
| Practice Telephone | 4803306010 |
| Practice Fax Number | 4805070019 |
| Mailing Telephone | 4803306010 |
| Mailing Fax Number | 4805070019 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 35878 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 115379 | 05 | |
| AZ | STATE LICENSE | 35878 | 01 |
| Street Address |
2045 S VINEYARD STE. 142 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023087301 | John I Iskandar | Neurological Surgery | 2045 S Vineyard, 142, Mesa, AZ 85210-6889 | 2006-03-17 |
| 1740642297 | Willow Midwife Center for Birth and Wellness | Clinic/Center | 2045 S Vineyard, Suite 2e, Mesa, AZ 85210-6889 | 2016-03-23 |
| 1447664180 | Kris Eldridge, Lpc | Community/Behavioral Health | 2045 S Vineyard, Suite 139, Mesa, AZ 85210-6889 | 2014-06-19 |
| 1558782227 | Three Needles Acupuncture, LLC | Acupuncturist | 2045 S Vineyard, Suite 136, Mesa, AZ 85210-6889 | 2013-12-26 |
| 1760721690 | Kari-ann Sellati Hubbard | Acupuncturist | 2045 S Vineyard, Suite 136, Mesa, AZ 85210-6889 | 2013-02-13 |
| 1114279536 | American Home Health Services, Inc | Home Health | 2045 S Vineyard, Suite # 223, Mesa, AZ 85210-6889 | 2012-10-09 |
| 1649402827 | Diane M Ortega | Advanced Practice Midwife | 2045 S Vineyard, Suite 136, Mesa, AZ 85210-6889 | 2009-08-20 |
| 1356594626 | East Valley Neurosurgery, LLC | Neurological Surgery | 2045 S Vineyard, 142, Mesa, AZ 85210-6889 | 2008-10-29 |
| 1538316674 | Nick Randall | Dentist | 2045 S Vineyard, Suite 153, Mesa, AZ 85210-6889 | 2008-08-20 |
| 1669662151 | Asim Khan | Physical Medicine & Rehabilitation | 2045 S Vineyard, Suite 131, Mesa, AZ 85210-6889 | 2007-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
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| 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 |
|---|---|---|---|---|
| 1023087301 | John I Iskandar | Neurological Surgery | 2045 S Vineyard, 142, Mesa, AZ 85210-6889 | 2006-03-17 |
| 1508832874 | Mark Ercius | Neurological Surgery | 1520 S. Dobson Rd, Suite 318, Mesa, AZ 85202-4710 | 2006-02-27 |
| 1356594626 | East Valley Neurosurgery, LLC | Neurological Surgery | 2045 S Vineyard, 142, Mesa, AZ 85210-6889 | 2008-10-29 |
| 1891976569 | Desert Neurosurgery, PC | Neurological Surgery | 4566 E Inverness Ave, Ste #208, Mesa, AZ 85206 | 2007-11-21 |
| 1356496079 | Nevra Sisli King-logsdon | Neurological Surgery | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016471 | Mahmood Hassan | Neurological Surgery | 3935 E Fort Lowell Rd, Tucson, AZ 85712-1009 | 2020-03-03 |
| 1215585435 | Valley Neuromonitoring Plc | Neurological Surgery | 15547 N Reems Rd Ste A, Surprise, AZ 85374-9583 | 2019-08-30 |
| 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 |
| 1689052664 | Leonardo B C Brasiliense | Neurological Surgery | 1501 N Campbell Ave Rm 4303, Tucson, AZ 85724-0001 | 2015-05-11 |
| 1083045637 | Coaxial Neurosurgical Specialists, Plc | Neurological Surgery | 9200 N Central Ave, Suite #3, Phoenix, AZ 85020-2463 | 2013-12-09 |
| 1144582248 | Whitney Allison Sheen James | Neurological Surgery | 3191 Stillwater Dr Ste B, Prescott, AZ 86305-7145 | 2012-06-13 |
| 1043577901 | Erik I Curtis | Neurological Surgery | 2222 E Highland Ave Ste 222, Phoenix, AZ 85016 | 2012-04-17 |
| 1013281740 | Western Regional Neurology, LLC | Neurological Surgery | 2005 Injo Dr, Suite 103, Lake Havasu City, AZ 86403-5874 | 2012-02-27 |
| 1578855524 | Colin Campbell Mcdonald | Neurological Surgery | 15426 W Echo Canyon Dr, Surprise, AZ 85374-2076 | 2011-05-10 |
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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.