DR. KEVIN M BRADY (NPI# 1154315810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154315810 |
Entity Type | Individual |
Full Name | DR. KEVIN M BRADY |
Credential | MD |
Practice Address |
10930 N Tatum Blvd Ste 103 Phoenix AZ 85028-6069 |
Practice Telephone | 6022637600 |
Practice Fax Number | 6022120365 |
Mailing Telephone | 6022637600 |
Mailing Fax Number | 6022120365 |
Enumeration Date | 2005-09-08 |
Last Update Date | 2019-04-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30436 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104815927 | Kevin Brady | Podiatrist | 1705 Gardner Dr, Wilmington, NC 28405 | 2005-10-14 |
1760025332 | Kevin Brady | Pharmacist | 2010 Zonal Ave, Los Angeles, CA 90033-1026 | 2019-10-25 |
1053889550 | Kevin P Brady | Radiologic Technologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2018-11-02 |
1700281169 | Kevin Brady | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-10-28 |
1669641668 | Kevin Brady | Psychologist | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2008-02-22 |
1528002045 | Kevin Michael Brady | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2006-06-15 |
Street Address |
10930 N TATUM BLVD STE 103 |
City | PHOENIX |
State | AZ |
Zip Code | 85028-6069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144214172 | Kenneth A Ashton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2005-09-06 |
1265988299 | Kelsey Slugocki | Physician Assistant | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2016-08-30 |
1043602444 | Jordanna Newberger | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-23 |
1801287354 | Rachel Armenta | Nurse Practitioner | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-05 |
1174929129 | Jessica Russ | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2014-11-18 |
1396184602 | Malia Goozen-suor | Perfusionist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2013-06-19 |
1396970182 | Meghan Kirksey | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2009-05-21 |
1528284478 | Desert Surgical Assistants, LLC | Physician Assistant | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-04-18 |
1245364702 | Michelle D Carey-caskey | Registered Nurse | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-03-15 |
1902934342 | Vicki Larson | Specialist | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629536784 | Lammykins, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11610 N 17th Pl, Phoenix, AZ 85020-1320 | 2019-03-07 |
1619403995 | Surgical Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4626 E Sheena Dr, Phoenix, AZ 85032-5524 | 2017-05-05 |
1902357676 | Hsien-chen John Chiang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 336 W Rose Ln, Phoenix, AZ 85013-1529 | 2016-10-18 |
1699045419 | Neil George Steinhoff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3737 E Medlock Dr, Phoenix, AZ 85018-1507 | 2012-01-10 |
1073832515 | Cecil Cyrus Vaughn II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5124 N 31st Pl, #544, Phoenix, AZ 85016-4527 | 2010-05-24 |
1871743559 | Afshin S. Jahromi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2632 N. 20th Street, Phoenix, AZ 85006-1339 | 2008-09-30 |
1104859180 | Cardiac & Thoracic Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5333 N 7th St, Suite B219, Phoenix, AZ 85014-2821 | 2006-07-10 |
1902848898 | Mark Richard Tasset | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3131 E Clarendon Ave, Suite 102, Phoenix, AZ 85016-7069 | 2006-06-12 |
1831183870 | Merick S Kirshner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3805 E. Bell Rd, Suite 3100, Phoenix, AZ 85032 | 2005-09-06 |
1144214172 | Kenneth A Ashton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2005-09-06 |
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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.