DR. KIRK D MINKUS (NPI# 1164494746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164494746 |
| Entity Type | Individual |
| Full Name | DR. KIRK D MINKUS |
| Credential | M.D. |
| Practice Address |
140 S Power Rd Ste 102 Mesa AZ 85206-5297 |
| Practice Telephone | 9282764293 |
| Practice Fax Number | 9282764239 |
| Mailing Telephone | 9285020944 |
| Mailing Fax Number | 9283443530 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
33081 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
33081 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTH NET OF AZ | 1Z7086 | 01 |
| AZ | 872227 | 05 | |
| AZ | BCBSAZ | AZ0221810 | 01 |
| Street Address |
140 S POWER RD STE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-5297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121874 | Charles M.t. Jost | Internal Medicine | 140 S Power Rd, Mesa, AZ 85206-5297 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295760916 | Pain Management & Rehabilitation Medicine Center PC | Radiology | 535 E Mckellips Rd Ste 111, Mesa, AZ 85203-2525 | 2006-07-11 |
| 1013439520 | First Nations Limb Preservation Foundation | Radiology | 535 E Mckellips Rd Ste 111, Mesa, AZ 85203-2525 | 2017-07-17 |
| 1336681014 | Health Genius Inc | Radiology | 6859 E Rembrandt Ave, Suite 111b, Mesa, AZ 85212-3628 | 2016-11-10 |
| 1356645022 | Benjamin L Stradling Do | Radiology | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139958 | Banner Imaging Services LLC | Radiology | 10474 W Thunderbird Blvd Ste 100, Sun City, AZ 85351-3015 | 2019-08-14 |
| 1629535091 | Comprehensive Interventional Care Centers, Pllc | Radiology | 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 | 2019-02-21 |
| 1720542137 | Priority Interventional Radiology LLC | Radiology | 8787 N Scottsdale Rd Ste 105, Scottsdale, AZ 85253-2338 | 2019-01-30 |
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1134633837 | Association of University Radiologists, PC | Radiology | 3900 N Camino Ojo De Agua, Tucson, AZ 85749-7819 | 2017-11-17 |
| 1295262160 | Vein Ablation Specialists and Consultants LLC | Radiology | 7047 E Greenway Pkwy Ste 250, Scottsdale, AZ 85254-8113 | 2017-05-22 |
| 1588029672 | Advanced Vein Institute of Arizona, LLC | Radiology | 2155 E Conference Dr Ste 101, Tempe, AZ 85284-2604 | 2015-12-16 |
| 1649681842 | Vascular Vein & Imaging Center | Radiology | 2899 S Hope Dr, Yuma, AZ 85364-7487 | 2014-05-11 |
| 1255601613 | High Desert Radiology, P.C. | Radiology | 3439 Southern Vista Dr, Kingman, AZ 86401-0630 | 2012-01-03 |
| 1447316054 | Gnr Ventures, LLC | Radiology | 9440 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4569 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
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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.