EILEEN MARY SHUSTAK (NPI# 1164840401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164840401 |
| Entity Type | Individual |
| Full Name | EILEEN MARY SHUSTAK |
| Credential | TECHNICIAN |
| Practice Address |
14861 N Cave Creek Rd Phoenix AZ 85032-4909 |
| Practice Telephone | 6029921486 |
| Practice Fax Number | 6029926604 |
| Mailing Telephone | 6029921486 |
| Mailing Fax Number | 6029926604 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
14861 N CAVE CREEK RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447825 | Robin Lee Bedingfield | Physical Therapist | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2006-04-19 |
| 1033589866 | Brandy Radtke | Technician, Other | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2015-10-06 |
| 1053781880 | Britni Mueller | Technician, Other | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2015-10-06 |
| 1245620459 | Joseph R Cohen Dds Inc | Dentist | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2015-01-26 |
| 1790040749 | Seena Patel | Dentist | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2012-07-05 |
| 1932386851 | Joseph R Cohen | Specialist | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2008-01-22 |
| 1578751905 | Bedingfield Pt, Pllc | Physical Therapist | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2007-10-10 |
| 1487733572 | Joseph R Cohen Dds Inc | Dentist | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740634278 | Lonestar Diagnostics, LLC | Specialist/Technologist, Other | 530 E Mcdowell Rd Ste 107, #510, Phoenix, AZ 85004-1500 | 2016-04-21 |
| 1275801466 | Ryan Yetter | Specialist/Technologist, Other | 3310 E Fremont Rd, Phoenix, AZ 85042-6119 | 2011-12-02 |
| 1366760456 | Neurological Diagnostic Center of Phoenix Inc | Specialist/Technologist, Other | 8616 N 35th Ave, Ste 1a, Phoenix, AZ 85051-3813 | 2010-05-13 |
| 1932434347 | Medical Diagnostic Centers, Inc. | Specialist/Technologist, Other | 16601 N 40th St Ste 129, Phoenix, AZ 85032-3355 | 2009-10-03 |
| 1083868954 | Christopher Nonso Egbunike Jr. | Specialist/Technologist, Other | 2926 W Granada Rd, Phoenix, AZ 85009-2572 | 2008-11-05 |
| 1144419995 | Daniel T. Cocks | Specialist/Technologist, Other | 111 N Dupont Cir, Phoenix, AZ 85034-1803 | 2007-10-17 |
| 1255857017 | Laura Kaseman | Specialist/Technologist, Other | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2017-08-14 |
| 1568835866 | Arizona Health Associates LLC | Specialist/Technologist, Other | 1635 E Myrtle Ave, Suite 400, Phoenix, AZ 85020-5556 | 2015-11-09 |
| 1356727358 | Cynapse, Pllc | Specialist/Technologist, Other | 9225 N 3rd St, Ste 100, Phoenix, AZ 85020-2439 | 2015-08-03 |
| 1881016244 | Jenny Zaiser | Specialist/Technologist, Other | 10645 N Tatum Blvd, Ste 200-629, Phoenix, AZ 85028-3068 | 2014-01-20 |
| Find all providers in PHOENIX | ||||
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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.