DR. AUBREY M PALESTRANT (NPI# 1174595110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174595110 |
Entity Type | Individual |
Full Name | DR. AUBREY M PALESTRANT |
Credential | M.D. |
Practice Address |
19829 N 27th Ave Phoenix AZ 85027-4001 |
Mailing Address |
10835 N 25th Ave Ste 240 Phoenix AZ 85029-3458 |
Practice Telephone | 6238795720 |
Mailing Telephone | 6032943920 |
Mailing Fax Number | 6022163000 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2017-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13416 | AZ | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
13416 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBSAZ | AZ0221810 | 01 | |
AZ | HEALTH NET OF AZ | 1Z7086 | 01 |
AZ | 256299 | 05 | |
AZ | RR MEDICARE | 300124482 | 01 |
Street Address |
19829 N 27TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85027-4001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295716868 | Julie Hessler | Pediatrics | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2005-11-09 |
1427657238 | Kevin C Smith | Pharmacist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-22 |
1265031108 | Maricopa Surgical Assist | Physician Assistant | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-21 |
1174144885 | Marjan Ashtiani | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-05-04 |
1104477835 | Liudmila Tamarchina | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-24 |
1922657121 | Tiffany Jean Colorado | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-10 |
1780233387 | Lee Louis Cavellini | Occupational Therapist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-05 |
1841843497 | Khanh Thi Le | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-07-23 |
1093294878 | Dawn Nicole Nichols | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2018-08-12 |
1841782265 | Diana Olivera | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027 | 2018-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
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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 |
---|---|---|---|---|
1629242425 | Nelson R. De Lara | Radiology | 26 Glen Alpine Rd, Phoenix, MD 21131-2404 | 2008-04-14 |
1013387208 | Compcare Medical Group Inc | Radiology | 1021 S 7th Ave, Suite 102, Phoenix, AZ 85007-3725 | 2015-09-30 |
1669737714 | Ankit Harish Shah | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2012-07-05 |
1679835128 | Curtis Qin | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2012-06-11 |
1053615021 | Arizona Interventional Medical Group PC | Radiology | 2338 W Royal Palm Rd, Suite J, Phoenix, AZ 85021-9339 | 2011-01-05 |
1093954554 | Vineel Kurli | Radiology | 10835 N 25th Ave, Suite 240, Phoenix, AZ 85029-4751 | 2009-02-06 |
1144482886 | Ahi Cardiovascular Surgeons Ltd | Radiology | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-06-25 |
1104009109 | Interventional Radiology Plc | Radiology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2007-12-12 |
1235335324 | Lavi Nissim | Radiology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2007-06-25 |
1427259555 | Grace Knuttinen | Radiology | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2007-05-29 |
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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.