AEGIS IOM, PLLC (NPI# 1194217596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194217596 |
| Entity Type | Organization |
| Organization Name | AEGIS IOM, PLLC |
| Practice Address |
5323 E Palomino Rd Phoenix AZ 85018-1911 |
| Mailing Address |
Po Box 41861 Mesa AZ 85274-1861 |
| Practice Telephone | 7026701588 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | ELISE KILMER (MANAGER) |
| Authorized Official Telephone | 7026701588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
5323 E PALOMINO RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921508 | Red Rock Interoperative Neuromonitoring LLC | Psychiatry & Neurology | 3800 N Central Ave Ste 460, Phoenix, AZ 85012-1995 | 2020-01-09 |
| 1487972626 | Robert Jeremy Cox | Psychiatry & Neurology | 111 N Dupont Cir, Phoenix, AZ 85034-1803 | 2010-05-12 |
| 1497918502 | Shruti Badhwar | Psychiatry & Neurology | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2008-07-08 |
| 1013966712 | Banner Alzheimer's Institute | Psychiatry & Neurology | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2006-05-09 |
| 1568429025 | Pierre N Tariot | Psychiatry & Neurology | 901 E Willetta St, 3rd Floor, Phoenix, AZ 85006-2727 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477749091 | M.a.nayer, M.d.,p.c. | Psychiatry & Neurology | 3015 Hiway 95, Suite 109, Bullhead City, AZ 86442-4334 | 2007-09-18 |
| 1033107628 | Kamal R. Rastogi | Psychiatry & Neurology | 1925 W Orange Grove Rd Suite 200, Tucson, AZ 85704 | 2005-10-09 |
| 1730651738 | Banner Alzheimer's Institute | Psychiatry & Neurology | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1478 | 2019-01-02 |
| 1679781652 | Ajo Joy | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2007-05-21 |
| 1083761126 | Arizona Neurological Institute | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2007-01-04 |
| 1881786150 | Jennifer Suzanne Gunther | Psychiatry & Neurology | 3601 S 6th Ave, Tucson, AZ 85723-2700 | 2006-09-28 |
Please comment or provide details below to improve the information on AEGIS IOM, PLLC.
| 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.