GINA R SHIRAH (NPI# 1225368384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225368384 |
| Entity Type | Individual |
| Full Name | GINA R SHIRAH |
| Credential | M.D. |
| Practice Address |
16601 N 40th St Ste 227 Phoenix AZ 85032-3354 |
| Practice Telephone | 6026333721 |
| Practice Fax Number | 6025951127 |
| Mailing Telephone | 6026333721 |
| Mailing Fax Number | 6025951127 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | R70662 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
46395 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 914736 | 05 |
| Street Address |
16601 N 40TH ST STE 227 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972575504 | Alicia Mangram | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2006-02-07 |
| 1043854623 | Dee Alley Ensign | Physician Assistant | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2019-11-06 |
| 1376027557 | Charles Douglas Balcome | Nurse Practitioner | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2018-09-24 |
| 1548756794 | Dustin Richard Husemann | Nurse Practitioner | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2018-07-10 |
| 1164809893 | Jennifer Rae Quezada | Registered Nurse | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2015-05-01 |
| 1770998007 | Thomas Cox | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2014-06-25 |
| 1164765731 | Tony Dunne | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2013-04-02 |
| 1649546193 | Ace Assaf Ovil | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2012-03-29 |
| 1831464858 | Alyssa Kristine Stassi | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2012-03-09 |
| 1821370974 | Affordable Family Practice, Inc. | Family Medicine | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2011-09-14 |
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| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939566 | Nirav Y Patel | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2005-06-01 |
| 1649546193 | Ace Assaf Ovil | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2012-03-29 |
| 1750543757 | Natasha Keric | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2008-06-30 |
| 1639268048 | Marc Alan Levison | Surgery | 9327 N 3rd St, Suite 200, Phoenix, AZ 85020-2470 | 2006-10-12 |
| 1144330408 | Kevin P Mcgeever | Surgery | 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224 | 2006-08-30 |
| 1215975966 | Jcl Surgery, LLC | Surgery | 3201 W Peoria Ave, Suite C500, Phoenix, AZ 85029-4608 | 2006-06-03 |
| 1376590679 | Kevin Foster | Surgery | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477871002 | Robert John Hoffman | Surgery | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2010-05-06 |
| 1336784735 | Amber Rose Ward | Surgery | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-11-10 |
| 1326513730 | Haley Linaman | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-10-11 |
| 1871093195 | Lone Star Med PC | Surgery | 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 | 2018-02-13 |
| 1558818211 | Clair Watkins | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-09-09 |
| 1932532249 | Richard H Carmona | Surgery | 8600 E Rockcliff Rd, Tucson, AZ 85750-9733 | 2013-08-11 |
| 1194006577 | Trauma and Acute Care Surgeons of Northern Arizona | Surgery | 77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 | 2011-08-30 |
| 1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
| 1790803260 | Kara Villareal Md PC | Surgery | 17250 N 43rd Ave, Glendale, AZ 85308-4035 | 2007-03-26 |
| 1780730309 | Lynn Gries | Surgery | University of Arizona, 1501 N. Campbell Ave. Rm 5411, Tucson, AZ 85724-5063 | 2007-01-26 |
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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.