OMAR RASHID WANI (NPI# 1326265893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326265893 |
| Entity Type | Individual |
| Full Name | OMAR RASHID WANI |
| Credential | MD |
| Practice Address |
2000 S Thompson St Flagstaff AZ 86001 |
| Mailing Address |
2000 S Thompson St Flagstaff AZ 86001-8759 |
| Practice Telephone | 9282266400 |
| Practice Fax Number | 9282266410 |
| Mailing Telephone | 9282266400 |
| Mailing Fax Number | 9282266410 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
41280 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A73464 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
41280 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ABIM CERTIFICATE NUMBER | 216317 | 01 |
| AZ | 432227 | 05 | |
| CA | DEA LICENSE | BW7216547 | 01 |
| CA | MEDICAL LICENSE NUMBER | A73464 | 01 |
| Street Address |
2000 S THOMPSON ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526677 | Renzo M Cataldo | Specialist | 2000 S Thompson St, Flagstaff, AZ 86001 | 2005-05-27 |
| 1295341089 | Karen Vanaman | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001-8759 | 2020-09-17 |
| 1548781438 | Scott Lawrence Krankkala | Physician Assistant | 2000 S Thompson St, Flagstaff, AZ 86001 | 2017-06-29 |
| 1356709877 | Erin Rasmussen | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2016-01-29 |
| 1770958639 | Sherry O'brien | Registered Nurse | 2000 S Thompson St, Flagstaff, AZ 86001-8759 | 2015-12-03 |
| 1114397957 | Amy Kathryn Taylor | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2015-10-06 |
| 1194113399 | Elisa Hilburn | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2014-12-23 |
| 1013305283 | Bruce A Mortensen | Physician Assistant | 2000 S Thompson St, Flagstaff, AZ 86001-8759 | 2014-12-22 |
| 1770846842 | Martha Barlow | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2012-06-22 |
| 1568739605 | Dhhs Ihs Phoenix Area | Clinic/Center | 2000 S Thompson St, Flagstaff, AZ 86001-8759 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220009 | Flagstaff Medical Center | Internal Medicine | 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3126 | 2008-10-16 |
| 1447334784 | Robert A Mackin | Internal Medicine | 823 North Beaver Street, Flagstaff, AZ 86001 | 2006-10-24 |
| 1447295324 | Mohan Reddi Nandalur | Internal Medicine | 1215 N Beaver Street, Heart & Vascular Center of Northern Arizona, Flagstaff, AZ 86001-3118 | 2006-06-17 |
| 1851396105 | John Howley | Internal Medicine | 1330 N Rim Dr, Ste B, Flagstaff, AZ 86001-3138 | 2005-06-14 |
| 1992064927 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2012-05-11 |
| 1306009519 | Mountain Heart Medical Practice Pllc | Internal Medicine | 2000 S Thompson St, Flagstaff, AZ 86001-8759 | 2008-07-08 |
| 1982871067 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-05-08 |
| 1730372343 | John W. Howley, Md PC | Internal Medicine | 1330 N Rim Dr, Ste B, Flagstaff, AZ 86001-3134 | 2007-08-27 |
| 1023167384 | Craig Michael Peters | Internal Medicine | 1215 N Beaver St, Heart & Vascular Center of Northern Arizona, Flagstaff, AZ 86001-3118 | 2007-01-09 |
| 1639242720 | David M Leder | Internal Medicine | 2000 S Thompson St, Flagstaff, AZ 86001 | 2006-11-16 |
| Find all providers in FLAGSTAFF | ||||
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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.