DR. NICOLE E STOVALL (NPI# 1336174903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336174903 |
| Entity Type | Individual |
| Full Name | DR. NICOLE E STOVALL |
| Credential | M.D. |
| Practice Address |
2601 E Roosevelt St Phoenix AZ 85008-4973 |
| Mailing Address |
3225 E Elwood St Ste. 110 Phoenix AZ 85034-7259 |
| Practice Telephone | 6023441516 |
| Practice Fax Number | 6023441004 |
| Mailing Telephone | 6024705000 |
| Mailing Fax Number | 6023282115 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
D64202 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CDS # | M60592 | 01 |
| MD | FEDERAL DEA | BS8165397 | 01 |
| Street Address |
2601 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1881293165 | Christina Wellman | Registered Nurse | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-10-19 |
| 1639786544 | Lindsey Tow | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-09-24 |
| 1003424102 | Susannamma Lijan | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-07-15 |
| 1184241705 | Katharine Witham | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-30 |
| 1417574435 | Vishal Ravella | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 | 2020-06-26 |
| 1841814894 | Anthony Howard Arnett | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-05 |
| 1053932277 | Bhavesh Shukla | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-28 |
| 1659991016 | Luis Francisco Meza | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-25 |
| 1396365839 | Nicholas Donahue Winter | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134258866 | Az Mobile Imaging LLC | Radiology | 10240 W. Indian School Rd, Ste 155, Phoenix, AZ 85037-5906 | 2007-03-06 |
| 1568795532 | District Medical Group, Inc | Radiology | 2601 E Roosevelt St, Radiology, Phoenix, AZ 85008-4973 | 2009-09-09 |
| 1235398942 | Anjali Roy | Radiology | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2008-06-06 |
| 1124051545 | Cheryl Grandone | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-09 |
| 1013965441 | Michael D Rosellini | Radiology | 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 | 2006-05-05 |
| 1689622649 | Arthur B Radow | Radiology | 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 | 2006-05-04 |
| 1417905522 | Daniel N Lucas | Radiology | 11209 N Tatum Blvd, Phoenix, AZ 85028-3091 | 2006-05-04 |
| 1558329706 | Eric A Vens | Radiology | 11209 N Tatum Blvd, Suite 110, Phoenix, AZ 85028-3091 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1902030166 | Corinne Denise Strickland | Radiology | 4350 E Havasu Rd, Tucson, AZ 85718-2518 | 2009-05-04 |
| 1508039793 | Stephen Farrell Albert | Radiology | 6242 E Catesby Rd, Paradise Valley, AZ 85253-3507 | 2008-04-08 |
| 1699783514 | David J Cohen | Radiology | 4300 N Miller Rd Ste 122, Scottsdale, AZ 85251 | 2006-08-04 |
| 1730113903 | Ayad K Agha | Radiology | 3120 Willow Creek Rd Unit 100, Prescott, AZ 86301-6852 | 2006-07-11 |
| 1437101946 | Paul Ray Strautman | Radiology | 677 N. Wilmot Road, Tucson, AZ 85711 | 2006-05-16 |
| 1871550384 | Regina A Robinson-noble | Radiology | 4475 E Valley Vista Lane, Paradise Valley, AZ 85253 | 2006-04-27 |
| 1124099213 | Jae Koul Kim | Radiology | 4729 E Sunrise Dr # 315, Tucson, AZ 85718-4534 | 2006-01-28 |
| 1538130877 | N. Judge King IIi | Radiology | 6370 E Miramist Pl, Tucson, AZ 85750-1314 | 2006-01-26 |
| 1881680122 | Arizona Institute of Medicine and Surgery | Radiology | 3636 Stockton Hill Road, Kingman, AZ 86409 | 2005-09-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. NICOLE E STOVALL.
| 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.