DESERT PRINCESS (NPI# 1396193843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396193843 |
| Entity Type | Organization |
| Organization Name | DESERT PRINCESS |
| Practice Address |
5133 N Central Ave 100 Phoenix AZ 85012-1438 |
| Mailing Address |
8711 E Pinnacle Peak Rd Box 218 Scottsdale AZ 85255-3517 |
| Practice Telephone | 4805594776 |
| Practice Fax Number | 8665267086 |
| Mailing Telephone | 4805594776 |
| Mailing Fax Number | 8665267086 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | RICHARD DEMIR (OWNER) |
| Authorized Official Telephone | 4805446900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 36773 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 203537 | 05 |
| Street Address |
5133 N CENTRAL AVE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528039609 | William B Exley | Specialist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2006-01-27 |
| 1629513486 | Az Surgical Center LLC | Clinic/Center | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2017-01-03 |
| 1811352164 | Greater Arizona Anesthesia Specialists, Pllc | Anesthesiology | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2015-12-30 |
| 1427426915 | Advanced Pain Management, Inc. | Anesthesiology | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2015-09-14 |
| 1104257963 | Central Avenue Specialty, Pllc. | Dentist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2013-12-04 |
| 1952536294 | Frederick Ellison Herro | Hospitalist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2009-05-15 |
| 1437343738 | Anthony E. Herro Dds,pllc. | Dentist | 5133 N Central Ave, #102, Phoenix, AZ 85012-1438 | 2007-08-29 |
| 1417020330 | Robert Allen Williams | Psychiatry & Neurology | 5133 N Central Ave, Suite 107, Phoenix, AZ 85012-1438 | 2006-11-16 |
| 1295813228 | Greater Phoenix Physical Medicine | Physical Medicine & Rehabilitation | 5133 N Central Ave, Suite 101, Phoenix, AZ 85012-1438 | 2006-11-01 |
| 1033225214 | David J Domin Md PC | Specialist | 5133 N Central Ave, Ste 200, Phoenix, AZ 85012-1438 | 2006-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1659717924 | Kate E Maroney | Obstetrics & Gynecology | 1661 E Camelback Rd Ste 160, Phoenix, AZ 85016-3921 | 2013-05-14 |
| 1306281571 | Jeffrey Blake Higley | Obstetrics & Gynecology | 650 W Maryland Ave Ste 1, Phoenix, AZ 85013 | 2013-05-01 |
| 1033485511 | Sigrid Gardner Williams | Obstetrics & Gynecology | 4751 N 15th St, Phoenix, AZ 85014-3707 | 2012-03-28 |
| 1316263585 | Allison Amber Snyder | Obstetrics & Gynecology | 3811 E Bell Rd Ste 312, Phoenix, AZ 85032-2160 | 2010-04-13 |
| 1033348487 | Jill D Gibson | Obstetrics & Gynecology | 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014-5699 | 2009-07-07 |
| 1083841969 | Laura T Mercer | Obstetrics & Gynecology | 500 W Thomas Rd Ste 720730, Phoenix, AZ 85013-4224 | 2009-06-17 |
| 1770710097 | Adriana Lea Pritchard | Obstetrics & Gynecology | 1300 North 12th Street, Suite 407, Phoenix, AZ 85006 | 2009-06-12 |
| 1033392113 | Chijioke Nnenna Soribe | Obstetrics & Gynecology | 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 | 2007-12-11 |
| 1013190420 | Neil Trachtenberg, M.d.,p.c. | Obstetrics & Gynecology | 300 W Clarendon Ave Ste 145, Phoenix, AZ 85013-3449 | 2007-12-07 |
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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.