DR. PANAGIOTIS MIHALIS FIDIAS (NPI# 1396735585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396735585 |
| Entity Type | Individual |
| Full Name | DR. PANAGIOTIS MIHALIS FIDIAS |
| Credential | MD |
| Practice Address |
625 N 6th St Phoenix AZ 85004-2155 |
| Practice Telephone | 6024068222 |
| Practice Fax Number | 6024066292 |
| Mailing Telephone | 6024068222 |
| Mailing Fax Number | 6024066292 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2015-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
77854 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
49332 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
77854 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS MA | J19643 | 01 |
| MA | TUFTS HEALTH PLAN | 077854 | 01 |
| MA | 3188001 | 05 |
| Street Address |
625 N 6TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477048957 | Heather Betts | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-06-26 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1619481132 | Ginka Conrey | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2017-11-20 |
| 1427406719 | Kimberly J Halla | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-05-27 |
| 1720440548 | Uacc St. Jospeh's Hospital and Medical Center | Clinic/Center | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-03-22 |
| 1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
| 1093180770 | Mandy Cornelius | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-12-07 |
| 1245604446 | Laurie Mann | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-25 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| 1568881472 | Shifat Ahmed | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801397658 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 2925 W Rose Garden Ln, Phoenix, AZ 85027-3135 | 2018-02-27 |
| 1689837601 | James Irwin Ewing | Internal Medicine | 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-6025 | 2008-07-09 |
| 1548431042 | Affiliated Oncologists Ltd | Internal Medicine | 3411 N 5th Ave, Ste 400, Phoenix, AZ 85013-3811 | 2008-03-12 |
| 1124125174 | Jason Aaron Salganick | Internal Medicine | 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-6025 | 2006-09-20 |
| 1154369577 | Waqas Arslan | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2006-06-04 |
| 1114904109 | Albert Guy Wendt | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526472 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 3530 S Val Vista Dr Ste C203, Gilbert, AZ 85297-7318 | 2019-03-11 |
| 1184126344 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 9755 N 90th St Ste A105, Scottsdale, AZ 85258-5046 | 2018-03-05 |
| 1174882690 | Douglas Robinson | Internal Medicine | 10624 N Crestview Dr, Fountain Hills, AZ 85268-6107 | 2012-05-04 |
| 1528258662 | Joshua Labaer | Internal Medicine | 1001 S Mcallister Ave, Tempe, AZ 85287-0001 | 2007-07-25 |
| 1548349707 | Morris H. Fine | Internal Medicine | 4090 N Painted Quail Pl, Tucson, AZ 85750-6140 | 2006-11-06 |
| 1013954858 | Cochise Oncology LLC | Internal Medicine | 5151 E Highway 90, Sierra Vista, AZ 85635-2436 | 2006-06-01 |
| 1205890530 | William Bruce Ethridge | Internal Medicine | 1951 W 25th Street, Ste F, Yuma, AZ 85364 | 2006-04-13 |
| 1255322871 | Robert Gary Gagliano | Internal Medicine | 203 S Candy Ln, Suite 9a, Cottonwood, AZ 86326-4120 | 2005-11-02 |
| 1417942905 | Nathaniel Fastenberg | Internal Medicine | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2005-09-12 |
| 1497143895 | Arizona Oncology Associates PC | Internal Medicine | 10460 N 92nd St, Ste. # 402, Scottsdale, AZ 85258-4548 | 2015-01-07 |
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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.