PHYLICIA DZIFA GAWU (NPI# 1417586413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417586413 |
Entity Type | Individual |
Full Name | PHYLICIA DZIFA GAWU |
Credential | DO |
Practice Address |
5777 E Mayo Blvd Phoenix AZ 85054-4502 |
Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
Practice Telephone | 4803422000 |
Mailing Telephone | 4803018000 |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
5777 E MAYO BLVD |
City | PHOENIX |
State | AZ |
Zip Code | 85054-4502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
1871194563 | Courtney Comstock | Nurse Practitioner | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-11-08 |
1740819796 | Daniel Alan Salevitz | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
1083242283 | Ashley Swan | Physician Assistant | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-01 |
1659909612 | Puneet Raman | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-27 |
1609403336 | Mary E Quense | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-24 |
1942836473 | Aditya Khurana | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-16 |
1265064539 | Caitlin Marie Woerner | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-02-05 |
1730719972 | Sarah Pluto | Dietetic Technician, Registered | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-15 |
1396385688 | Rory Gallen | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
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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.