DR. VICTOR KISSIL (NPI# 1457330615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457330615 |
| Entity Type | Individual |
| Full Name | DR. VICTOR KISSIL |
| Credential | DO |
| Practice Address |
19636 N 27th Ave Suite 303 Phoenix AZ 85027-4013 |
| Mailing Address |
Po Box 39179 Phoenix AZ 85069-9179 |
| Practice Telephone | 6238798161 |
| Practice Fax Number | 6238799204 |
| Mailing Telephone | 6023950718 |
| Mailing Fax Number | 6022778146 |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2010-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3735 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 636376 | 05 |
| Street Address |
19636 N 27TH AVE SUITE 303 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647618 | Jeanne Lamont | Obstetrics & Gynecology | 19636 N 27th Ave, Ste 401, Phoenix, AZ 85027-4021 | 2005-05-31 |
| 1891246773 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2016-10-17 |
| 1093128316 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 106, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1033522370 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1639513047 | Jessica Rose Williams | Family Medicine | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2013-04-29 |
| 1740587534 | North Mountain Imaging Specialists, LLC | Radiology | 19636 N 27th Ave, Suite Ll1, Phoenix, AZ 85027-4013 | 2011-02-15 |
| 1487958583 | Arizona Pharmacy, LLC | Pharmacy | 19636 N 27th Ave, Suite 104, Phoenix, AZ 85027-4013 | 2011-01-04 |
| 1205158029 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 19636 N 27th Ave, Suite 401, Phoenix, AZ 85027-4013 | 2010-02-20 |
| 1871727677 | North Valley Podiatry, LLC | Podiatrist | 19636 N 27th Ave, Suite 208, Phoenix, AZ 85027-4013 | 2009-05-07 |
| 1003056425 | Northwest Oncology & Hematology, Pllc | Internal Medicine | 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| Find all providers in PHOENIX | ||||
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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.