DESIDERIO AVILA (NPI# 1528399144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528399144 |
| Entity Type | Individual |
| Full Name | DESIDERIO AVILA |
| Credential | M.D. |
| Practice Address |
15920 S. 48th Street Suite 100 Phoenix AZ 85048-1003 |
| Mailing Address |
Po Box 6423 Chandler AZ 85246-6423 |
| Practice Telephone | 4809612323 |
| Practice Fax Number | 4809612108 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 42814 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 517238 | 05 |
| Street Address |
15920 S. 48TH STREET SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932378700 | Kevin R Bigelow | Urology | 15920 S. 48th Street, Suite 100, Phoenix, AZ 85048-1003 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558879759 | Alliance Oncology of Arizona, LLC | Urology | 2525 E Arizona Biltmore Cir Ste C236, Phoenix, AZ 85016-2130 | 2018-01-22 |
| 1912327198 | Kris Miguel Cajipe | Urology | 15920 S 48th St Ste 100, Phoenix, AZ 85048-1003 | 2014-04-25 |
| 1841610003 | Elizabeth Ashley Tourville | Urology | 1313 E Osborn Rd Ste B-150, Phoenix, AZ 85014-5678 | 2014-04-25 |
| 1487090288 | Jack W Grinnan | Urology | 19841 N 27th Ave Ste 201, Phoenix, AZ 85027-4005 | 2013-05-20 |
| 1932378700 | Kevin R Bigelow | Urology | 15920 S. 48th Street, Suite 100, Phoenix, AZ 85048-1003 | 2008-02-26 |
| 1922205186 | Daniel Young Woodruff | Urology | 2444 W. Las Palmaritas Dr, Mail Stop A 112, Phoenix, AZ 85021 | 2007-06-29 |
| 1265588859 | Lauren Byrne | Urology | 15920 S 48th St, Suite 100, Phoenix, AZ 85048-1003 | 2007-01-26 |
| 1376576348 | Prostate Solutions of Arizona, P.C. | Urology | 1 E Camelback Rd, Suite 700, Phoenix, AZ 85012-1668 | 2006-07-10 |
| 1336181205 | Ilya A Volfson | Urology | 4530 E Ray Rd Ste 128, Phoenix, AZ 85044-6096 | 2006-06-12 |
| 1750320842 | Yoon Mark Hong | Urology | 2222 E Highland Ave Ste 206, Phoenix, AZ 85016 | 2006-06-05 |
| 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.