DON B. HEADLEY


Address: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013-4224
Phone: 6024063540

DON B. HEADLEY (NPI# 1578550398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578550398
Entity Type Individual
Full Name DON B. HEADLEY
Credential M.D.
Practice Address 500 W Thomas Rd
Suite 900
Phoenix
AZ 85013-4224
Mailing Address File 56765
Los Angeles
CA 90074-6765
Practice Telephone 6024063540
Practice Fax Number 6024067186
Mailing Telephone 6024063860
Mailing Fax Number 6024066132
Enumeration Date 2005-10-06
Last Update Date 2012-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
22079 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ BLUE CROSS BLUE SHIELD AZ0779380 01
AZ 165151 05
AZ MEDICARE RAILROAD P00452179 01

Office Location

Street Address 500 W THOMAS RD
SUITE 900
City PHOENIX
State AZ
Zip Code 85013-4224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982609244 James Craig Russell Specialist 500 W Thomas Rd, Ste 400, Phoenix, AZ 85013-4222 2005-06-14
1225557770 Lauren E Cherrier Pharmacist 500 W Thomas Rd, Phoenix, AZ 85013-4224 2017-09-15
1063936219 Sara Brenza Nurse Practitioner 500 W Thomas Rd, Ste 300, Phoenix, AZ 85013-4220 2017-07-31
1124570569 Anna De La Huerta Pharmacist 500 W Thomas Rd, Phoenix, AZ 85013-4224 2016-11-02
1750734406 Janet Ward Dietitian, Registered 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 2016-07-18
1689027583 Stacy Nelson Dietitian, Registered 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 2016-07-15
1669823530 Karen R Broderick-strupp Nurse Practitioner 500 W Thomas Rd, Ste. 500, Phoenix, AZ 85013-4224 2016-06-22
1992174718 Michelle Marie Walker Advanced Practice Midwife 500 W Thomas Rd, Ste 720 & Ste 730, Phoenix, AZ 85013 2015-09-22
1962870287 Pwi Development LLC Obstetrics & Gynecology 500 W Thomas Rd, Suite 480, Phoenix, AZ 85013-4224 2015-09-03
1144602012 Rashna Shetty Internal Medicine 500 W Thomas Rd, Phoenix, AZ 85013 2015-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043833700 Marco Antonio Valdez Espinoza Student in an Organized Health Care Education/Training Program 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 2020-05-28
1518588292 Santiago Garcia Ortiz Student in an Organized Health Care Education/Training Program 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 2020-05-04
1356811970 Lynne Shaunte Coleman Nurse Practitioner 3633 N 3rd Ave 2019, Phoenix, AZ 85013 2018-11-26
1467949156 Solterra 3rd Indian School Operations, LLC Assisted Living Facility 4000 N 3rd Avenue, Phoenix, AZ 85013 2018-04-18
1083018345 Romelda Antonio Nurse Practitioner 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 2014-10-15
1760890131 Emmitt Michael Thompson General Practice 822 West Earll Drive, Phoenix, AZ 85013 2014-07-29
1902218480 Sreeja Biswas Roy Internal Medicine 350 W Thomas Road, Phoenix, AZ 85013 2014-06-02
1417381120 Osama Qasim Agha Internal Medicine 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 2013-08-29
1245679604 Oculist Exceptional Eyewear Pllc Optometrist 5043-b N 7th Ave, Phoenix, AZ 85013 2013-06-19
1760829352 Gina Wilding Nurse Practitioner 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 2013-05-23
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Taxonomy Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922126085 Arizona Head Neck & Facial Surgery Ltd Otolaryngology 1515 N 9th Street, Suite B, Phoenix, AZ 85006 2007-03-27
1679801526 Richard Besserman Otolaryngology 3104 E Camelback Rd, #107, Phoenix, AZ 85016-4502 2009-12-03
1588651301 Jeffrey J. Dyer Otolaryngology 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5155 2005-10-06
1467449298 Entegrity Ear Nose & Throat Specialists PC Otolaryngology 11209 N Tatum Blvd, Suite 275, Phoenix, AZ 85028-3091 2005-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508111048 Burton E Weissman Otolaryngology 6736 N 60th St, Paradise Valley, AZ 85253-3414 2012-07-20
1053575167 A Sultan Lalani M D Ltd Otolaryngology 2175 S Avenue A Ste B, Yuma, AZ 85364-8458 2008-07-17
1508065160 Brian Trainor, Do, Pllc Otolaryngology 3501 N Scottsdale Rd Ste 142, Scottsdale, AZ 85251-5632 2007-07-13
1427519255 Daniela Ann Brake Otolaryngology 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 2019-03-26
1619449303 Taylor Cave Otolaryngology 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2018-12-19
1396912911 Samuel Steven Bailey Otolaryngology 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 2008-05-13
1518186956 David A Hecht Md PC Otolaryngology 20201 N Scottsdale Healthcare Dr, Suite 250, Scottsdale, AZ 85255-4134 2007-04-24
1699896027 Tracey Knott Otolaryngology 3420 S Mercy Rd, Suite 107, Gilbert, AZ 85297-0419 2007-04-03
1710014410 Enticare PC Otolaryngology 3420 S Mercy Rd, Ste 107, Gilbert, AZ 85297-0419 2007-02-28
1174551014 James Michael Reidy Otolaryngology 2680 S Val Vista Dr, Bldg 13, Unit 175, Gilbert, AZ 85295-2152 2006-06-29
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Competitor

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City PHOENIX
Zip Code 85013

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Dataset Information

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.

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