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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BLUE CROSS BLUE SHIELD | AZ0779380 | 01 |
AZ | 165151 | 05 | |
AZ | MEDICARE RAILROAD | P00452179 | 01 |
Street Address |
500 W THOMAS RD SUITE 900 |
City | PHOENIX |
State | AZ |
Zip Code | 85013-4224 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 85013 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
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) |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DON B. HEADLEY.
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.