DR. ANGELA HERRO KOVACIK (NPI# 1649407883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649407883 |
| Entity Type | Individual |
| Full Name | DR. ANGELA HERRO KOVACIK |
| Credential | MD |
| Practice Address |
18325 N Allied Way Suite 100 Phoenix AZ 85054 |
| Mailing Address |
18325 N Allied Way Suite 100 Phoenix AZ 85054-3105 |
| Practice Telephone | 6024674966 |
| Practice Fax Number | 4804195401 |
| Mailing Telephone | 6024674966 |
| Mailing Fax Number | 4804195401 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R71499 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 47164 | AZ | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME115266 | FL | Allopathic & Osteopathic Physicians |
| N | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
47164 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 17888 | 05 |
| Street Address |
18325 N ALLIED WAY SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103106 | Daniel B Feller | Ophthalmology | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2005-09-06 |
| 1689057085 | Robert Andrew Cook | Optometrist | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2015-07-02 |
| 1740682038 | Tlc Sleep Center | Durable Medical Equipment & Medical Supplies | 18325 N Allied Way, Suite 115, Phoenix, AZ 85054-3105 | 2014-09-18 |
| 1124462593 | Derek P. Jacobsen | Optometrist | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2013-04-29 |
| 1932452273 | Mrd Healthcare LLC | General Practice | 18325 N Allied Way, Suite 105, Phoenix, AZ 85054-3105 | 2012-10-24 |
| 1063645737 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 18325 N Allied Way, Unit 225, Phoenix, AZ 85054-3105 | 2009-08-28 |
| 1306014345 | Sharona Optical | Eyewear Supplier (Equipment, not the service) | 18325 N Allied Way, Phoenix, AZ 85054-3105 | 2008-02-12 |
| 1144409137 | Jonathan Jay Levin | Ophthalmology | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2007-10-26 |
| 1962697706 | Matthew Dorchester, Dc, Ccsp, LLC | Chiropractor | 18325 N Allied Way, Suite 105, Phoenix, AZ 85054-3105 | 2007-09-13 |
| 1306931449 | Marshall Craig | Anesthesiology | 18325 N Allied Way, Suite 120, Phoenix, AZ 85054-3105 | 2006-10-04 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| 1518233592 | Debora Elena Garcia-zalisnak | Ophthalmology | 8410 W Thomas Rd Ste 146, Phoenix, AZ 85037-3374 | 2012-03-23 |
| 1750677415 | Matthew Heller | Ophthalmology | 515 W Buckeye Road, Suite 104, Phoenix, AZ 85003-3699 | 2011-06-21 |
| 1629224795 | Ronald S Garlikov | Ophthalmology | 13225 N 14th St, Phoenix, AZ 85022-4918 | 2008-08-08 |
| 1952570194 | Misha Faustina, M.d. PC | Ophthalmology | 1010emcdowellrd, #406, Phoenix, AZ 85006-2610 | 2008-02-21 |
| 1497971535 | Robert E Fintelmann | Ophthalmology | 4400 N 32nd St Ste 280, Phoenix, AZ 85018-3978 | 2007-04-17 |
| 1013065770 | Madhavi Kurli | Ophthalmology | 19820 N 7th St, Suite 120, Phoenix, AZ 85024-1689 | 2007-01-08 |
| 1457410623 | Abc Children's Eye Specialists PC | Ophthalmology | 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006 | 2006-12-06 |
| 1851496848 | Graham Barth Kretchman | Ophthalmology | 1010 E Mcdowell, Suite 406, Phoenix, AZ 85006 | 2006-09-14 |
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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.