DR. NICHOLAS XAVIER JEBAILY


Address: 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999
Phone: (602) 952-0002

DR. NICHOLAS XAVIER JEBAILY (NPI# 1710206909) 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) 1710206909
Entity Type Individual
Full Name DR. NICHOLAS XAVIER JEBAILY
Credential MD
Practice Address 4444 N 32nd St Ste 175
Phoenix
AZ 85018-3999
Practice Telephone (602) 952-0002
Practice Fax Number 6022249119
Mailing Telephone (602) 952-0002
Mailing Fax Number 6022249119
Enumeration Date 2010-05-27
Last Update Date 2017-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2013-01215 NC Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
49154 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC Q0121S 05
NC 1710206909 05

Office Location

Street Address 4444 N 32ND ST STE 175
City PHOENIX
State AZ
Zip Code 85018-3999

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700886512 Jason J Cool Internal Medicine 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2005-07-22
1790334233 Stephanie Sheree Meyer Nurse Practitioner 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2019-09-07
1457844482 Carley Renee Campton Nurse Practitioner 4444 N 32nd St Ste 175, Phoenix, AZ 85018 2018-06-13
1275048357 Jenna Lee Gonzales Nurse Practitioner 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2017-12-11
1083977599 Basil Al Khatib Internal Medicine 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2012-06-19
1710205000 Divyashree Varma Internal Medicine 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2010-05-11
1497811251 Julie Hildebrand Physician Assistant 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2006-12-28
1538161203 Quynh Dona Vo Nurse Practitioner 4444 N 32nd St Ste 175, Phoenix, AZ 85018-3999 2005-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467098483 Skyfalls LLC Plastic Surgery 3723 E Sells Drive, Phoenix, AZ 85018 2019-11-25
1568944148 Avicenna Integrative Medicine Plc Internal Medicine 4429 N 44th St, Phoenix, AZ 85018 2018-08-30
1124547682 Consulting Options, LLC Orthopaedic Surgery 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 2017-09-15
1902322472 Saskia Soliz Behavioral Analyst 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 2017-08-16
1700233418 Harriet Frost Marriage & Family Therapist 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 2016-05-23
1356733547 Margaret Murphy Conley Acupuncturist 3040 N 44th St Ste 3, Phoenix, AZ 85018 2015-02-24
1457766792 Anne Marie Hatch Psychiatry & Neurology 5090 N 40th St Ste 250a, Phoenix, AZ 85018 2014-06-25
1972848315 Crystal M Ostermeyer Physician Assistant 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 2012-12-11
1699029652 Monte Vista School Local Education Agency (LEA) 3501 E. Osborn Road, Phoenix, AZ 85018 2012-10-30
1962754028 Jill R. Zweig D.o., PC Psychiatry & Neurology 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 2012-10-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902415011 Aims-az-med, LLC Internal Medicine 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 2020-07-24
1245865096 Cleanslate Medical Group of Arizona Pllc Internal Medicine 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 2020-03-11
1114576162 Caring Doctor LLC Internal Medicine 27412 N 58th Ln, Phoenix, AZ 85083-7394 2019-09-11
1417500034 Contrast Medical Pllc Internal Medicine 813 E Fairmount Ave, Phoenix, AZ 85014-4708 2019-07-23
1386106045 Key Medical Solutions LLC Internal Medicine 1120 E Waltann Ln, Phoenix, AZ 85022-3531 2019-04-02
1700350261 Nierenberg Associates,pa Internal Medicine 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 2019-01-17
1952875783 Vpa PC Internal Medicine 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 2019-01-15
1568944148 Avicenna Integrative Medicine Plc Internal Medicine 4429 N 44th St, Phoenix, AZ 85018 2018-08-30
1053803676 Ahwatukee Health Care, LLC Internal Medicine 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 2018-05-30
1720590011 Dr Richards Pllc Internal Medicine 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 2017-10-26
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Competitor

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City PHOENIX
Zip Code 85018

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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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