VERN BURL PULVER (NPI# 1720020191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720020191 |
| Entity Type | Individual |
| Full Name | VERN BURL PULVER |
| Credential | DO |
| Practice Address |
19829 N 27th Ave Phoenix AZ 85027-4001 |
| Mailing Address |
Po Box 6059 Mesa AZ 85216-6059 |
| Practice Telephone | 4809851093 |
| Practice Fax Number | 4809850468 |
| Mailing Telephone | 4809851093 |
| Mailing Fax Number | 4809850468 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
1713 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 234675 | 05 |
| Street Address |
19829 N 27TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716868 | Julie Hessler | Pediatrics | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2005-11-09 |
| 1427657238 | Kevin C Smith | Pharmacist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-22 |
| 1265031108 | Maricopa Surgical Assist | Physician Assistant | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-21 |
| 1174144885 | Marjan Ashtiani | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-05-04 |
| 1104477835 | Liudmila Tamarchina | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-24 |
| 1922657121 | Tiffany Jean Colorado | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-10 |
| 1780233387 | Lee Louis Cavellini | Occupational Therapist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-05 |
| 1841843497 | Khanh Thi Le | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-07-23 |
| 1093294878 | Dawn Nicole Nichols | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2018-08-12 |
| 1841782265 | Diana Olivera | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027 | 2018-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1063666543 | Renuka Pathi | Pathology | 22216 N 36th St, Phoenix, AZ 85050-7396 | 2008-11-10 |
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1982703757 | Christina Irene Fredenberg | Pathology | 9250 No. 3rd St., Suite 4000, Phoenix, AZ 85020 | 2006-09-21 |
| 1942316161 | Western Pathology Associates, Ltd. | Pathology | 9250 N. 3rd St, Suite 4000, Phoenix, AZ 85020 | 2006-08-21 |
| 1881651701 | Clarke David Kareus Lambe | Pathology | 9250 N 3rd St., Ste 4000, Phoenix, AZ 85020 | 2006-04-26 |
| 1699744169 | Thaddeus Khachaturian | Pathology | 15612 N 32nd St, Ste. #3, Phoenix, AZ 85032-3859 | 2006-03-16 |
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1871575746 | Thomas V Colby | Pathology | 424 S 56th St Ste 120, Phoenix, AZ 85034-2177 | 2005-11-16 |
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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.