OCTAVIO J. VIDAL


Address: 3550 S Velero St, Chandler, AZ 85286-2681
Phone: 4808838108

OCTAVIO J. VIDAL (NPI# 1740253061) 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) 1740253061
Entity Type Individual
Full Name OCTAVIO J. VIDAL
Credential M.D.
Practice Address 3550 S Velero St
Chandler
AZ 85286-2681
Mailing Address Po Box 847854
Dallas
TX 75284-7854
Practice Telephone 4808838108
Mailing Telephone 8003778721
Mailing Fax Number 3045232241
Enumeration Date 2006-02-08
Last Update Date 2008-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 32673 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 878225 05
AZ BLUECROSS BLUESHIELD AZ0768990 01

Office Location

Street Address 3550 S VELERO ST
City CHANDLER
State AZ
Zip Code 85286-2681

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780202804 Cep America- Arizona, PC Emergency Medicine 1405 S. Alma School Rd., Chandler, AZ 85286 2020-07-07
1972139004 Banner Health General Acute Care Hospital 1405 S Alma School Rd, Chandler, AZ 85286 2020-03-20
1033776455 Premier Orthodontic Specialists Pllc Dentist 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 2019-05-21
1871056978 Erica Satoko Sugiyama-hill Counselor 3042 West Queen Creek Rd, Chandler, AZ 85286 2019-04-08
1235693169 Shumway Dental Care Pllc Dentist 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 2019-01-24
1568968287 Reita Jenae Juarez Counselor 3042 W Queen Creek Road, Chandler, AZ 85286 2018-04-02
1205348984 Seriously Speaking, LLC. Speech-Language Pathologist 650 E. Woodsman Place, Chandler, AZ 85286 2017-11-02
1689194920 Kyle D. Byrne Physician Assistant 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 2017-06-27
1053844183 Omar Faisal Saleem Internal Medicine 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 2017-04-05
1629427539 Bryanda Silva Specialist/Technologist 2350 E Germann Rd #33, Chandler, AZ 85286 2016-06-10
Find all providers in zip 85286

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780202804 Cep America- Arizona, PC Emergency Medicine 1405 S. Alma School Rd., Chandler, AZ 85286 2020-07-07
1720223415 Morium Chowdhury Emergency Medicine 1518 S Villas Ct, Chandler, AZ 85286-6800 2008-12-09
1346497559 Victoria Sergeyevna Alimov Emergency Medicine 1532 E Tulsa St, Chandler, AZ 85225-5285 2008-08-20
1356545651 Sandra Lynn Indermuhle Emergency Medicine 1955 West Frye Rd, Premier Emergency Medicalspecialists, Chandler, AZ 85224 2007-06-12
1568520500 Maria Manuela Gonzalez-landestoy Emergency Medicine 2715 N Alma School Rd, Suite A-104, Chandler, AZ 85224 2006-12-04
1962487835 Paula J Silides Emergency Medicine 250 W Chandler Heights Rd, Chandler, AZ 85248-5055 2005-12-13
1609303478 Quratulain Rashid Emergency Medicine 1955 W Frye Rd, Chandler, AZ 85224-6282 2017-05-11
1336673508 Craig Ross Christensen Emergency Medicine 1955 W Frye Rd, Chandler, AZ 85224-6282 2017-04-14
1760839286 Whitney Robertson Emergency Medicine 1955 W Frye Rd, Chandler, AZ 85224-6282 2016-05-16
1194139022 Melissa Kelsey Emergency Medicine 1955 W Frye Rd, Chandler, AZ 85224 2014-06-18
Find all providers in CHANDLER

Competitor

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City CHANDLER
Zip Code 85286

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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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