CORAL A QUIET (NPI# 1750345401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750345401 |
| Entity Type | Individual |
| Full Name | CORAL A QUIET |
| Credential | MD |
| Practice Address |
19646 N 27th Ave Ste 108 Phoenix AZ 85027-4025 |
| Mailing Address |
9055 E Del Camino Dr Ste 200 Scottsdale AZ 85258-2363 |
| Practice Telephone | 4809224600 |
| Practice Fax Number | 6232231196 |
| Mailing Telephone | (480) 922-4600 |
| Mailing Fax Number | 6232231196 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
21606 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 138075 | 01 |
| AZ | 138075 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9055 E. Del Camino Drive, #200, Scottsdale, AZ 85258 | 4809224600 | 4809225231 |
| Street Address |
19646 N 27TH AVE STE 108 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467979955 | Atlas Neurosurgery and Spine Pllc | Neurological Surgery | 19646 N 27th Ave Ste 108, Phoenix, AZ 85027-4025 | 2017-08-24 |
| 1396155461 | Justin Famoso | Radiology | 19646 N 27th Ave Ste 108, Phoenix, AZ 85027 | 2014-04-29 |
| 1881956894 | Steven Sckolnik | Radiology | 19646 N 27th Ave Ste 108, Phoenix, AZ 85027-4025 | 2012-06-14 |
| 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 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1932319878 | Devin Joshua Sloan | Radiology | 20601 N 19th Ave Ste 115, Phoenix, AZ 85027-2646 | 2007-05-22 |
| 1851472286 | Subhakar Mutyala | Radiology | 2222 E Highland Ave Ste 130, Phoenix, AZ 85016 | 2006-10-19 |
| 1720042146 | Christopher A Biggs | Radiology | 1916 W Bethany Home Rd Ste 100, Phoenix, AZ 85015-2458 | 2006-04-13 |
| 1275509846 | Thomas P Canty | Radiology | 20601 N 19th Ave, Suite 115, Phoenix, AZ 85027-3587 | 2006-02-24 |
| 1114992252 | David C Beyer | Radiology | 3104 E Camelback Rd Ste 931, Phoenix, AZ 85016-4502 | 2006-02-22 |
| 1992786628 | Rufus J. Mark | Radiology | 4611 E. Shea Blvd, Ste 120, Phoenix, AZ 85028-4255 | 2005-11-09 |
| 1346235405 | John Dover | Radiology | 3815 E Bell Rd Suite 2200, Phoenix, AZ 85032-2139 | 2005-09-14 |
| 1396155461 | Justin Famoso | Radiology | 19646 N 27th Ave Ste 108, Phoenix, AZ 85027 | 2014-04-29 |
| 1326487307 | Arti Sangave | Radiology | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2013-06-22 |
| Find all providers in PHOENIX | ||||
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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.