JOHN P BREINHOLT III (NPI# 1760660369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760660369 |
| Entity Type | Individual |
| Full Name | JOHN P BREINHOLT III |
| Credential | MD |
| Practice Address |
Pediatric Cardiology 1919 E Thomas Rd Phoenix AZ 85016 |
| Practice Telephone | 6029331000 |
| Mailing Telephone | 6029331000 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
59396 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Q2254 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
01064746 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200887980 | 05 | |
| KY | 7100104210 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 462025109 | 3172748906 | 3172744022 |
| Street Address |
PEDIATRIC CARDIOLOGY 1919 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336178607 | Jennifer Mary Rutledge | Pediatrics | 4327 E Lupine Ave, Phoenix, AZ 85028-2230 | 2006-06-30 |
| 1023475506 | Phoenix Children's Hospital | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2016-01-28 |
| 1861811432 | Arizona Pediatric Cardiology, LLC | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-04-10 |
| 1770827933 | Ericka Scheller Mclaughlin | Pediatrics | 1919 E Thomas Rd, Heart Center, 2nd Floor, Phoenix, AZ 85016-7710 | 2012-11-12 |
| 1821314386 | Jordan Daniel Awerbach | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2010-04-08 |
| 1780909275 | Nicholas Huggins | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2010-03-29 |
| 1508053778 | Rashmi Phanindra Rao | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2007-10-01 |
| 1477628824 | John Edward Lane | Pediatrics | 1919 E Thomas Rd, Main Building, Phoenix, AZ 85016-7710 | 2006-11-21 |
| 1073609418 | Lourdes M Guerrero-tiro | Pediatrics | 1919 E Thomas Rd, Main Building, Phoenix, AZ 85016-7710 | 2006-10-05 |
| 1174631196 | Bruce M Hecht | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2006-08-29 |
| 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.