DR. SAVANNAH GELESKO WEEDMAN (NPI# 1770802613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770802613 |
| Entity Type | Individual |
| Full Name | DR. SAVANNAH GELESKO WEEDMAN |
| Credential | MD, DDS |
| Practice Address |
1441 N 12th St Fl 3 Phoenix AZ 85006-2837 |
| Mailing Address |
1441 N 12th St Fl 3 Head and Neck Institute Phoenix AZ 85006-2837 |
| Practice Telephone | 6025215150 |
| Mailing Telephone | (602) 521-5150 |
| Mailing Fax Number | 6025215151 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
54225 | AZ | Dental Providers |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
54225 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1441 N 12TH ST FL 3 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609858356 | Jack A. Buhrow | Dentist | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2005-11-17 |
| 1225567472 | Gordon Wong | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-06-09 |
| 1629504998 | Thinh Xuan Nguyen | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-05-05 |
| 1104166214 | Patric Joseph Sierzega | Physician Assistant | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2013-02-26 |
| 1952538092 | Benjamin Wingaite Johnson | Dentist | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2009-06-16 |
| 1164557047 | William H Hall | Urology | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681776 | Phoenix Oral and Maxillofacial Surgeons | Dentist | 9515 W Camelback Rd Ste 122, Phoenix, AZ 85037-1365 | 2018-03-06 |
| 1861993040 | Joseph E. Pierse, Dmd, Pllc | Dentist | 2060 W Whispering Wind Dr Ste 167, Phoenix, AZ 85085-2869 | 2018-02-23 |
| 1508253014 | Benjamin Noel Zuniga | Dentist | 3542 W Camelback Rd, Phoenix, AZ 85019 | 2015-04-22 |
| 1730450677 | Aria Dental Center LLC | Dentist | 12320 N 32nd St Ste 2, Phoenix, AZ 85032-7154 | 2012-01-24 |
| 1285873125 | An Elegant Smile P.C. | Dentist | 4550 E Bell Rd Ste 8-178, Phoenix, AZ 85032-9306 | 2009-02-17 |
| 1740486737 | Amogh Velangi | Dentist | 706 E Bell Rd Ste 106, Phoenix, AZ 85022-6641 | 2007-06-26 |
| 1568667061 | Oral & Facial Surgeons of Arizona | Dentist | 5050 N. 40th Street, Suite 180, Phoenix, AZ 85018 | 2007-06-15 |
| 1003038571 | Bogdan Michael Kulikowski | Dentist | 15215 S 48th Street, Suite #158, Phoenix, AZ 85044-9139 | 2007-05-03 |
| 1912121930 | Steven K. Ingersoll Dds PC | Dentist | 10211 N 32nd St Ste A1, Phoenix, AZ 85028-3841 | 2007-04-12 |
| 1144381468 | Reed H. Day | Dentist | 2222 E Highland Ave Ste 320, Phoenix, AZ 85016-4879 | 2006-12-12 |
| 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.