STANFORD PAUL SADICK (NPI# 1811253230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811253230 |
| Entity Type | Individual |
| Full Name | STANFORD PAUL SADICK |
| Credential | D.O. |
| Practice Address |
3908 Twisted Trails Prescott AZ 86301-6724 |
| Practice Telephone | 9284450390 |
| Practice Fax Number | 9284450390 |
| Mailing Telephone | 9284450390 |
| Mailing Fax Number | 9284450390 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 3170 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
3908 TWISTED TRAILS |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464454 | Yavapai Community Hospital Association | Surgery | 804 Ainsworth Drive Ste. 103, Prescott, AZ 86301-1624 | 2007-09-05 |
| 1376541805 | Eric Reynold Nelson | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2005-07-08 |
| 1750389276 | Brian P Schilperoort | Surgery | 2001 Excellence Way, Suite 200, Prescott, AZ 86301-8410 | 2005-07-08 |
| 1417256447 | Yavapai Surgical PC | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2011-03-16 |
| 1457680456 | Thomas H. Hirasa, M.d., Pllc | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2009-12-22 |
| 1659609238 | Prescott Surgical Clinic Pa | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2009-11-19 |
| 1376723189 | Eric R Nelson Md PC | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2007-11-08 |
| 1417145426 | Frank Iorio Md | Surgery | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2007-10-04 |
| 1437368404 | Jose E Torres | Surgery | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-05-22 |
| 1679649552 | Catherine C. Ohsiek-lesnick | Surgery | 242 Whipple St, Prescott, AZ 86301-1787 | 2006-11-24 |
| Find all providers in PRESCOTT | ||||
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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.