ELISA BOMGAARS (NPI# 1841220225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841220225 |
| Entity Type | Individual |
| Full Name | ELISA BOMGAARS |
| Other Name | ELISA TSO BOMGAARS |
| Credential | MD |
| Practice Address |
5810 W Beverly Ln Glendale AZ 85306-1800 |
| Mailing Address |
Po Box 6423 Chandler AZ 85246-6423 |
| Practice Telephone | 6233123000 |
| Practice Fax Number | 6233123060 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
47975 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 835216 | 05 |
| Street Address |
5810 W BEVERLY LN |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016573 | Patrick R Miller | Radiology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2005-07-08 |
| 1851890222 | Amber Berleen | Nurse Practitioner | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2018-02-12 |
| 1528583341 | Sarah Hilt | Social Worker | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2017-08-14 |
| 1093079030 | Bettina Marie Siebeneck | Nurse Practitioner | 5810 W Beverly Ln, Glendale, AZ 85306 | 2012-06-25 |
| 1174895841 | Zabita Singh | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2012-01-27 |
| 1659607844 | Christine Saraceni | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2009-10-23 |
| 1588891667 | Amikar Sehdev | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2009-06-16 |
| 1013184423 | Murali G Murty | Radiology | 5810 W Beverly Ln, Glendale, AZ 85306 | 2008-05-14 |
| 1427225986 | Andrei Balandin | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2008-05-14 |
| 1508046905 | Rashmi Pradhan Vaidya | Surgery | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1972895340 | Abhishek Harshad Patel | Internal Medicine | 5750 W Thunderbird Rd Ste C300, Glendale, AZ 85306-4666 | 2011-05-04 |
| 1356542013 | Southern California Oncology Associates | Internal Medicine | 700 N Brand Blvd, Suite 640, Glendale, CA 91203-1247 | 2007-05-30 |
| 1457485203 | Comprehensive Hematology Oncology Centers Inc | Internal Medicine | 1505 Wilson Ter Ste 340, Glendale, CA 91206-4072 | 2007-03-15 |
| 1487765301 | John C Gunnell | Internal Medicine | 435 Arden Ave Ste 520, Glendale, CA 91203 | 2006-08-31 |
| 1588688592 | Sharon M Ondreyco | Internal Medicine | 7200 W Bell Rd Bldg A, Glendale, AZ 85308-8529 | 2006-07-26 |
| 1962493346 | Howard N Dubner | Internal Medicine | 4655 N Port Washington Rd, Suite 200, Glendale, WI 53212-1004 | 2005-11-03 |
| 1437152436 | Parmjeet Kumar Banghar | Internal Medicine | 5750 W Thunderbird Rd, Ste C300, Glendale, AZ 85306-4660 | 2005-05-23 |
| 1770948101 | Scoa, A Medical Group Lp | Internal Medicine | 700 North Brand Blvd, Suite 640, Glendale, CA 91203-4271 | 2015-12-30 |
| 1417216607 | Arizona Center for Hematology and Oncology, Plc | Internal Medicine | 5750 W Thunderbird Rd, C300, Glendale, AZ 85306-4660 | 2012-05-09 |
| Find all providers in GLENDALE | ||||
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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.