KELLY L. KANTARTZIS (NPI# 1851599724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851599724 |
| Entity Type | Individual |
| Full Name | KELLY L. KANTARTZIS |
| Other Name | KELLY LYNN GERSCHULTZ |
| Credential | MD |
| Practice Address |
4344 E Presidio St Mesa AZ 85215-1134 |
| Mailing Address |
Po Box 12127 Belfast ME 04915-4012 |
| Practice Telephone | 4808345111 |
| Practice Fax Number | 4808345222 |
| Mailing Telephone | 4808345111 |
| Mailing Fax Number | 4808345222 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
48877 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
4344 E PRESIDIO ST |
| City | MESA |
| State | AZ |
| Zip Code | 85215-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689668493 | Ryan R Stratford | Obstetrics & Gynecology | 4344 E Presidio St, Mesa, AZ 85215-1134 | 2005-09-07 |
| 1275009052 | Jessica Baronas | Physical Therapist | 4344 E Presidio St, Mesa, AZ 85215-1143 | 2018-10-18 |
| 1225434806 | Andrea Levkowitz | Physical Therapist | 4344 E Presidio St, Mesa, AZ 85215-1134 | 2014-11-10 |
| 1740518190 | Amy T An | Nurse Practitioner | 4344 E Presidio St, Mesa, AZ 85215-1143 | 2009-11-23 |
| 1255541520 | Woman's Center for Advanced Pelvic Surgery Pllp | Obstetrics & Gynecology | 4344 E Presidio St, Mesa, AZ 85215-1134 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1083170641 | Mylena Dashaun Smith | Psychologist | 2812 N. Norwalk St Bldg. 14, Ste 127 & 128, Mesa, AZ 85215 | 2019-02-19 |
| 1487134789 | Arizona Dental Professionals, P.C. | Dentist | 3218 N Recker Rd, Mesa, AZ 85215 | 2018-08-16 |
| 1619463494 | Compassion Care Home, LLC | Private Vehicle | 2863 N 64th Street, Mesa, AZ 85215 | 2018-07-05 |
| 1407293491 | Courtney D Warren | Physical Therapist | 2837 N Power Rd Ste 109, Mesa, AZ 85215 | 2013-05-30 |
| 1104182906 | Kirstin Anna Correia | Naturopath | 3405 N Higley Rd, Mesa, AZ 85215 | 2012-04-05 |
| 1154609683 | Cristy Lee Hoge | Pharmacist | 2151 N. Power Rd., Mesa, AZ 85215 | 2011-08-02 |
| 1699067546 | Fredrick G. Johnson | Registered Nurse | 4320 E Presidio St, #101, Mesa, AZ 85215 | 2011-05-11 |
| Find all providers in zip 85215 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255541520 | Woman's Center for Advanced Pelvic Surgery Pllp | Obstetrics & Gynecology | 4344 E Presidio St, Mesa, AZ 85215-1134 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113809 | Venus Surgical, LLC | Obstetrics & Gynecology | 8415 N Pima Rd Ste 292, Scottsdale, AZ 85258-4488 | 2019-09-18 |
| 1851955421 | Pelvic Medicine and Reconstructive Surgery LLC | Obstetrics & Gynecology | 9700 N 91st St Ste A103, Scottsdale, AZ 85258-5077 | 2019-04-29 |
| 1801213731 | Hemikaa Devakumar | Obstetrics & Gynecology | 14404 W Camelback Road, 118, Litchfield Park, AZ 85340 | 2014-03-28 |
| 1205173788 | Robert Lewis Wechsler | Obstetrics & Gynecology | 7275 N Scottsdale Rd, #1022, Scottsdale, AZ 85253-2604 | 2013-01-03 |
| 1396358818 | Arizona Center for Chronic Pelvic Pain | Obstetrics & Gynecology | 10290 N 92nd St Ste 207, Scottsdale, AZ 85258-4500 | 2020-08-25 |
| 1801384524 | Sarah Tuli Puri | Obstetrics & Gynecology | 5310 N La Cholla Blvd, Tucson, AZ 85741-3815 | 2018-04-27 |
| 1699138248 | Dana C Mckee | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-03-31 |
| 1932519204 | Rachael Haverland | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2014-05-07 |
| 1225357395 | Daniel Stone | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2010-05-27 |
| 1942449558 | Anthony Gaddi | Obstetrics & Gynecology | 6565 E Carondelet Dr Ste 300, Tucson, AZ 85710-2158 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
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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.