MR. MICHAEL JAMES SIVAK III (NPI# 1861948432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861948432 |
Entity Type | Individual |
Full Name | MR. MICHAEL JAMES SIVAK III |
Credential | LPN |
Practice Address |
16100 E Palisades Blvd Fountain Hills AZ 85268 |
Mailing Address |
2320 W Columbine Drive Phoenix AZ 85029 |
Practice Telephone | 4806645500 |
Mailing Telephone | 9546496340 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | LP049466 | AZ | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215957881 | Michael V Sivak Jr. | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-19 |
Street Address |
16100 E PALISADES BLVD |
City | FOUNTAIN HILLS |
State | AZ |
Zip Code | 85268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922648450 | Hayden Larman | Specialist/Technologist | 16100 E Palisades Blvd, Fountain Hills, AZ 85268-2755 | 2020-01-13 |
1679003008 | Rachel Reimann | Specialist/Technologist | 16100 E Palisades Blvd, Fountain Hills, AZ 85268-2755 | 2017-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346793494 | Allyn Louise Krieger-fiedler | Naturopath | 16425 East Inca Ave, Fountain Hills, AZ 85268 | 2016-07-25 |
1013316140 | Paul Knott | Pharmacist | 16545 East Palisades Boulvard, Fountain Hills, AZ 85268 | 2014-08-14 |
1497176838 | Corinna Bradley | Psychologist | 16428 East Kingstree Blvd, Fountain Hills, AZ 85268 | 2014-01-03 |
1821345810 | Sherry Anne Garst | Student in an Organized Health Care Education/Training Program | 17100 E. Shea Blvd, Suite. #225, Fountain Hills, AZ 85268 | 2012-08-08 |
1710240585 | Kathleen A Carroll | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 | 2012-06-18 |
1972881266 | Ivy Joan Medow | Occupational Therapy Assistant | 17100 E. Shea Blvd., Stars, Fountain Hills, AZ 85268 | 2011-08-03 |
1710270871 | Stephanie Virginia Cochran | Speech-Language Pathologist | 17100 E Shea Blvd #225, Fountain Hills, AZ 85268 | 2011-05-24 |
1750697884 | Lanzon Medical Consulting | Nursing Care | 13771 N. Fountain Hills Blvd, #114, Fountain Hills, AZ 85268 | 2010-08-26 |
1790928414 | Kathryn Mary Montgomery | Specialist/Technologist | 14825 N Fayette Dr, Fountain Hills, AZ 85268 | 2009-04-10 |
1992941074 | Statclinix Plc | Clinic/Center | 17225 E. Shea Blvd., #104, 105, Fountain Hills, AZ 85268 | 2008-12-19 |
Find all providers in zip 85268 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313033 | Stephanie Lyn Medina | Licensed Practical Nurse | 2349 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-10-13 |
1134736291 | Rosa Luz Helm | Licensed Practical Nurse | 3434 S 67th Ave, Phoenix, AZ 85043-6523 | 2020-09-23 |
1588270441 | Undre Webb | Licensed Practical Nurse | 567 W 11th St, Florence, AZ 85132-9126 | 2020-09-16 |
1639783160 | Jennifer Nadine Stockton | Licensed Practical Nurse | 2702 W Yorkshire Dr Apt 3100, Phoenix, AZ 85027-3939 | 2020-09-02 |
1487277844 | Lake Havasu Unified School Distrct | Licensed Practical Nurse | 1250 Pawnee Dr, Lake Havasu City, AZ 86406-8764 | 2020-05-20 |
1982248399 | Barbara Frazey | Licensed Practical Nurse | 3404 Santa Maria Rd., Golden Valley, AZ 86413 | 2019-10-30 |
1215587795 | Payton Caliste | Licensed Practical Nurse | 21646 W Hilton Ave, Buckeye, AZ 85326-6555 | 2019-09-16 |
1770131336 | Margaret A Dusold | Licensed Practical Nurse | 21827 E Creosote Dr, Queen Creek, AZ 85142-4932 | 2019-08-27 |
1225684046 | Denise Plott | Licensed Practical Nurse | 13825 W Desert Cove Rd, Surprise, AZ 85379-9702 | 2019-08-16 |
1871149765 | Victoria Elizabeth Bare | Licensed Practical Nurse | 1718 W Vineyard Rd, Phoenix, AZ 85041-5804 | 2019-08-15 |
Find all providers with the same taxonomy |
City | FOUNTAIN HILLS |
Zip Code | 85268 |
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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.