MARIA DOLORES HERNANDEZ (NPI# 1891960738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891960738 |
| Entity Type | Individual |
| Full Name | MARIA DOLORES HERNANDEZ |
| Credential | M.D. |
| Practice Address |
2601 E Roosevelt St Attn: Stella Garcia Phoenix AZ 85008-4973 |
| Mailing Address |
405 S Clark St Ste 100 Carroll IA 51401-3047 |
| Practice Telephone | 6023445444 |
| Practice Fax Number | 6023445894 |
| Mailing Telephone | 7127922222 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2015-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD-43064 | IA | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD-43064 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRAINING PERMIT | 81101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895812 | Maria Luisa Hernandez | Interpreter | 4310 Thomson Ave, Everett, WA 98203-2111 | 2020-09-15 |
| 1831702273 | Maria De La Luz Hernandez | Nurse Practitioner | 507 Marlandwood Rd Apt 1121, Temple, TX 76502-3695 | 2020-08-25 |
| 1215572011 | Maria Anacleta Hernandez | Technician | 3232 Georgia Ave Nw Apt 215, Washington, DC 20010-3085 | 2019-11-15 |
| 1841840014 | Maria Eloisa Hernandez | Nurse Practitioner | 1107 W Poplar Ave., Porterville, CA 93257-5839 | 2019-09-18 |
| 1679045637 | Maria Hernandez | Technician | 8701 Cremona Dr, Las Vegas, NV 89117-1125 | 2018-12-31 |
| 1205315876 | Maria Concepcion Hernandez | Licensed Vocational Nurse | 10313 Ridgewood Dr, El Paso, TX 79925-6919 | 2018-08-14 |
| 1710487210 | Maria Hernandez | Technician | 519 S Oakhurst Dr, Livingston, TX 77351-3434 | 2018-02-20 |
| 1023559341 | Maria Hernandez | Dentist | 27821 S Tamiami Trl, Suite 1, Bonita Springs, FL 34134-4238 | 2017-03-20 |
| 1679016695 | Maria Josefa Hernandez | Behavior Technician | 6765 W 2nd Ct Apt 218, Hialeah, FL 33012-6772 | 2016-11-22 |
| 1538510102 | Maria Hernandez | Behavioral Analyst | 20240 Sw 123rd Pl, Miami, FL 33177-5221 | 2016-06-24 |
| Street Address |
2601 E ROOSEVELT ST ATTN: STELLA GARCIA |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1881293165 | Christina Wellman | Registered Nurse | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-10-19 |
| 1639786544 | Lindsey Tow | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-09-24 |
| 1003424102 | Susannamma Lijan | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-07-15 |
| 1184241705 | Katharine Witham | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-30 |
| 1417574435 | Vishal Ravella | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 | 2020-06-26 |
| 1841814894 | Anthony Howard Arnett | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-05 |
| 1053932277 | Bhavesh Shukla | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-28 |
| 1659991016 | Luis Francisco Meza | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-25 |
| 1396365839 | Nicholas Donahue Winter | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
|---|---|---|---|---|
| 1225357395 | Daniel Stone | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2010-05-27 |
| 1386839819 | Valley Urogynecology Associates Ltd | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2007-09-07 |
| 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 |
| 1942449558 | Anthony Gaddi | Obstetrics & Gynecology | 6565 E Carondelet Dr Ste 300, Tucson, AZ 85710-2158 | 2009-02-05 |
| 1639321284 | Keri S. Wong | Obstetrics & Gynecology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2008-10-15 |
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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.