DR. LEONID VYDRO (NPI# 1902148380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902148380 |
Entity Type | Individual |
Full Name | DR. LEONID VYDRO |
Credential | M.D. |
Practice Address |
6677 W Thunderbird Rd Ste E Glendale AZ 85306-3722 |
Practice Telephone | 6238157800 |
Practice Fax Number | 6238157900 |
Mailing Telephone | 6238157800 |
Mailing Fax Number | 6238157900 |
Enumeration Date | 2013-03-22 |
Last Update Date | 2020-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
55790 | AZ | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1801 W Taylor St Ste 1c, Chicago, IL 60612 | 3124133631 | 3123553133 |
Street Address |
6677 W THUNDERBIRD RD STE E |
City | GLENDALE |
State | AZ |
Zip Code | 85306-3722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093736209 | Jordan A. Sennett | Internal Medicine | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2006-07-22 |
1205398120 | Christy L Hogue | Nurse Practitioner | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2019-04-01 |
1467766899 | Susan A Orsich | Nurse Practitioner | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2010-07-27 |
1689765422 | Catherine Spire | Nurse Practitioner | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2006-09-27 |
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 | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437412905 | Adventist Health Physicians Network | Internal Medicine | 544 N Glendale Ave Ste B, Glendale, CA 91206-3311 | 2012-06-20 |
1790975886 | Eliana Y Berger | Internal Medicine | 1500 S Central Ave Ste 200, Glendale, CA 91204-3853 | 2007-07-26 |
1497829659 | Sura Sharqe Endocrinology, Inc | Internal Medicine | 6525 W. Sack Drive, #204, Glendale, AZ 85308 | 2006-11-20 |
1194827782 | Leon Kujmanian | Internal Medicine | 1146 N. Central Avenue, #522, Glendale, CA 91202 | 2006-09-02 |
1093736209 | Jordan A. Sennett | Internal Medicine | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2006-07-22 |
1598720641 | Universal Primary Care | Internal Medicine | 801 South Chevy Chase Dr, #102, Glendale, CA 91205 | 2006-04-20 |
1346758653 | Arizona Endocrinology & Diabetes Clinic Inc | Internal Medicine | 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | 2018-01-21 |
1902075203 | Diabetes & Endocrinology Center, Inc. | Internal Medicine | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2008-02-21 |
1003005893 | Endocrinology, Diabetes, and Thyroid Center of Arizona Pllc | Internal Medicine | 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308-5125 | 2007-10-17 |
1396944393 | Momin Gabir | Internal Medicine | 6525 W Sack Dr, 204, Glendale, AZ 85308-7104 | 2007-07-11 |
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.