MICHAEL SHISHOV (NPI# 1972552396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972552396 |
| Entity Type | Individual |
| Full Name | MICHAEL SHISHOV |
| Credential | MD |
| Practice Address |
1920 E Cambridge Ave Suite 200 Phoenix AZ 85016-1459 |
| Mailing Address |
1920 E Cambridge Ave Suite 200 Phoenix AZ 85006-1459 |
| Practice Telephone | 6029330909 |
| Practice Fax Number | 6029330911 |
| Mailing Telephone | 6029330909 |
| Mailing Fax Number | 6029330911 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
35371 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1920 E CAMBRIDGE AVE SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630657 | Elisabet Prieto | Nurse Practitioner | 1920 E Cambridge Ave, Suite 301, Phoenix, AZ 85006-1459 | 2005-06-22 |
| 1396208625 | Nicole Dion Santonastaso | Dietitian, Registered | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 | 2019-04-12 |
| 1518486216 | Brianna Pruniski | Genetic Counselor, MS | 1920 E Cambridge Ave, Rosenberg Children's Medical Plaza, Suite 304, Phoenix, AZ 85006 | 2017-09-13 |
| 1063942639 | Allison Sayer | Audiologist | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 | 2017-06-15 |
| 1578969739 | Ashley Ortiz | Physician Assistant | 1920 E Cambridge Ave, Ste 302, Phoenix, AZ 85006-1459 | 2014-11-14 |
| 1932412152 | Andrea Marie Darosa | Dietitian, Registered | 1920 E Cambridge Ave, Suite 301, Phoenix, AZ 85006-1459 | 2010-07-16 |
| 1689986002 | Sheena Sharma | Pediatrics | 1920 E Cambridge Ave, 200, Phoenix, AZ 85006-1459 | 2010-07-14 |
| 1326363318 | Andrea Anne Ramirez | Pediatrics | 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459 | 2010-04-01 |
| 1669590543 | Mark Steven Molitor Jr. | Surgery | 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 | 2007-03-27 |
| 1336264944 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1920 E Cambridge Ave, Rosenberg Pl, Bdg E, Suite 205, Phoenix, AZ 85006-1459 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326363318 | Andrea Anne Ramirez | Pediatrics | 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459 | 2010-04-01 |
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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.