DR. HERNAN MEDINA (NPI# 1982684924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982684924 |
| Entity Type | Individual |
| Full Name | DR. HERNAN MEDINA |
| Credential | MD |
| Practice Address |
6838 N 23rd Ave Phoenix AZ 85015 |
| Mailing Address |
9590 E Ironwood Square Dr Ste 125 Scottsdale AZ 85258-4583 |
| Practice Telephone | 6028648800 |
| Practice Fax Number | 6028641448 |
| Mailing Telephone | 4804553000 |
| Mailing Fax Number | 8668196115 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2016-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 30853 | AZ | Other Service Providers |
| N | 207R00000X | Internal Medicine | 30853 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
6838 N 23RD AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023377 | Geriatric Specialties of Arizona PC | Internal Medicine | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2005-09-14 |
| 1649690603 | Geriatric Specialties of Arizona PC | Non-Pharmacy Dispensing Site | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2014-04-17 |
| 1255528600 | Sami Nabil Nasrallah | Internal Medicine | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2007-10-01 |
| 1932200938 | Stanley Lynn Combs | Internal Medicine | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2006-09-25 |
| 1437163789 | William Woods Pretlow | Internal Medicine | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2006-07-29 |
| 1659319309 | Morton H Dubnow | Internal Medicine | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2006-06-03 |
| 1356411037 | Faye Louis Bomer | Obstetrics & Gynecology | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2006-05-12 |
| 1760446769 | Lester Allen Epstein | Specialist | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2006-04-14 |
| 1437139151 | Nisha J Manek | Internal Medicine | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| Find all providers in PHOENIX | ||||
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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.