1073506077 NPI number — DR. ISABEL FEINSTEIN MD

Table of content: DR. ISABEL FEINSTEIN MD (NPI 1073506077)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073506077 NPI number — DR. ISABEL FEINSTEIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FEINSTEIN
Provider First Name:
ISABEL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FEINSTEIN-HUSAK
Provider Other First Name:
ISABEL
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1073506077
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14510 W SHUMWAY DR STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUN CITY WEST
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85375-5815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-975-1660
Provider Business Mailing Address Fax Number:
623-584-4282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10503 WEST THUNDERBIRD BLVD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
SUN CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85351-3047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-975-1660
Provider Business Practice Location Address Fax Number:
623-584-4282
Provider Enumeration Date:
08/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  21256 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AZ0758580 . This is a "BCBS PROVIDER ID" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 881434 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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