1467495754 NPI number — ZEV FAINSILBER MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467495754 NPI number — ZEV FAINSILBER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FAINSILBER
Provider First Name:
ZEV
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467495754
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15029 N THOMPSON PEAK PKWY
Provider Second Line Business Mailing Address:
SUITE B-111-523
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85260-2217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-993-0101
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15029 N THOMPSON PEAK PKWY
Provider Second Line Business Practice Location Address:
SUITE B-111-523
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85260-2217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-993-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2006

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: 207R00000X , with the licence number:  MD22634 , 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: AZ0380400 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "BAPTIST FLEX CHOICE II" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ0380400 . This is a "ADMINISTRATIVE ENTERPRISE" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ0380400 . This is a "CPIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "AMERICAN MED SECURITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4218588 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4218588 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ0380400 . This is a "AMERICAN BENEFIT PLAN ADM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "AMERICAN TRUST ADMIN IN" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ0380400 . This is a "BASHAS BENEFIT TRUST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "ACCESS BLUE CONNECTION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "CNN ELECT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 332429 . This is a "AHCCCS STE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 332429 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4218588 . This is a "AIA INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22634 . This is a "AETNA MEDICARE RISK" identifier . This identifiers is of the category "OTHER".




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