1467495754 NPI number — ZEV FAINSILBER MD

Table of content: ZEV FAINSILBER MD (NPI 1467495754)

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".