MR. ANTHONY ALEXANDER NAZAROFF M.D., NPI 1235249251 — SIERRA VISTA (AZ)

NPI 1235249251

13+ Years Experience Individual

MR. ANTHONY ALEXANDER NAZAROFF M.D.

08/30/2006
PROVIDER ENUMERATION DATE
10.05.2007
LAST UPDATE DATE
1235249251
NPI NUMBER

About MR. ANTHONY ALEXANDER NAZAROFF

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MR. ANTHONY ALEXANDER NAZAROFF is a provider established in SIERRA VISTA, AZ. The NPI number of MR. ANTHONY ALEXANDER NAZAROFF is 1235249251 and was assigned on 08/30/2006. The practitioners primary taxonomy code is: 208800000X with license number: 27092 AZ .

Mailing address

  • City: SIERRA VISTA
  • State: AZ
  • Postal code: 856505366
  • Phone: 5208037640
  • Fax: 5208037886
  • Address: 3533 CANYON DE FLORES STE A

Primary Practice Address

  • Region : SIERRA VISTA, AZ
  • NPI : 1235249251
  • Phone : 5208037640
  • Fax : 5208037886
  • Postalcode : 856505366
  • Address : 3533 CANYON DE FLORES STE A

Provider taxonomy - Urology

  • Taxonomy code: 208800000X
  • License number: 27092
  • License state: AZ

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Contacts:

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  • MR. ANTHONY ALEXANDER NAZAROFF M.D.
  • Address : 3533 CANYON DE FLORES STE A
  • Region : SIERRA VISTA, AZ
  • NPI : 1235249251
  • Phone : 5208037640
  • Fax : 5208037886
  • Postalcode : 856505366

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address3533 CANYON DE FLORES STE A
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSIERRA VISTA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code856505366
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number5208037640
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number5208037886
The fax number associated with the location address of the provider being identified.
NPI1235249251
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Provider Enumeration Date08/30/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10.05.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MR. ANTHONY ALEXANDER NAZAROFF
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address3533 CANYON DE FLORES STE A
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameSIERRA VISTA
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAZ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code856505366
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number5208037640
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number5208037886
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1208800000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Provider License Number 127092
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1AZ
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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