National Provider Identifier Database

NICK STAVRIDIS, DO – NPI #1114908696
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

NICK STAVRIDIS, DO
6644 E BAYWOOD AVE
MESA, AZ85206
Phone: 480-981-4200
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for NICK STAVRIDIS

NPI Number 1114908696
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/10/2005
Last updated 09/22/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 3565
  • AZ Medicaid: 548646
  • AZ Other: AZ0728670 BLUE CROSS BLUE SHIELD GR
  • AZ Other: 3981220 EVERCARE GRP
  • AZ Other: 453051001 GROUP HEALTH GRP
  • AZ Other: AW1436 HEALTHNET GRP
  • AZ Other: 860373636 HUMANA GROUP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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