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.

NICK STAVRIDIS is a physician located in MESA, AZ. NPPES has assigned the NPI number 1114908696 to NICK STAVRIDIS on November 10, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Sep 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICK STAVRIDIS below.

NPI Profile for
NICK STAVRIDIS

NPI Number
1114908696
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICK STAVRIDIS
Credentials
DO
Primary location
6644 E BAYWOOD AVE
MESA, AZ 85206
Phone: (480) 981-4200 Fax:
1 Other location(s):
9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241
Phone: (602) 671-7990
Fax: (602) 755-0457
Mailing address
5000 HOPYARD RD
SUITE 100
PLEASANTON, CA 94588-3348
Phone: (800) 617-7717 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NICK STAVRIDIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD GRAZAZ0728670
OTHEREVERCARE GRPAZ3981220
OTHERGROUP HEALTH GRPAZ453051001
OTHERHEALTHNET GRPAZAW1436
OTHERHUMANA GROUPAZ860373636
MEDICAIDAZ548646
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
AZ 3565

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1984
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICK STAVRIDIS is affiliated with the following medical group(s):
  • HOSPITAL
    • DIGNITY HEALTH ARIZONA GENERAL HOSPITAL
      9130 EAST ELLIOT ROAD
      MESA, AZ 85212

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.