DR. RICHARD NEVILLE M.D. NPI 1457394199

NPI Information

NPI: 1457394199
Provider Name: DR. RICHARD NEVILLE, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
13128 N 94TH DR STE 100
PEORIA, AZ
ZIP 85381
Phone: (623) 259-5900
Get Directions

DR. Richard Neville, M.D. is a vascular surgery surgery in Peoria, AZ with 43 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Richard Neville, M.D. NPI is 1457394199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13128 N 94TH DR STE 100
PEORIA, AZ
ZIP 85381-252
Phone: (623) 259-5900
Fax: (833) 766-3364

The NPI 1457394199 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	22767	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	313940-01	MEDICAID	ARIZONA
2	AZ0378280	OTHER	ARIZONA	BLUE CROSS/BLUE SHIELD ID #
3	IZ1738	OTHER	ARIZONA	HEALTHNET ID #
4	4216993	OTHER	ARIZONA	AETNA ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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