Provider Demographics
NPI:1467495754
Name:FAINSILBER, ZEV (MD)
Entity Type:Individual
Prefix:
First Name:ZEV
Middle Name:
Last Name:FAINSILBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15029 N THOMPSON PEAK PKWY
Mailing Address - Street 2:SUITE B-111-523
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2217
Mailing Address - Country:US
Mailing Address - Phone:602-993-0101
Mailing Address - Fax:
Practice Address - Street 1:15029 N THOMPSON PEAK PKWY
Practice Address - Street 2:SUITE B-111-523
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2217
Practice Address - Country:US
Practice Address - Phone:602-993-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMD22634207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0380400OtherBLUE CROSS BLUE SHIELD
22634OtherBAPTIST FLEX CHOICE II
AZ0380400OtherADMINISTRATIVE ENTERPRISE
AZ0380400OtherCPIC
22634OtherAMERICAN MED SECURITY
4218588OtherAETNA
4218588OtherAETNA US HEALTHCARE
AZ0380400OtherAMERICAN BENEFIT PLAN ADM
22634OtherAMERICAN TRUST ADMIN IN
AZ0380400OtherBASHAS BENEFIT TRUST
22634OtherACCESS BLUE CONNECTION
22634OtherCNN ELECT
332429OtherAHCCCS STE
AZ332429Medicaid
4218588OtherAIA INSURANCE
22634OtherAETNA
22634OtherAETNA MEDICARE RISK
AZ332429Medicaid
4218588OtherAIA INSURANCE