DR. ORDESSIA CHARRAN (NPI# 1114345345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114345345 |
| Entity Type | Individual |
| Full Name | DR. ORDESSIA CHARRAN |
| Credential | M.D. |
| Practice Address |
1739 E Beverly Ave Ste 203 Kingman AZ 86409-3593 |
| Practice Telephone | 9287573133 |
| Practice Fax Number | 9287573136 |
| Mailing Telephone | 9287573133 |
| Mailing Fax Number | 9287573136 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
59478 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
59478 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1739 E BEVERLY AVE STE 203 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988178 | Rachel Rae Delfino Briles | Nurse Practitioner | 1739 E Beverly Ave Ste 203, Kingman, AZ 86409-3593 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225142557 | Robert G Matheny | Internal Medicine | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661851 | Intensivists of Arizona, LLC | Internal Medicine | 6970 E Chauncey Ln Ste 105, Phoenix, AZ 85054-5158 | 2020-05-19 |
| 1841854767 | Mahafzah Pllc | Internal Medicine | 14618 W Hidden Terrace Loop, Litchfield Park, AZ 85340-0992 | 2019-04-25 |
| 1992277818 | Nedali 99, LLC | Internal Medicine | 5401 E Mockingbird Ln, Paradise Valley, AZ 85253-2523 | 2018-12-18 |
| 1154844645 | Alp Umar Md Plc | Internal Medicine | 15029 N Thompson Peak Pkwy Ste B111-480, Scottsdale, AZ 85260-2217 | 2017-07-17 |
| 1639517949 | Amr Ibrahim El Maghraby | Internal Medicine | 111 E Dunlap Ave Ste I-279, Phoenix, AZ 85020-2807 | 2013-06-08 |
| 1649537473 | Arizona Pulmonary & Sleep, Inc | Internal Medicine | 6320 W Union Hills Dr Ste A205, Glendale, AZ 85308-1096 | 2012-04-18 |
| 1841523545 | Spyros Kamarinos | Internal Medicine | 111 E Dunlap Ave Ste 1-482, Phoenix, AZ 85020-7806 | 2009-09-12 |
| 1356573000 | Drsm, PC | Internal Medicine | 16601 N. 40th St, Suite 101, Phoenix, AZ 85032 | 2009-08-13 |
| 1215168059 | Sathish Sanna | Internal Medicine | 14506 W Granite Valley Dr Ste 113, Sun City West, AZ 85375 | 2009-07-28 |
| 1134355738 | Gilbert Pulmonary & Critical Care Pllc | Internal Medicine | 3420 S Mercy Rd Ste 221, Gilbert, AZ 85297-0424 | 2009-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.