KMA SURGICAL ASSIST LLC (NPI# 1114400314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114400314 |
| Entity Type | Organization |
| Organization Name | KMA SURGICAL ASSIST LLC |
| Practice Address |
901 E Jefferson St Phoenix AZ 85034-2219 |
| Practice Telephone | 6318278159 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | MATHEW JAMES (PATIENT ACCOUNTS) |
| Authorized Official Telephone | 6318278159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Street Address |
901 E JEFFERSON ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942303565 | Robert James Lanier | Chiropractor | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2006-09-07 |
| 1518460872 | One Health Accident and Injury LLC | Clinic/Center | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2018-03-13 |
| 1568974657 | Jennifer Steel | Psychologist | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2017-10-29 |
| 1326587213 | One Health Primary Care LLC | Chiropractor | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2017-02-13 |
| 1598207581 | Amy Basch | Nurse Practitioner | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2016-11-08 |
| 1356779862 | Occupational Health Centers of The Southwest, Pa | Clinic/Center | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2013-10-18 |
| 1780951707 | Harmoni Peebles | Physician Assistant | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2011-11-18 |
| 1013103043 | Advanced Medical Specialist-pho Phoenix | Clinic/Center | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2007-09-24 |
| 1780709980 | Charles E Gagnon | Preventive Medicine | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2007-03-20 |
| 1356466353 | Abigail Villodas | Physical Therapist | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine 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: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205095817 | Andrews C Ninan | Surgery | 2601e Roosevelt Street, Maricopa Medical Center, Phoenix, AZ 85008 | 2008-06-09 |
| 1437206562 | Nicole P Piscatelli | Surgery | 3141 N 48th St, Phoenix, AZ 85018-6564 | 2007-01-04 |
| 1154438133 | Michael Corneille | Surgery | 9250 N 3rd Sreet, Suite 3015, Phoenix, AZ 85020-2425 | 2006-08-24 |
| 1972575504 | Alicia Mangram | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2006-02-07 |
| 1447729975 | Valley Associates Prs Pllc | Surgery | 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 | 2018-11-14 |
| 1619200722 | District Medical Group, Inc | Surgery | 2525 E Roosevelt St, Surgery Clinic, Phoenix, AZ 85008-4948 | 2009-09-09 |
| 1831324383 | Scottsdale Acute Care Surgery, LLC | Surgery | 9250 N 3rd St, Suite 3000, Phoenix, AZ 85020-2437 | 2009-05-27 |
| 1447430491 | Francis Reginald Ali-osman | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2007-11-07 |
| 1669590543 | Mark Steven Molitor Jr. | Surgery | 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 | 2007-03-27 |
| 1407941602 | Michael D. Peck | Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-10-04 |
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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.