MR. MATTHEW IAN GEMBALA (NPI# 1114950185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114950185 |
Entity Type | Individual |
Full Name | MR. MATTHEW IAN GEMBALA |
Credential | M.D., M.P.H. |
Practice Address |
2201 N Vickey St Ste 110 Flagstaff AZ 86004-6126 |
Mailing Address |
6622 N 91st Ave Ste 220 Glendale AZ 85305-2569 |
Practice Telephone | 9282139460 |
Practice Fax Number | 9282139465 |
Mailing Telephone | 6027596883 |
Mailing Fax Number | 6022243358 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2019-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35737 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 1114950185-01 | 05 |
Street Address |
2201 N VICKEY ST STE 110 |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004-6126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538133236 | Harnath Singh | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-02-17 |
1962961474 | Akdhc, LLC | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6106 | 2019-03-14 |
1497852404 | Ang Chen | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
Find all providers in zip 86004 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1639551526 | Wei Xiang Wong | Internal Medicine | 617 N Humphreys St Ste 102, Flagstaff, AZ 86001-3063 | 2015-06-26 |
1962737890 | Akdhc, LLC | Internal Medicine | 77 W Forest Ave, Ste 302, Akdhc, LLC, Flagstaff, AZ 86001 | 2009-10-09 |
1922196914 | Northern Arizona Kidney Care and Hypertension Center, PC | Internal Medicine | 823 N Beaver St, Flagstaff, AZ 86001 | 2006-10-11 |
1538133236 | Harnath Singh | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-02-17 |
1962961474 | Akdhc, LLC | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6106 | 2019-03-14 |
1831568989 | Akdhc, LLC | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2015-09-18 |
1497852404 | Ang Chen | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366089328 | Akdhc, LLC | Internal Medicine | 525 S Watson Rd Ste 205, Buckeye, AZ 85326-3451 | 2019-12-09 |
1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
1124503586 | Jean Letarte Md Pllc | Internal Medicine | 1515 E Florence Blvd Ste 102, Casa Grande, AZ 85122-5334 | 2018-10-01 |
1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
1013403161 | Akdhc Surgery Center, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 100, Bullhead City, AZ 86442-7959 | 2018-07-02 |
1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
1902392079 | Akdhc,llc | Internal Medicine | 3600 W Tangerine Rd, Suite 110, Marana, AZ 85658 | 2018-07-02 |
1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
1720502073 | Akdhc, LLC | Internal Medicine | 4475 S I 19 Frontage Rd Ste 101, Green Valley, AZ 85614-5884 | 2017-07-28 |
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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.