FITSUM ABREHA SR. (NPI# 1124574579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124574579 |
| Entity Type | Individual |
| Full Name | FITSUM ABREHA SR. |
| Credential | CROSS DME SUPPLIER |
| Practice Address |
4760 N 28th St Phoenix AZ 85016-4846 |
| Mailing Address |
4760 N 28th Street Phoenix AZ 85339 |
| Practice Telephone | 4802771016 |
| Mailing Telephone | 4802771016 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
4760 N 28TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457803959 | Top Attendant Care Ll | In Home Supportive Care | 4760 N 28th St, Phoenix, AZ 85016-4846 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179552 | Joshua M Bearden | Driver | 8433 N Black Canyon Hwy Ste 180, Phoenix, AZ 85021-4800 | 2020-09-16 |
| 1730670001 | Abdifatah Mohamed | Driver | 4040 E Mcdowell Rd Ste 313, Phoenix, AZ 85008-4447 | 2018-05-23 |
| 1417468075 | Mustafa Arbab | Driver | 2142 W Osborn Rd, Phoenix, AZ 85015-5731 | 2017-10-22 |
| 1861865222 | Reem Abdelhay | Driver | 3215 W Loma Ln, Phoenix, AZ 85051-6130 | 2015-11-07 |
| 1407275191 | Quintin Ryan Yazzie | Driver | 4914 E Coronado Rd, Phoenix, AZ 85008-4218 | 2014-04-10 |
| 1255763132 | Abdelnasir Mohamed | Driver | 6131 N 27th Ave Apt 2085, Phoenix, AZ 85017-1759 | 2013-08-02 |
| 1083959217 | Abdelhameed Yaqoub | Driver | 11225 N 28th Dr Ste C207, Phoenix, AZ 85029-5600 | 2012-11-28 |
| 1487989372 | Sosian A Osman | Driver | 4724 E. Briarwood Ter, Phoenix, AZ 85048-0152 | 2009-10-09 |
| 1154656551 | Ahmed M Osman | Driver | 210 S 24th St, Phoenix, AZ 85034-2539 | 2009-10-02 |
| 1841429578 | Valeriy Isakov | Driver | 505 W Anderson Ave, Phoenix, AZ 85023-6542 | 2009-07-01 |
| Find all providers in PHOENIX | ||||
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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.