SAMUEL A MCCONKEY III MD PC


Address: 5830 W Thunderbird Rd, Suite B5, Glendale, AZ 85306-4654
Phone: 6023752020

SAMUEL A MCCONKEY III MD PC (NPI# 1134315757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134315757
Entity Type Organization
Organization Name SAMUEL A MCCONKEY III MD PC
Practice Address 5830 W Thunderbird Rd
Suite B5
Glendale
AZ 85306-4654
Mailing Address 315 Illinois Street
Suite 103b
Fairbanks
AK 99701-2910
Practice Telephone 6023752020
Practice Fax Number 6029780116
Mailing Telephone 9074567767
Mailing Fax Number 9074568050
Enumeration Date 2007-09-18
Last Update Date 2011-04-15
Authorized Official Name SAMUEL A MCCONKEY III (OFFICE MANAGER)
Authorized Official Telephone 6023752020
Authorized Official Credential MD, PC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 849 AK Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 27424 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RAILROAD PP0401344 01
AK MEDICARE RR P00401344 01
AK MD0849 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578601340 Samuel A Mcconkey IIi Md PC Ophthalmology 1521 Stacia St, Fairbanks, AK 99701-6135 2007-02-02

Office Location

Street Address 5830 W THUNDERBIRD RD
SUITE B5
City GLENDALE
State AZ
Zip Code 85306-4654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194982074 Martha Sims Contractor 5830 W Thunderbird Rd, Suite B8 1012, Glendale, AZ 85306 2008-05-19
1972781110 Jonathan Kirsch,do PC Neuromusculoskeletal Medicine & OMM 5830 W Thunderbird Rd, Ste B-8 Pmb 182, Glendale, AZ 85306-4654 2008-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548784648 Michelle Weissgerber Registered Nurse 6640 W Maui Ln, Glendale, AZ 85306 2017-07-31
1427502947 Az Interact LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6055 West Caribe Lane, Glendale, AZ 85306 2016-08-12
1649667635 Richard Moreno Jr. Physical Therapy Assistant 6509 W Acapulco Ln, Glendale, AZ 85306 2015-04-17
1568863819 Alternative Living for You Assisted Living Facility 5328 W. Tierra Buena Ln., Glendale, AZ 85306 2014-09-05
1649614561 Matthew Brownell Internal Medicine 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 2013-04-22
1366736266 Miles Christenson Speech-Language Pathologist 14627 N 60th Ave, Glendale, AZ 85306 2011-06-08
1285928721 Nathalie Tania Petein-alamshaw Internal Medicine 5555 W Thunderbird Road, Glendale, AZ 85306 2011-06-01
1134351869 William J. Duff Counselor 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 2009-08-13
1538321369 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 2008-07-02
1316109143 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 2008-07-02
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780199034 Hratch D Kourouyan Md Inc Ophthalmology 1540 W Glenoaks Blvd Ste 101, Glendale, CA 91201-3153 2017-12-08
1518480615 Retina Institute of Ca Ophthalmology 435 Arden Ave # 430-435, Glendale, CA 91203-1130 2017-07-20
1609279165 Anew Vision Eye Specialists, Pllc Ophthalmology 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 2014-09-29
1447696539 Neda Esmaili Md Sc Ophthalmology 377 West Riverwoods Parkway, Suite 115, Glendale, WI 53212 2013-05-15
1497084958 Elda Aghaian, Md Inc Ophthalmology 1560 E Chevy Chase Dr Ste 220, Glendale, CA 91206-4140 2009-12-12
1023287489 Elsa Aghaian Ophthalmology 607 N. Central Ave., Suite 204, Glendale, CA 91203-1808 2008-02-29
1013105048 Eye Care First, A Medical Group,inc. Ophthalmology 610 N Central Ave Ste 103, Glendale, CA 91203-1419 2007-10-03
1306996541 Valley Retina Surgeons LLC Ophthalmology 20118 N 67th Ave, Suite 300-240, Glendale, AZ 85308-4621 2007-01-11
1598849846 Sahag Aram Baghdassarian Ophthalmology 1310 S Central Ave, Glendale, CA 91204-2506 2006-10-24
1548351943 Nikou Eye Surgical & Medical Center Inc. Ophthalmology 222 W Eulalia St Ste 315, Glendale, CA 91204-2852 2006-09-28
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Competitor

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City GLENDALE
Zip Code 85306

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Dataset Information

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.

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