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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE RAILROAD | PP0401344 | 01 | |
AK | MEDICARE RR | P00401344 | 01 |
AK | MD0849 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578601340 | Samuel A Mcconkey IIi Md PC | Ophthalmology | 1521 Stacia St, Fairbanks, AK 99701-6135 | 2007-02-02 |
Street Address |
5830 W THUNDERBIRD RD SUITE B5 |
City | GLENDALE |
State | AZ |
Zip Code | 85306-4654 |
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 |
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 |
Find all providers in zip 85306 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
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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 |
Find all providers in GLENDALE |
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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.