AKDHC, LLC-PHOENIX ACCESS CENTER 1 (NPI# 1215388855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215388855 |
| Entity Type | Organization |
| Organization Name | AKDHC, LLC-PHOENIX ACCESS CENTER 1 |
| Practice Address |
9125 W Thunderbird Rd Ste 105 Peoria AZ 85381-4921 |
| Mailing Address |
3333 E Camelback Rd Ste 180 Phoenix AZ 85018-2396 |
| Practice Telephone | 6232348725 |
| Practice Fax Number | 6022654373 |
| Mailing Telephone | 6029970484 |
| Mailing Fax Number | 6022243315 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Authorized Official Name | ADONIS ESCOBEDO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6029970484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
9125 W THUNDERBIRD RD STE 105 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| 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 |
|---|---|---|---|---|
| 1952353633 | Asan M. Ariff Md, PC | Internal Medicine | 13943 N 91st Avenue, Ste H100, Peoria, AZ 85381-3689 | 2006-05-17 |
| 1861486607 | Gurdev Singh | Internal Medicine | 7362 W Thunderbird Road, Peoria, AZ 85381 | 2005-09-08 |
| 1215921135 | Richard P Flick | Internal Medicine | 7362 W Thunderbird Rd, Peoria, AZ 85381 | 2005-09-07 |
| 1023002946 | Mandip S Kang | Internal Medicine | 7362 W. Thunderbird Road, Peoria, AZ 85381 | 2005-09-07 |
| 1932514387 | Kidney Care Center Bloomington LLC | Internal Medicine | 719 Main St, Peoria, IL 61602-1083 | 2014-06-24 |
| 1629344064 | David Edward Houser | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2012-03-29 |
| 1730479296 | Roy Kent Bryan | Internal Medicine | 200 E Pennsylvania Ave, Suite 212, Peoria, IL 61603-3089 | 2011-04-18 |
| 1609010883 | Amer Khan | Internal Medicine | 13943 N 91st Ave, Ste H101, Peoria, AZ 85381-3689 | 2009-05-01 |
| 1538325477 | Raji Jacob | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2008-07-30 |
| 1669648309 | Muhammad Waqar Khattak | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 | 2008-05-02 |
| Find all providers in PEORIA | ||||
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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.