PHOENIX DIABETES AND ENDOCRINOLOGY, LLC (NPI# 1265756977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265756977 |
| Entity Type | Organization |
| Organization Name | PHOENIX DIABETES AND ENDOCRINOLOGY, LLC |
| Practice Address |
4045 E Union Hills Dr A107 Phoenix AZ 85050-3386 |
| Mailing Address |
4045 E Union Hills Dr A-107 Phoenix AZ 85050-3386 |
| Practice Telephone | 6027883636 |
| Practice Fax Number | 6027883646 |
| Mailing Telephone | 6027883636 |
| Mailing Fax Number | 6027883646 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MRS. CAROLE D BAKER (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 6027883636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25915 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 509712 | 05 |
| Street Address |
4045 E UNION HILLS DR A107 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-3386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787032 | Comprehensive Sleep Solutions, LLC | Clinic/Center | 4045 E Union Hills Dr, Ste 124, Phoenix, AZ 85050-3386 | 2006-06-10 |
| 1932570835 | Nicole Sellers | Occupational Therapist | 4045 E Union Hills Dr, Ste 110, Phoenix, AZ 85050-3386 | 2015-10-18 |
| 1265868897 | Foot & Ankle Institute of Arizona LLC | Podiatrist | 4045 E Union Hills Dr, Ste 107, Phoenix, AZ 85050-3386 | 2013-09-14 |
| 1497187033 | Tammy Sue Thornhill | Specialist/Technologist | 4045 E Union Hills Dr, Phoenix, AZ 85050-3386 | 2013-08-06 |
| 1205194784 | Cindy Kay Schneider | Dietitian, Registered | 4045 E Union Hills Dr, # 116, Phoenix, AZ 85050-3386 | 2012-05-02 |
| 1235425687 | Kamran D Farahani | Podiatrist | 4045 E Union Hills Dr, Ste 107, Phoenix, AZ 85050-3386 | 2011-06-23 |
| 1700190873 | Ellyn Jones | Occupational Therapist | 4045 E Union Hills Dr, Phoenix, AZ 85050 | 2010-08-01 |
| 1073716700 | Center for Autism Research and Education | Dietitian, Registered | 4045 E Union Hills Dr, Suite 116, Phoenix, AZ 85050-3386 | 2007-06-08 |
| 1396958823 | Allen Peyghambarian D.d.s.,pllc | Dentist | 4045 E Union Hills Dr, Suite # A-102, Phoenix, AZ 85050-3386 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1770146466 | Arkangel Endocrinology & Diabetes | Internal Medicine | 1661 E Camelback Rd Ste 235, Phoenix, AZ 85016-3983 | 2019-04-17 |
| 1528249661 | Kevin Choong Ji Yuen | Internal Medicine | 124 W Thomas Rd Ste 300, Phoenix, AZ 85013 | 2007-11-16 |
| 1538388046 | Sherman Mitchell Harman | Internal Medicine | 2390 E Camelback Rd, Suite 440, Phoenix, AZ 85016-3448 | 2007-04-24 |
| 1619091212 | Murugasu Nagul | Internal Medicine | 1010 East Mcdowell Road, Suite 203, Phoenix, AZ 85006 | 2007-03-19 |
| 1154348886 | Endocrinology Assoc | Internal Medicine | 3522 N 3rd Ave, Phoenix, AZ 85013 | 2006-07-17 |
| 1982639498 | Jayanthi Suppiah | Internal Medicine | 9150 W Indian School Rd Ste 118, Phoenix, AZ 85037-2387 | 2006-07-12 |
| 1538192703 | Sathya G Jyothinagaram | Internal Medicine | 925 E Mcdowell Rd Fl 3, Phoenix, AZ 85006-2502 | 2006-07-09 |
| 1316977721 | Peter David Reaven | Internal Medicine | 650 E. Indian School Rd., Phoenix, AZ 85012 | 2006-07-03 |
| 1154370757 | Cristian E Sciutto | Internal Medicine | 1007 N 2nd Ave, Phoenix, AZ 85003-1414 | 2006-05-09 |
| 1699753525 | Ronald Cirullo | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085 | 2005-12-30 |
| 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.