DR AFEWORKI KIDANE LTD (NPI# 1366462764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366462764 |
| Entity Type | Organization |
| Organization Name | DR AFEWORKI KIDANE LTD |
| Practice Address |
6641 E Baywood Ave Mesa AZ 85206-1723 |
| Practice Telephone | 4806538400 |
| Practice Fax Number | 4802091337 |
| Mailing Telephone | 4806538400 |
| Mailing Fax Number | 4802091337 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | AFEWORKI OCBAGHIORGIS KIDANE (PRESIDENT) |
| Authorized Official Telephone | 4806538400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101012760 | MI | Allopathic & Osteopathic Physicians |
| N | 261Q00000X | Clinic/Center | 4458 | AZ | Ambulatory Health Care Facilities |
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 4458 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ACCCS AZ | 168550 | 01 | |
| MI | 3480230 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6641 E Baywood Ave, Mesa, AZ 852061723 | 4806538400 | 4802091337 |
| Street Address |
6641 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326018557 | Afeworki Ocbaghiorgis Kidane | Neuromusculoskeletal Medicine & OMM | 6641 E Baywood Ave, Mesa, AZ 85206-1723 | 2006-01-23 |
| 1285969519 | Jeffery Thorne | Physical Therapist | 6641 E Baywood Ave, Suite A-4, Mesa, AZ 85206-1723 | 2009-10-05 |
| 1760640486 | Industrial Hand and Physical Therapy | Clinic/Center | 6641 E Baywood Ave, #a-4, Mesa, AZ 85206-1723 | 2008-05-29 |
| 1649485269 | Desert View Physical Therapy | Durable Medical Equipment & Medical Supplies | 6641 E Baywood Ave, Suite A 4, Mesa, AZ 85206-1723 | 2007-05-14 |
| 1376667246 | Martha Ann Knudson | Physical Therapist | 6641 E Baywood Ave, Suite A-4, Mesa, AZ 85206-1723 | 2007-03-18 |
| 1265584254 | Arete Sleep LLC | Clinic/Center | 6641 E Baywood Ave, Suite C-1, Mesa, AZ 85206-1723 | 2007-01-18 |
| 1487722237 | Leo G Stinnett Jr Md Plc | Surgery | 6641 E Baywood Ave, Suite B-3, Mesa, AZ 85206-1723 | 2006-12-01 |
| 1790896033 | David C Johnson Md PC | Surgery | 6641 E Baywood Ave, Suite B3, Mesa, AZ 85206-1723 | 2006-08-31 |
| 1396778817 | Susan D. Bratrud | Physical Therapist | 6641 E Baywood Ave, #a-4, Mesa, AZ 85206-1723 | 2006-07-08 |
| 1467484659 | Katherine Ena Mccuaig | Surgery | 6641 E Baywood Ave, Suite B-3, Mesa, AZ 85206-1723 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326018557 | Afeworki Ocbaghiorgis Kidane | Neuromusculoskeletal Medicine & OMM | 6641 E Baywood Ave, Mesa, AZ 85206-1723 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790191211 | Tucson Neuro Associates, LLC | Neuromusculoskeletal Medicine & OMM | 10645 N Oracle Rd Ste 121, Md 299, Oro Valley, AZ 85737-9388 | 2014-07-03 |
| 1912240532 | Nca Holdings of Arizona LLC | Neuromusculoskeletal Medicine & OMM | 8994 E Desert Cove Dr, Suite 200, Scottsdale, AZ 85260-7901 | 2013-04-02 |
| 1174870174 | Emily Jane Burgoon | Neuromusculoskeletal Medicine & OMM | 45 Castle Rock Rd 2a, Sedona, AZ 86351-8806 | 2012-08-08 |
| 1467721456 | David Steven Miller | Neuromusculoskeletal Medicine & OMM | 7773 W Libby St, Glendale, AZ 85308-8240 | 2011-12-20 |
| 1407087349 | Lauren Anne Pihlgren | Neuromusculoskeletal Medicine & OMM | 2030 W. Hwy 89a, Suite B-4, Sedona, AZ 86336 | 2009-07-27 |
| 1851507446 | Diane Clawson, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 19841 N 27th Ave Ste 302, Phoenix, AZ 85027-4006 | 2007-05-14 |
| 1326253444 | Lisa Coffey Oliver | Neuromusculoskeletal Medicine & OMM | 989 S Main St Ste A, Cottonwood, AZ 86326-4602 | 2007-05-11 |
| 1235268186 | Clyde L. Imhoff, Jr. | Neuromusculoskeletal Medicine & OMM | 411 W 8th St, Yuma, AZ 85364-2957 | 2007-03-05 |
| 1821167313 | Roger S. Andersen | Neuromusculoskeletal Medicine & OMM | 1923 N Trekell Rd, Casa Grande, AZ 85222-1706 | 2006-11-07 |
| 1962440099 | William James Brooks | Neuromusculoskeletal Medicine & OMM | 5363 E Pima St Ste 100, Tucson, AZ 85712-3663 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
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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.