CENTRAL MOHAVE MEDICAL CLINICS LTD


Address: 1915 N Stockton Hill Rd, Kingman, AZ 86401-4652
Phone: 9287536668

CENTRAL MOHAVE MEDICAL CLINICS LTD (NPI# 1427264480) 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) 1427264480
Entity Type Organization
Organization Name CENTRAL MOHAVE MEDICAL CLINICS LTD
Practice Address 1915 N Stockton Hill Rd
Kingman
AZ 86401-4652
Mailing Address 1915 Stockton Hill Rd
Kingman
AZ 86401-4652
Practice Telephone 9287536668
Practice Fax Number 9287539797
Mailing Telephone 9287536668
Mailing Fax Number 9287539797
Enumeration Date 2007-05-15
Last Update Date 2009-09-17
Authorized Official Name MICHAEL MASTAKAS (PHYSICIAN)
Authorized Official Telephone 9287536668
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 13105 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 217209 05

Office Location

Street Address 1915 N STOCKTON HILL RD
City KINGMAN
State AZ
Zip Code 86401-4652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225133598 Michael Mastakas Family Medicine 1915 N Stockton Hill Rd, Kingman, AZ 86401-4652 2006-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053858704 Robert Cole Nurse Practitioner 3545 Cheyenne Ave, King,an, AZ 86401 2017-01-19
1710420286 Acadia Healthcare Inc Nurse Practitioner 2699 E Andy Devine, Suite B, Kingman, AZ 86401 2016-11-30
1174079800 Kenneth Mcadow Physical Therapist 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 2016-09-01
1649659483 Tracie Hirz Case Manager/Care Coordinator 3656 Packsaddle Road, Kingman, AZ 86401 2015-05-27
1548657695 Chelsea Presbrey Family Medicine 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 2015-04-15
1649617226 Abubakr Abdelmunim Tagelsir Abdelaziz Internal Medicine 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 2013-05-23
1205173325 Patricia Jean Marko Social Worker 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 2013-01-09
1770835316 Hae Young Lee Dentist 2058 Maya Dr., Kingman, AZ 86401 2012-10-05
1255681623 Hilary Radler Specialist/Technologist 3033 Macdonald, Kingman, AZ 86401 2012-09-13
1477836880 Goodwill of Northern Arizona Exclusive Provider Organization 2369 Airway Avenue, Kingman, AZ 86401 2011-09-21
Find all providers in zip 86401

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013559301 Ashley Marie Eyer Family Medicine 1753 Airway Ave Ste A, Kingman, AZ 86409-3720 2019-10-08
1548657695 Chelsea Presbrey Family Medicine 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 2015-04-15
1780900910 Weidner Medical Consulting Pllc Family Medicine 2720 E Calle Marquez, Kingman, AZ 86409-0851 2010-04-13
1760611560 Loren Louis Augustyn Family Medicine 1812 North Red Barn Lane, Kingman, KS 67068-8076 2009-07-14
1245439330 Melissa Ogden Family Medicine 2202 N Stockton Hill Rd, Suite 100, Kingman, AZ 86401-4622 2007-07-17
1770785362 Kingman County Family Medicine,llc Family Medicine 132 West A Street, Kingman, KS 67068 2007-06-05
1083714380 Stephen G Grillot Family Medicine 132 W A Ave, Kingman, KS 67068-1305 2006-09-25
1205826880 Donald Lynn Morgan Family Medicine 1739 Beverly Avenue, Suite 201, Kingman, AZ 86409-3593 2005-10-25
1750378014 Ninnescah Valley Health Systems, Inc Family Medicine 437 Cedar St, Kingman, KS 67068-1324 2005-10-03
1639166986 Victoria M Moots Family Medicine 437 North Cedar St, Kingman, KS 67068-1324 2005-10-03
Find all providers in KINGMAN

Competitor

Search similar providers

City KINGMAN
Zip Code 86401

Improve Information

Please comment or provide details below to improve the information on CENTRAL MOHAVE MEDICAL CLINICS LTD.

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.

Trending Searches