DESERT MERCY DIABETES AND THYROID CENTER PLLC (NPI# 1447546023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447546023 |
Entity Type | Organization |
Organization Name | DESERT MERCY DIABETES AND THYROID CENTER PLLC |
Practice Address |
4611 E Palo Verde Dr Phoenix AZ 85018-1258 |
Practice Telephone | 2016931563 |
Practice Fax Number | 6028401290 |
Mailing Telephone | 2016931563 |
Mailing Fax Number | 6028401290 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |
Authorized Official Name | SHAHZAD AHMAD (OWNER/MEMBER) |
Authorized Official Telephone | 2016931563 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | ARIZONA CORPORATION COMMISSION REGISTRATION | P-1688294-0 | 01 |
Street Address |
4611 E PALO VERDE DR |
City | PHOENIX |
State | AZ |
Zip Code | 85018-1258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952605552 | Robert Cannon | Contractor | 4611 E Palo Verde Dr, Phoenix, AZ 85018-1258 | 2010-12-23 |
1538692645 | Jennifer C Cannon, Do, Pllc | Obstetrics & Gynecology | 4611 E Palo Verde Dr, Phoenix, AZ 85018-1258 | 2017-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
Find all providers in zip 85018 |
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.