DESERT MERCY DIABETES AND THYROID CENTER PLLC


Address: 4611 E Palo Verde Dr, Phoenix, AZ 85018-1258
Phone: 2016931563

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ ARIZONA CORPORATION COMMISSION REGISTRATION P-1688294-0 01

Office Location

Street Address 4611 E PALO VERDE DR
City PHOENIX
State AZ
Zip Code 85018-1258

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85018

Improve Information

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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.

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