MBONG JERRY NGWESE (NPI# 1447816590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447816590 |
Entity Type | Individual |
Full Name | MBONG JERRY NGWESE |
Practice Address |
2546 West Bloch Rd Phoenix AZ 85041 |
Practice Telephone | 4802339241 |
Practice Fax Number | 6022765063 |
Mailing Telephone | 4802339241 |
Mailing Fax Number | 6022765063 |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2546 WEST BLOCH RD |
City | PHOENIX |
State | AZ |
Zip Code | 85041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255999819 | Jesa Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
1043366941 | Eric Roger Davis | Contractor | 7416 S 24th Ln, Phoenix, AZ 85041 | 2007-01-25 |
Find all providers in zip 85041 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952665721 | Tamara Gerry Nicholson | Physical Therapist | 4440 N 36th St Ste 240, Phoenix, AZ 85018-3592 | 2012-06-27 |
1306997580 | Keith James Pritchette | Physical Therapist | 4730 E Warner Rd Ste 10, Phoenix, AZ 85044-3320 | 2007-01-15 |
1467523381 | Richard Charles Elsner | Physical Therapist | 2222 East Highland Ave, Suite 310, Phoenix, AZ 85016-4879 | 2006-11-13 |
1275584567 | Justin M Sampley | Physical Therapist | 425 E Pinnacle Peak Rd, Phoenix, AZ 85024-5657 | 2006-05-12 |
1760039515 | Keegan Ross | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2019-08-26 |
1013495621 | Hannah Breck | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2018-08-06 |
1003300963 | Jarad Coleman Brisbin | Physical Therapist | 5750 S 32nd St, Phoenix, AZ 85040-3833 | 2018-06-14 |
1255754354 | Foothills Sports Medicine & Rehabilitation - Downtown, LLC | Physical Therapist | 375 E Virginia Ave, Phoenix, AZ 85004-1202 | 2014-01-24 |
1447509708 | Annemarie Alf | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2012-09-02 |
1518160183 | Foothills Sports Medicine and Rehabilitation Biltmore Inc | Physical Therapist | 2222 E Highland Ave, Suite 200, Phoenix, AZ 85016-4872 | 2007-06-08 |
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.