DR. GEORGETTA BIDWELL (NPI# 1588667109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588667109 |
| Entity Type | Individual |
| Full Name | DR. GEORGETTA BIDWELL |
| Credential | M.D. |
| Practice Address |
4901 W. Mcdowell Rd Phoenix AZ 85035-0000 |
| Mailing Address |
3333 E Camelback Rd Suite 180 Phoenix AZ 85018-2322 |
| Practice Telephone | 6238499088 |
| Practice Fax Number | 6238497875 |
| Mailing Telephone | 6029970484 |
| Mailing Fax Number | 6022243358 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
7104 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 299108 | 05 |
| Street Address |
4901 W. MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85035-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912420621 | Safe Run Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 7205 W Mcdowell Rd, Apt 1073, Phoenix, AZ 85035 | 2017-07-25 |
| 1710435581 | Aimee Uwimana | Nurse Practitioner | 5030 W. Mcdowell Rd. Ste. 16, Phoenix, AZ 85035 | 2016-09-21 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1285921544 | Tasnim Khalife | Family Medicine | 2303 N. 75th Ave., Phoenix, AZ 85035 | 2011-07-06 |
| 1528210192 | Scott Alan Ulrick | Chiropractor | 5120 W. Mcdowell Rd, Phoenix, AZ 85035 | 2008-10-15 |
| 1467627331 | Robert Anthony Bembenek | Chiropractor | 5030 W Mcdowell Suite 10, Phx, AZ 85035 | 2008-04-23 |
| 1164569935 | Roy Song | Dentist | 1820 N 75th Ave, Suite 112, Phoenix, AZ 85035 | 2007-01-31 |
| 1659418994 | Western Dental of Arizona, Inc. | Dentist | 1820 N. 75th Ave., Suite #112, Phoenix, AZ 85035 | 2007-01-30 |
| 1982774824 | Nationwide Vision Center, LLC | Technician/Technologist | 1820 North 75th Avenue, Suite 102, Phoenix, AZ 85035 | 2006-11-08 |
| 1396748976 | Kris Morshedian | Internal Medicine | 4901 W Mcdowell Rd., Phoenix, AZ 85035 | 2005-05-27 |
| Find all providers in zip 85035 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1801263033 | Akdhc, LLC | Internal Medicine | 2545 E. Thomas Rd., Suite 110/120, Phoenix, AZ 85016-7941 | 2015-08-24 |
| 1861889859 | Akdhc, LLC | Internal Medicine | 3815 E Bell Rd Ste 3500, Phoenix, AZ 85032-2165 | 2015-04-17 |
| 1730592171 | Joon Soo Kim | Internal Medicine | 9305 W Thomas Rd Ste 570, Phoenix, AZ 85037-3358 | 2014-06-03 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1790915684 | Bassam Syed Shakil | Internal Medicine | 5040 N 15th Ave Ste 107, Phoenix, AZ 85015-3329 | 2009-07-25 |
| 1336338789 | Akdhc, LLC | Internal Medicine | 15255 N 40th St Bldg 5, Phoenix, AZ 85032-4624 | 2007-10-22 |
| 1861681298 | Akdhc, LLC | Internal Medicine | 3003 N Central Ave Ste T100, Phoenix, AZ 85012-2929 | 2007-10-22 |
| 1801084835 | Akdhc, LLC | Internal Medicine | 7725 N 43rd Ave Ste 411, Phoenix, AZ 85051-5771 | 2007-10-03 |
| 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.