THOMAS G DALLMAN MD PC (NPI# 1669455515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669455515 |
| Entity Type | Organization |
| Organization Name | THOMAS G DALLMAN MD PC |
| Practice Address |
1355 Ramar Rd Suite 12 Bullhead City AZ 86442-7100 |
| Practice Telephone | 9287639505 |
| Practice Fax Number | 9287637370 |
| Mailing Telephone | 9287639505 |
| Mailing Fax Number | 9287637370 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS GARY DALLMAN (PRESIDENT) |
| Authorized Official Telephone | 9287639505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
16390 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0189940 | 01 |
| Street Address |
1355 RAMAR RD SUITE 12 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730634965 | Desert Spurs Primary Care, Pllc | Family Medicine | 1355 Ramar Rd, Ste. 10, Bullhead City, AZ 86442-7100 | 2016-08-17 |
| 1568643757 | Thomas Gary Dallman | Internal Medicine | 1355 Ramar Rd, Suite 12, Bullhead City, AZ 86442-7100 | 2007-11-16 |
| 1225158470 | Don Wagner Do PC | Physician Assistant | 1355 Ramar Rd, Ste 11, Bullhead City, AZ 86442-7100 | 2007-03-30 |
| 1134248867 | Donald J Wagner | Emergency Medicine | 1355 Ramar Rd, Ste 11, Bullhead City, AZ 86442-7100 | 2007-03-27 |
| 1285761882 | Darlene M Leftwich | Physician Assistant | 1355 Ramar Rd, Bullhead City, AZ 86442-7100 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189800 | Anita Kohli | Internal Medicine | 2201 W Fairview St Ste 9, Chandler, AZ 85224-4711 | 2007-05-03 |
| 1831603505 | Institute for Liver Health, LLC | Internal Medicine | 2201 W Fairview St Ste 9, Chandler, AZ 85224-4711 | 2017-11-16 |
| 1295928109 | Geetha Kolli | Internal Medicine | 1441 N 12th St, Second Floor, Phoenix, AZ 85006-2837 | 2007-08-23 |
| 1639126980 | Ester C Little | Internal Medicine | 1300 N 12th St, Suite #500, Phoenix, AZ 85006-2848 | 2006-05-30 |
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.