AZMOBILEMD (NPI# 1689126971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689126971 |
| Entity Type | Organization |
| Organization Name | AZMOBILEMD |
| Practice Address |
6616 W Gold Mountain Pass Phoenix AZ 85083-7454 |
| Mailing Address |
39506 N Daisy Mountain Dr Ste 122627 Anthem AZ 85086-6084 |
| Practice Telephone | 6232184171 |
| Practice Fax Number | 6233211917 |
| Mailing Telephone | 6232184171 |
| Mailing Fax Number | 6233211917 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | SAM ILE (OWNER) |
| Authorized Official Telephone | 6232184171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
42672 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
6616 W GOLD MOUNTAIN PASS |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85083-7454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042657 | Prestige Group Homes | Assisted Living Facility | 28001 N 31st Ave, Phoenix, AZ 85083 | 2017-09-28 |
| 1467702068 | Chirag Javia | Pharmacist | 5029 W. Buckskin Trail, Phoenix, AZ 85083 | 2012-09-12 |
| 1568944049 | Nicholas Ryan Wieferich | Pharmacist | 5450 W Happy Valley Rd, Phoenix, AZ 85083 | 2018-08-31 |
| 1992258743 | Andrew Jon Cefalo | Dentist | 25155 N 67th Ave Ste 142, Phoenix, AZ 85083 | 2016-07-28 |
| 1538643242 | Nel's Nest Assisted Living, LLC | Assisted Living Facility | 3655 W Dynamite Blvd, Phoenix, AZ 85083-0860 | 2018-09-18 |
| 1508211673 | Mansi Dave | Internal Medicine | 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 | 2016-04-26 |
| 1043797905 | Kara A Fishgold | Nurse Practitioner | 6325 W Briles Rd, Phoenix, AZ 85083-1003 | 2018-07-24 |
| 1053455634 | Melanie O'rourke Speech Services, LLC | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2007-02-16 |
| 1538437538 | Melanie O'rourke | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2011-12-05 |
| 1508280496 | Stephen Wayne Champion | Registered Nurse | 25830 N 64th Ave, Phoenix, AZ 85083-1014 | 2014-02-12 |
| Find all providers in zip 85083 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1013485762 | Todd Charles Coslett | Internal Medicine | 4149 W Kaler Dr, Phoenix, AZ 85055 | 2018-11-09 |
| 1437457058 | Southwest Geriatrics & Internal Medicine Pllc | Internal Medicine | 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 | 2011-03-06 |
| 1619043890 | Stephen J Joyce | Internal Medicine | 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 | 2006-11-28 |
| 1952403644 | Robert Iles Sandifur Jr. | Internal Medicine | 2716 E Vista Dr, Phoenix, AZ 85032-4958 | 2006-09-02 |
| 1265488258 | Walter John Nieri | Internal Medicine | 6510 N 27th St, Phoenix, AZ 85016-8943 | 2006-05-25 |
| 1700850922 | Andrew W March | Internal Medicine | 7244 N 12th Ave, Phoenix, AZ 85021-8022 | 2006-02-14 |
| 1962067363 | Kehart Lynn Flom Racoma | Internal Medicine | 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 | 2019-05-01 |
| 1942776646 | Kelly Schultz, LLC. | Internal Medicine | 4555 E Mayo Blvd, Phoenix, AZ 85050-6952 | 2018-10-19 |
| 1033474119 | Kk Mukkavilli Plc | Internal Medicine | 3333 E Indian School Rd, Suite 4, Phoenix, AZ 85018-5015 | 2012-07-05 |
| 1396070819 | Matthew D. Skinner | Internal Medicine | 2601 E Roosevelt St, Dept of Internal Medicine, Phoenix, AZ 85008-4973 | 2009-10-16 |
| 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.