AKDHC, LLC (NPI# 1760671192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760671192 |
| Entity Type | Organization |
| Organization Name | AKDHC, LLC |
| Practice Address |
155 Calle Portal Ste 100 Sierra Vista AZ 85635-2900 |
| Mailing Address |
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 |
| Practice Telephone | 5204586088 |
| Mailing Telephone | 6023513015 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MS. SUSAN LUZ (CREDENTIAL MANAGER) |
| Authorized Official Telephone | 6023513015 |
| Authorized Official Credential | CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089328 | Akdhc, LLC | Internal Medicine | 525 S Watson Rd Ste 205, Buckeye, AZ 85326-3451 | 2019-12-09 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1720502073 | Akdhc, LLC | Internal Medicine | 4475 S I 19 Frontage Rd Ste 101, Green Valley, AZ 85614-5884 | 2017-07-28 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1306380993 | Akdhc, LLC | Internal Medicine | 3194 N Windsong Dr, Prescott Valley, AZ 86314-2239 | 2016-12-15 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1013373356 | Akdhc, LLC | Internal Medicine | 1713 S Kofa Ave Ste L, Parker, AZ 85344-6402 | 2015-12-31 |
| 1801263033 | Akdhc, LLC | Internal Medicine | 2545 E. Thomas Rd., Suite 110/120, Phoenix, AZ 85016-7941 | 2015-08-24 |
| 1275918211 | Akdhc, LLC | Internal Medicine | 18699 N 67th Ave Ste 280, Glendale, AZ 85308-7149 | 2015-07-20 |
| Street Address |
155 CALLE PORTAL STE 100 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629099569 | Laurence M Susini Md PC | Orthopaedic Surgery | 155 Calle Portal Ste 100, Sierra Vista, AZ 85635-2900 | 2006-07-23 |
| 1114153814 | Amy Louise Devine | Pharmacist | 155 Calle Portal Ste 100, Sierra Vista, AZ 85635 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1730566118 | Akdhc, LLC | Internal Medicine | 5750 E. Hwy 90, Suite 200, Sierra Vista, AZ 85635 | 2015-05-05 |
| 1891933560 | Southwest Kidney Institute, Plc | Internal Medicine | 629 N. Highway #90 Byp, Suite 6, Sierra Vista, AZ 85635-2257 | 2009-02-03 |
| 1861580086 | Community Dialysis Center LLC | Internal Medicine | 4525 Campus Drive, Sierra Vista, AZ 85635 | 2006-10-11 |
| 1952374738 | G. Delaney Sturgeon | Internal Medicine | 5555 Mesa Verde Dr Ste 100, Sierra Vista, AZ 85635 | 2006-02-10 |
| 1740274190 | Purba Biswas | Internal Medicine | 1840 Paseo San Luis, Sierra Vista, AZ 85635-4612 | 2005-08-31 |
| 1033532163 | Akdhc, LLC | Internal Medicine | 155 Calle Portal, Suite 400, Sierra Vista, AZ 85635-2900 | 2014-01-24 |
| 1851444921 | Cochise County Dialysis and Kidney Care Pllc | Internal Medicine | 1840 Paseo San Luis, Sierra Vista, AZ 85635-4612 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089328 | Akdhc, LLC | Internal Medicine | 525 S Watson Rd Ste 205, Buckeye, AZ 85326-3451 | 2019-12-09 |
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1124503586 | Jean Letarte Md Pllc | Internal Medicine | 1515 E Florence Blvd Ste 102, Casa Grande, AZ 85122-5334 | 2018-10-01 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1013403161 | Akdhc Surgery Center, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 100, Bullhead City, AZ 86442-7959 | 2018-07-02 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1902392079 | Akdhc,llc | Internal Medicine | 3600 W Tangerine Rd, Suite 110, Marana, AZ 85658 | 2018-07-02 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1720502073 | Akdhc, LLC | Internal Medicine | 4475 S I 19 Frontage Rd Ste 101, Green Valley, AZ 85614-5884 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on AKDHC, LLC.
| 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.