FREDERICK J KOGAN


Address: 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104
Phone: 6022494750

FREDERICK J KOGAN (NPI# 1831146117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831146117
Entity Type Individual
Full Name FREDERICK J KOGAN
Credential MD, PHD
Practice Address 6707 N 19th Ave
Suite 200
Phoenix
AZ 85015-1104
Practice Telephone 6022494750
Practice Fax Number 6022494814
Mailing Telephone 6022494750
Mailing Fax Number 6022494814
Enumeration Date 2006-05-30
Last Update Date 2016-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
12265 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 241703 05

Office Location

Street Address 6707 N 19TH AVE
SUITE 200
City PHOENIX
State AZ
Zip Code 85015-1104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225019896 Eric Duquella Internal Medicine 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104 2005-11-09
1356722920 Hawkeye Foot and Ankle LLC Clinic/Center 6707 N 19th Ave, Phoenix, AZ 85015-1104 2015-06-09
1033596770 Smi Imaging, LLC Clinic/Center 6707 N 19th Ave, Suite 101, Phoenix, AZ 85015-1104 2015-05-01
1447509583 Laura Heath Podiatrist 6707 N 19th Ave, Phoenix, AZ 85015-1104 2012-09-05
1811219702 Smi Imaging, LLC Radiology 6707 N 19th Ave, Suite 108, Phoenix, AZ 85015-1104 2010-02-19
1043461171 Desert Kids Pediatrics Plc Pediatrics 6707 N 19th Ave, Ste 109, Phoenix, AZ 85015-1105 2008-10-07
1164681490 Ronald P. Steinbach Chiropractor 6707 N 19th Ave, Suite 102, Phoenix, AZ 85015-1104 2008-06-02
1073794566 Clinical Associates In Internal Medicine, Ltd Specialist 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104 2007-11-26
1790904282 Associated Foot & Ankle Specialists Plc Podiatrist 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1104 2007-04-24
1922132414 Michael Jerome Hervey II Family Medicine 6707 N 19th Ave, Ste 222, Phoenix, AZ 85015-1106 2007-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
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1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740836642 Integrated Medical Services Inc Internal Medicine 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1447763602 Desert Gastroenterology Pllc Internal Medicine 20430 N 19th Ave Ste B-150, Phoenix, AZ 85027-3588 2017-11-09
1528292125 Jcl Gastroenterology, LLC Internal Medicine 9237 N. 3rd Street, Suite 202, Phoenix, AZ 85020-0000 2009-05-11
1467696757 Jcl Gastroenterology, LLC Internal Medicine 19646 N. 27th Ave., Suite201, Phoenix, AZ 85027-0000 2009-04-30
1992981583 Arizona Digestive Health, PC Internal Medicine 3020 E Camelback Rd, Suite 301, Phoenix, AZ 85016-4417 2008-01-14
1508969122 Vincent J Honan Md PC Internal Medicine 1300 12th Str, #518, Phoenix, AZ 85006-2849 2006-09-07
1649381922 Associated Billing Services, Inc Internal Medicine 13430 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85029-1310 2006-08-31
1619081577 Bassel Al-lahham Internal Medicine 19636 N 27th Ave Ste 408, Phoenix, AZ 85027 2006-08-18
1700898590 James R Spivey Internal Medicine 500 W Thomas Rd Ste 100, Phoenix, AZ 85013-4255 2006-08-12
1790739266 Masud S Shaukat Internal Medicine 2401 E Luke Ave, Phoenix, AZ 85016-2808 2006-05-20
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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