AKDHC, LLC (NPI# 1831568989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831568989 |
Entity Type | Organization |
Organization Name | AKDHC, LLC |
Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
Mailing Address |
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 |
Practice Telephone | 9282136329 |
Mailing Telephone | 6023513015 |
Mailing Fax Number | 6022243315 |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-18 |
Authorized Official Name | ADONIS ESCOBEDO (CREDENTIALING MANAGER) |
Authorized Official Telephone | 6023513015 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
AZ | 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 |
1200 N BEAVER ST |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-3118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
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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 |
---|---|---|---|---|
1639551526 | Wei Xiang Wong | Internal Medicine | 617 N Humphreys St Ste 102, Flagstaff, AZ 86001-3063 | 2015-06-26 |
1962737890 | Akdhc, LLC | Internal Medicine | 77 W Forest Ave, Ste 302, Akdhc, LLC, Flagstaff, AZ 86001 | 2009-10-09 |
1922196914 | Northern Arizona Kidney Care and Hypertension Center, PC | Internal Medicine | 823 N Beaver St, Flagstaff, AZ 86001 | 2006-10-11 |
1538133236 | Harnath Singh | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-02-17 |
1962961474 | Akdhc, LLC | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6106 | 2019-03-14 |
1497852404 | Ang Chen | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-09-20 |
1114950185 | Matthew Ian Gembala | Internal Medicine | 2201 N Vickey St Ste 110, Flagstaff, AZ 86004-6126 | 2006-07-10 |
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 |
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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.