KELLY KATHERINE MENACHOF (NPI# 1841684404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841684404 |
| Entity Type | Individual |
| Full Name | KELLY KATHERINE MENACHOF |
| Credential | M.D. |
| Practice Address |
Us 191 Po Drawer Ph Chinle AZ 86503 |
| Mailing Address |
Po Box 550 Chinle AZ 86503-0550 |
| Practice Telephone | 9286747001 |
| Mailing Telephone | 7202447077 |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD60844926 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
US 191 PO DRAWER PH |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346635760 | Benjamin Thomas Simms | Pediatrics | Us 191, Po Drawer Ph, Chinle, AZ 86503 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346635760 | Benjamin Thomas Simms | Pediatrics | Us 191, Po Drawer Ph, Chinle, AZ 86503 | 2015-04-02 |
| 1114149143 | Michael Lee From | Pediatrics | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2007-05-02 |
| 1063548063 | Donna R. Perry | Pediatrics | Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-02-26 |
| 1083740039 | Catherine Jill Moses | Pediatrics | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-02-26 |
| 1093817116 | Mary E Eraci | Pediatrics | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2006-09-01 |
| 1588774863 | Robert Erik Solomon | Pediatrics | Hwy 191 and Hospital Road, Chinle, AZ 86503 | 2006-08-30 |
| 1619908050 | William L. Flood | Pediatrics | Hwy 191 & Hospital Road, Cchcf, Chinle, AZ 86503 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
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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.