AKDHC,LLC (NPI# 1902392079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902392079 |
| Entity Type | Organization |
| Organization Name | AKDHC,LLC |
| Practice Address |
3600 W Tangerine Rd, Suite 110 Marana AZ 85658 |
| Mailing Address |
6622 N 91st Ave Ste 220 Glendale AZ 85305-2569 |
| Practice Telephone | 5205472468 |
| Practice Fax Number | 5205472471 |
| Mailing Telephone | 6027596883 |
| Mailing Fax Number | 6022243358 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MS. ADONIS ESCOBEDO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6027596883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 244929 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1104013101 | Akdhc,llc | Internal Medicine | 1739 E Beverly Ave Ste 216, Kingman, AZ 86409-3593 | 2007-10-03 |
| 1992234843 | Akdhc,llc | Internal Medicine | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-06-05 |
| 1265874549 | Akdhc,llc | Internal Medicine | 21410 N 19th Ave, Suite 131, Phoenix, AZ 85027-2738 | 2013-07-26 |
| 1255773370 | Akdhc,llc | Internal Medicine | 118 S Mountain Ave, Springerville, AZ 85938-5104 | 2013-07-18 |
| Street Address |
3600 W TANGERINE RD, SUITE 110 |
| City | MARANA |
| State | AZ |
| Zip Code | 85658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628908 | Melinda H Connor | Counselor | 31907 South Davis Ranch Rd, Marana, AZ 85658 | 2020-04-20 |
| 1285120352 | Akdhc Surgery Center, LLC | Clinic/Center | 3600 W Tangerine Rd, Suite 100, Marana, AZ 85658 | 2018-07-02 |
| 1215452339 | Judith Jones | Speech-Language Pathologist | 11411 N. Vista Ranch Pl, Marana, AZ 85658 | 2017-08-09 |
| 1821308594 | Diana J Marr | Respite Care | 35020 E Red I Ranch Road, Marana, AZ 85658 | 2010-10-15 |
| 1942531868 | Justin Clark | Pharmacist | 12050 N Dove Mt Blvd, Marana, AZ 85658 | 2010-01-15 |
| 1093759615 | Adolben Y Montesclaros | Emergency Medicine | 5224 W Dove Centre Rd, Marana, AZ 85658 | 2006-06-15 |
| 1821536897 | Erica Lynne Hede | Nurse Practitioner | 3630 W Tangerine Rd Ste 100, Marana, AZ 85658 | 2017-02-09 |
| 1497206767 | Marana Health Center, Inc | Clinic/Center | 5224 W Dove Centre Rd, Marana, AZ 85658 | 2016-10-20 |
| 1083876064 | Estela Rutiaga | Family Medicine | 5224 W Dove Centre Rd, Marana, AZ 85658 | 2008-06-30 |
| 1265632913 | Hridaya Premnath Iyer | Anesthesiology | 3601 S 6th Ave, Savahcs Dept. of Anesthesiology, Tucson, AZ 85658 | 2007-07-20 |
| Find all providers in zip 85658 | ||||
| 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 |
|---|---|---|---|---|
| 1245630409 | Akdhc, LLC | Internal Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2014-08-25 |
| 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 |
| 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 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| Find all providers with the same taxonomy | ||||
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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.