DR. KERI RAE DESOTO


Address: 1058 Fair St, Suite B, Prescott, AZ 86305
Phone: 9284437777

DR. KERI RAE DESOTO (NPI# 1982626594) 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) 1982626594
Entity Type Individual
Full Name DR. KERI RAE DESOTO
Credential MD
Practice Address 1058 Fair St
Suite B
Prescott
AZ 86305
Mailing Address 1058 Fair St S
Suite B
Prescott
AZ 86305
Practice Telephone 9284437777
Practice Fax Number 8889728306
Mailing Telephone 9284437777
Mailing Fax Number 8889728306
Enumeration Date 2006-07-24
Last Update Date 2016-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 31505 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 1058 FAIR ST
SUITE B
City PRESCOTT
State AZ
Zip Code 86305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720287931 Linda Sue Ferguson Naturopath 1058 Fair St, #b, Prescott, AZ 86305 2007-07-17
1043330186 Lois Marie Eaton Naturopath 1058 Fair St, #b, Prescott, AZ 86305-1803 2007-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972005395 Granite View Adult Care Home LLC Assisted Living Facility 7105 Williamson Valley Road, Prescott, AZ 86305 2018-03-01
1215468095 Valerie Williams Occupational Therapist 926 S. Hinman Dr., Prescott, AZ 86305 2017-03-23
1174073837 Caspian Gleam Medical Center LLC Clinic/Center 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 2016-10-06
1114388634 Marla Beth Perkins Speech-Language Pathologist 3160 Stillwater Dr., Prescott, AZ 86305 2016-03-10
1790159853 Michele A. Bibeau, D.d.s. Dentist 1058 Fair Street, Suite A, Prescott, AZ 86305 2015-11-30
1609264837 Integrative Pain Centres of Prescott Pain Medicine 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 2014-12-22
1649697251 Sharon Marilyn Jackson Counselor 3636 Crossings Drive, Prescott, AZ 86305 2014-03-20
1215351259 Stefanie Maneval Registered Nurse 900 Iron Springs Rd, Prescott, AZ 86305 2014-02-11
1508207523 Recovery In The Pines, LLC Community/Behavioral Health 919 12th Place #13, Prescott, AZ 86305 2013-07-08
1871857359 Neal Herbert Segovia Cabaluna Internal Medicine 3773 Crossings Dr Ste C, Prescott, AZ 86305 2012-06-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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
1396363594 Cabaluna Medical Pllc Internal Medicine 2001 Excellence Way Ste 200, Prescott, AZ 86301-8410 2020-07-14
1295149896 William Paul Hennon Internal Medicine 2286 Crosswind Dr Ste C, Prescott, AZ 86301-6100 2014-06-12
1871857359 Neal Herbert Segovia Cabaluna Internal Medicine 3773 Crossings Dr Ste C, Prescott, AZ 86305 2012-06-28
1225269673 Daniel Alberto Cadena Castillo Internal Medicine 3773 Crossings Dr, Suite C, Prescott, AZ 86305-7140 2009-08-03
1124183751 George Sein Internal Medicine 919 12th Pl Ste 6, Prescott, AZ 86305-1433 2006-12-26
1770678120 Deanna Kaye Price Internal Medicine 1000 Willow Creek Rd Ste B, Prescott, AZ 86301-1645 2006-10-03
1598864522 Joseph P. Griffin, Md, PC Internal Medicine 3633 Crossings Drive, Prescott, AZ 86305 2006-09-22
1699784546 Joseph H Goldberger Internal Medicine 812 Black Dr, Prescott, AZ 86301-1402 2006-08-07
1366450447 John Joseph Houston Internal Medicine 500 N. Highway 89, Northern Arizona Va Hcs, Prescott, AZ 86313 2006-08-04
1407878721 Gary Scott Jones Internal Medicine Prescott Va - Comp and Pen, 500 North Hwy 89, Prescott, AZ 86313 2006-07-24
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Competitor

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City PRESCOTT
Zip Code 86305

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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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