DR. DARREN VICENTI (NPI# 1013055672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013055672 |
| Entity Type | Individual |
| Full Name | DR. DARREN VICENTI |
| Credential | MD |
| Practice Address |
Hwy 264 Mp 388 Polacca AZ 86042 |
| Mailing Address |
Po Box 4000 Polacca AZ 86042-4000 |
| Practice Telephone | 9287376000 |
| Practice Fax Number | 9287376001 |
| Mailing Telephone | 9287376000 |
| Mailing Fax Number | 9287376001 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36921 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
HWY 264 MP 388 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417007170 | The Hopi Tribe | Ambulance | Hwy 264 Mp 388, Polacca, AZ 86042 | 2007-01-12 |
| 1467071878 | Phuong Tran Nguyen | Pharmacist | Hwy 264 Mp 388, Hopi Health Care Center, Polacca, AZ 86042 | 2020-04-15 |
| 1497068076 | Aurelia Taylor | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-07-23 |
| 1225356421 | Tracy Denet | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-05-12 |
| 1811214935 | Lesa G Poola | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-04-29 |
| 1023335650 | Dolores Gensure | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-04-21 |
| 1891010880 | Valerie Cline | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-0984 | 2010-04-01 |
| 1093038739 | Rhonda Talaswaima | Social Worker | Hwy 264 Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-09 |
| 1255466231 | Kelly Anne Vitz | Physical Therapist | Hwy 264 Mp 388, Hhcc - Physical Therapy Department, Polacca, AZ 86042-4000 | 2007-02-22 |
| 1538207410 | Susan Elizabeth Bigley | Nurse Practitioner | Hwy 264 Mp 388, Polacca, AZ 86042 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1467599183 | Anna Klaertje Lewis | Family Medicine | Hwy 264, Mile Post 388, Polacca, AZ 86042 | 2007-01-31 |
| 1801947767 | David Thurlow Ackley | Family Medicine | Highway 264 Milepost 388, Polacca, AZ 86042 | 2007-01-16 |
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|---|---|---|---|---|
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| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
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| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
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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.