LEGESSE MEKONNEN (NPI# 1023222619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023222619 |
| Entity Type | Individual |
| Full Name | LEGESSE MEKONNEN |
| Credential | MD |
| Practice Address |
9305 W Thomas Rd Suite 380 Phoenix AZ 85037-3328 |
| Practice Telephone | 6233274144 |
| Practice Fax Number | 6233274140 |
| Mailing Telephone | 6233274144 |
| Mailing Fax Number | 6233274140 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
44627 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
9305 W THOMAS RD SUITE 380 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457747 | Mystie L Johnson | Obstetrics & Gynecology | 9305 W Thomas Rd, Ste 155, Phoenix, AZ 85037-3328 | 2005-06-14 |
| 1295219624 | Samantha Albrecht | Nurse Practitioner | 9305 W Thomas Rd, Phoenix, AZ 85037-3328 | 2018-09-21 |
| 1225570732 | Omni Dermatology Estrella LLC | Specialist | 9305 W Thomas Rd, Ste 350, Phoenix, AZ 85037-3328 | 2016-11-15 |
| 1326597444 | Vanessa Breguez Mitchell | Physician Assistant | 9305 W Thomas Rd, Suite 410, Phoenix, AZ 85037-3328 | 2016-09-30 |
| 1912353806 | Center for Orthopedic Research and Education, Inc | Durable Medical Equipment & Medical Supplies | 9305 W Thomas Rd, Suite 275, Phoenix, AZ 85037-3328 | 2016-05-10 |
| 1700270071 | Sarah Francis Debenedetto | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2015-03-25 |
| 1881088144 | Keith Butler | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2015-03-25 |
| 1366848814 | Tanner Jo Caughey | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2014-11-11 |
| 1720403397 | Caroline Seronde | Physical Therapy Assistant | 9305 W Thomas Rd, Ste 150, Phoenix, AZ 85037-3328 | 2014-02-19 |
| 1750702759 | Holly Hussey | Occupational Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2013-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1417129958 | Victor N. Gan | Internal Medicine | 1526 W Wilshire Dr, Phoenix, AZ 85007-1216 | 2008-03-25 |
| 1205027646 | Phoenix Id LLC | Internal Medicine | 340 E Palm Ln Ste 100, Phoenix, AZ 85004-4528 | 2007-08-08 |
| 1285839795 | Madhuri Segireddy | Internal Medicine | 340 E Palm Lane, A260, Phoenix, AZ 85004 | 2007-06-15 |
| 1356553986 | Desert Valley Infectious Disease Physicians | Internal Medicine | 233 W Lamar Rd, Phoenix, AZ 85013-1219 | 2007-05-04 |
| 1518096270 | Minghsun Liu | Internal Medicine | 11811 N Tatum Blvd Ste 1075, Phoenix, AZ 85028-1661 | 2007-03-05 |
| 1477664605 | Jones O Kumi M D P C | Internal Medicine | 2610 N 3rd St Ste A, Phoenix, AZ 85004-1156 | 2006-08-31 |
| 1790737138 | Patrick Aidan Murphy | Internal Medicine | 57 Blenheim Farm Ln, Phoenix, MD 21131-2136 | 2006-05-16 |
| 1396703757 | Daniel Marino | Internal Medicine | 128 W Marlette Ave, Phoenix, AZ 85013-1524 | 2006-05-03 |
| 1912973041 | Michael J. Gehman | Internal Medicine | 2700 N 3rd St Ste 3045, Phoenix, AZ 85004-4627 | 2006-02-28 |
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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.