KENNETH R BOREN (NPI# 1043205511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043205511 |
| Entity Type | Individual |
| Full Name | KENNETH R BOREN |
| Credential | M.D. |
| Practice Address |
4040 E Mclellan Rd Unit 11 Mesa AZ 85205-3105 |
| Practice Telephone | 4802292829 |
| Mailing Telephone | 4802292829 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
12288 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 226911 | 05 |
| Street Address |
4040 E MCLELLAN RD UNIT 11 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| 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 |
|---|---|---|---|---|
| 1588692479 | Ijaz Ali | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2006-06-29 |
| 1982670139 | Ameesh K Garg | Internal Medicine | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206 | 2006-02-27 |
| 1326034810 | Syed K Masood | Internal Medicine | 215 S Power Rd Ste 104, Mesa, AZ 85206-5236 | 2005-09-21 |
| 1306830229 | Fredrick V Osorio | Internal Medicine | 301 S Power Rd Ste 103, Mesa, AZ 85206-5243 | 2005-09-07 |
| 1942293527 | Manuel Abrante | Internal Medicine | 301 S Power Rd, Suite 103, Mesa, AZ 85206-5241 | 2005-08-29 |
| 1336686187 | Valley Kidney Corp | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-01-31 |
| 1316481906 | Akdhc, LLC | Internal Medicine | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 | 2016-12-15 |
| 1548674062 | Akdhc, LLC | Internal Medicine | 1520 S Dobson Rd Ste 304, Mesa, AZ 85202-4727 | 2014-06-12 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| 1205274735 | Akdhc, LLC | Internal Medicine | 6638 E Baseline Rd, Suite 103, Mesa, AZ 85206-4432 | 2013-06-06 |
| Find all providers in MESA | ||||
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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.