DR. KENNETH JAMES BUSCH (NPI# 1063404200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063404200 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JAMES BUSCH |
| Credential | M.D. |
| Practice Address |
2119 E Southern Ave Tempe AZ 85282-7503 |
| Practice Telephone | 4808311844 |
| Practice Fax Number | 4803832685 |
| Mailing Telephone | 4808311844 |
| Mailing Fax Number | 4803832685 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-12-13 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 8573 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063694362 | Kenneth Gary Busch | Psychiatry & Neurology | 30 N Michigan Ave, Suite 1916, Chicago, IL 60602-3402 | 2007-11-29 |
| Street Address |
2119 E SOUTHERN AVE |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245498963 | Allen B Fletcher | Obstetrics & Gynecology | 5529 S Waverly Way, Tempe, AZ 85283-2024 | 2008-05-29 |
| 1679632103 | Khai Ling Tan | Obstetrics & Gynecology | 1634 S Priest Dr, Bldg 3, Ste 101, Tempe, AZ 85281-6204 | 2006-12-08 |
| 1083673941 | Bruce R. Eich | Obstetrics & Gynecology | 2163 E Baseline Rd, Suite 101, Tempe, AZ 85283-1541 | 2006-03-20 |
| 1205837861 | Edward D Szmuc | Obstetrics & Gynecology | 6301 S Mcclintock Dr Ste 215, Tempe, AZ 85283 | 2005-08-04 |
| 1114922119 | Tiersa Hw Damore | Obstetrics & Gynecology | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2005-06-16 |
| 1588669584 | Adam Brett Alperin | Obstetrics & Gynecology | 6301 S. Mcclintock Dr. #215, Kirsten Sorensen, Tempe, AZ 85283 | 2005-06-16 |
| 1598373995 | Brittany Schulte | Obstetrics & Gynecology | 6301 S Mcclintock Dr Ste 215, Tempe, AZ 85283-3394 | 2020-07-21 |
| 1811346968 | Anthony John Canestraro | Obstetrics & Gynecology | 6301 S Mcclintock Dr, Tempe, AZ 85283-3392 | 2016-06-09 |
| 1417327107 | Healogics Specialty Physicians of Arizona, LLC | Obstetrics & Gynecology | 1500 S Mill Ave, Tempe, AZ 85281-6699 | 2015-10-07 |
| 1740587476 | Robert Krauss | Obstetrics & Gynecology | 1501 W Fountainhead Pkwy, Suite 201, Tempe, AZ 85282-1868 | 2011-02-15 |
| Find all providers in TEMPE | ||||
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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.