OCOTILLO INTERNAL MEDICINE ASSOCIATES (NPI# 1154543650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154543650 |
| Entity Type | Organization |
| Organization Name | OCOTILLO INTERNAL MEDICINE ASSOCIATES |
| Practice Address |
245 S Dobson Rd Chandler AZ 85224-6577 |
| Practice Telephone | 4808955870 |
| Practice Fax Number | 4808950573 |
| Mailing Telephone | 4808955870 |
| Mailing Fax Number | 4808950573 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | DR. JONATHAN W HACKENYOS (PARTNER) |
| Authorized Official Telephone | 4808955870 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
245 S DOBSON RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-6577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609832 | Jonathan W Hackenyos | Internal Medicine | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2006-04-19 |
| 1538641410 | Nicole Christine Uhriniak | Physician Assistant | 245 S Dobson Rd, Chandler, AZ 85224 | 2018-09-06 |
| 1932695764 | Michaela Katherine Hicks | Internal Medicine | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2018-07-04 |
| 1235641747 | Brooke M Lee | Physician Assistant | 245 S Dobson Rd, Chandler, AZ 85224 | 2017-10-25 |
| 1659800290 | Kelsey Collins | Physician Assistant | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2017-06-07 |
| 1881142420 | Lia Seguine | Physician Assistant | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2016-09-12 |
| 1477989291 | Carly Marie Hopkins | Physician Assistant | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2013-09-25 |
| 1689935082 | Lily Delatte | Internal Medicine | 245 S Dobson Rd, Chandler, AZ 85224 | 2012-06-01 |
| 1881978963 | Ashlyn Nichole Smith | Physician Assistant | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2011-10-06 |
| 1205129798 | Drew Hall | Internal Medicine | 245 S Dobson Rd, Chandler, AZ 85224-6577 | 2011-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1760045009 | Neighborhood Hospice LLC | Internal Medicine | 13000 N 103rd Ave Ste 56, Sun City, AZ 85351-3024 | 2019-04-22 |
| 1790201960 | Suncrest Hospice Phoenix LLC | Internal Medicine | 4650 E Cotton Center Blvd Ste 110, Phoenix, AZ 85040-4801 | 2017-08-18 |
| 1720463466 | Agape Palliative Care, LLC | Internal Medicine | 2980 N Swan Rd, Ste 225, Tucson, AZ 85712-6024 | 2015-07-23 |
| 1801203682 | Amrita Kaur Sabharwal | Internal Medicine | 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 | 2014-07-14 |
| 1699918235 | Tlc Healthcare Wound Specialists Inc | Internal Medicine | 5130 N Circulo Sobrio, Tucson, AZ 85718-6036 | 2009-04-13 |
| 1417121849 | A Collins Villamor | Internal Medicine | 13000 N 103rd Ave Ste 54, Sun City, AZ 85351-3024 | 2008-04-16 |
| 1003027426 | John Polacheck | Internal Medicine | 1701 W. St. Mary's Rd., Suite 102, Tucson, AZ 85745 | 2007-05-25 |
| 1336785567 | Compassus Op of Arizona LLC | Internal Medicine | 120 N 44th St Ste 150, Phoenix, AZ 85034-1829 | 2019-11-22 |
| 1013571017 | Wings of Hope Hospice and Palliative Care Inc. | Internal Medicine | 11022 N 28th Dr Ste 205, Phoenix, AZ 85029-5635 | 2019-04-24 |
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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.