ABDULLAH HANNA-MOUSSA (NPI# 1194735456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194735456 |
Entity Type | Individual |
Full Name | ABDULLAH HANNA-MOUSSA |
Credential | MD |
Practice Address |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 |
Mailing Address |
18301 N 79th Ave Ste C136 Glendale AZ 85308-8471 |
Practice Telephone | 6238763800 |
Mailing Telephone | 4806076825 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-02-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
41644 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 451541 | 05 |
Street Address |
13640 N PLAZA DEL RIO BLVD |
City | PEORIA |
State | AZ |
Zip Code | 85381-4846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649279654 | John Peter Kieley | Internal Medicine | 13640 N Plaza Del Rio Blvd, Suite 220, Peoria, AZ 85381-4846 | 2005-07-20 |
1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
1871062158 | Samantha Mae Boartfield | Pharmacist | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2018-11-16 |
1790236487 | Israa Al-sayyed | Physician Assistant | 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 | 2016-10-18 |
1326408444 | Banner Pharmacy Services LLC | Pharmacy | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2016-03-02 |
1801278981 | Shin Jung Yoon | Family Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2015-06-24 |
1831584044 | Michelle Obillo Prestoza | Family Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2015-04-03 |
1578967162 | Tina Marino | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Suite 230, Peoria, AZ 85381-4846 | 2014-10-10 |
1396156139 | Banner Health | Non-Pharmacy Dispensing Site | 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 | 2014-05-14 |
1932522836 | Deborah L. Burns | Registered Nurse | 13640 N Plaza Del Rio Blvd, 210, Peoria, AZ 85381-4846 | 2014-01-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
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Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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 |
---|---|---|---|---|
1053340620 | Endocrine & Diabetes, Sc | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-03 |
1295090330 | Jose T Kuzhively | Internal Medicine | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2012-07-04 |
1487927265 | Terry I Meriden Md Sc | Internal Medicine | 900 Main St, Suite 300, Peoria, IL 61602-1005 | 2012-02-09 |
1740483619 | Srividya Ariyan | Internal Medicine | 9171 W Thunderbird Rd, Peoria, AZ 85381-4872 | 2007-06-07 |
1467538231 | Terry Meriden | Internal Medicine | 900 Main Street, Suite 300, Peoria, IL 61602 | 2006-10-27 |
1265443782 | Rekha Kumari Agarwal | Internal Medicine | 9165 W Thunderbird Rd, Ste 200, Peoria, AZ 85381-4847 | 2006-08-10 |
1992738728 | Jeffrey Y Chang | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-07 |
1639108202 | Thomas R Dorsch | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770146466 | Arkangel Endocrinology & Diabetes | Internal Medicine | 1661 E Camelback Rd Ste 235, Phoenix, AZ 85016-3983 | 2019-04-17 |
1689157166 | Healthy Living Diabetes and Endocrinology Plc | Internal Medicine | 908 W Chandler Blvd B-4, Building B, Suite 4, Chandler, AZ 85225-2548 | 2018-09-11 |
1073966487 | Desert Sky Endocrinology Associates Plc | Internal Medicine | 7115 E Baseline Rd, Suite 110, Mesa, AZ 85209-4039 | 2016-07-20 |
1609287317 | Stewart Hamilton | Internal Medicine | 11306 E Via Canada, Yuma, AZ 85367-7241 | 2014-05-15 |
1003168840 | Naga Nalini Tirumalasetty | Internal Medicine | 908 W Chandler Blvd Ste 4, Chandler, AZ 85225-2548 | 2012-10-03 |
1811257710 | Syoufi Endocrinology | Internal Medicine | 9336 E Raintree Dr Ste 150, Scottsdale, AZ 85260-7314 | 2012-05-24 |
1366731358 | Gina Marie Mathew | Internal Medicine | 1917 S Crismon Rd, Mesa, AZ 85209-6216 | 2011-03-30 |
1528387834 | Suzi Kochar | Internal Medicine | 3000 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7802 | 2010-05-26 |
1275762130 | Muhammad Jawad Sethi | Internal Medicine | 6365 E Tanque Verde Rd Ste 200, Tucson, AZ 85715 | 2009-07-13 |
1790956464 | Dcoa Physician Associates Pa | Internal Medicine | Nec Litchfield & Mcdowell Road, Building A Suite 104, Goodyear, AZ 85338 | 2008-03-20 |
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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.