ACCREDITED INTERNAL MEDICINE, P.C.


Address: 4350 E Ray Rd, Suite 101b, Phoenix, AZ 85044-4703
Phone: 4809610014

ACCREDITED INTERNAL MEDICINE, P.C. (NPI# 1194993600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194993600
Entity Type Organization
Organization Name ACCREDITED INTERNAL MEDICINE, P.C.
Practice Address 4350 E Ray Rd
Suite 101b
Phoenix
AZ 85044-4703
Practice Telephone 4809610014
Practice Fax Number 4809610024
Mailing Telephone 4809610014
Mailing Fax Number 4809610024
Enumeration Date 2008-02-19
Last Update Date 2009-02-06
Authorized Official Name BARBARA ANNETTE BLACK (OFFICE MANAGER)
Authorized Official Telephone 4809610014
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 169187 05

Office Location

Street Address 4350 E RAY RD
SUITE 101B
City PHOENIX
State AZ
Zip Code 85044-4703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609837277 Ronald K Walker Dentist 4350 E Ray Rd, Suite 115, Phoenix, AZ 85044-4703 2006-03-31
1700484920 Courtney Lynn Mccurdy Occupational Therapist 4350 E Ray Rd, Phoenix, AZ 85044-4703 2020-10-09
1487266508 James Roberts Occupational Therapist 4350 E Ray Rd, Phoenix, AZ 85044-4703 2020-08-19
1679190391 Kate Jessen Physical Therapist 4350 E Ray Rd, Phoenix, AZ 85044-4703 2020-06-29
1992351332 Katie Chung Physical Therapist 4350 E Ray Rd, Phoenix, AZ 85044-4703 2019-08-12
1710425905 Megan Lenzi Occupational Therapist 4350 E Ray Rd, Phoenix, AZ 85044-4703 2017-02-07
1417494592 Eca Investments, LLC Durable Medical Equipment & Medical Supplies 4350 E Ray Rd, Bldg. 5, Ste. 122, Phoenix, AZ 85044-4703 2017-01-26
1619289055 Stephanie Sage Withrow Counselor 4350 E Ray Rd, Phoenix, AZ 85044-4703 2010-07-13
1548585565 Margaret Skurdahl Physician Assistant 4350 E Ray Rd, Ste 101a, Phoenix, AZ 85044-4703 2010-04-01
1871759043 Douglas Allen Pulsipher Dentist 4350 E Ray Rd, Suite 116, Phoenix, AZ 85044-4703 2008-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023637345 Jamie Roshun Dawson Contractor 13229 S 48th St Apt 3051, Phoenix, AZ 85044 2020-04-16
1548807514 The Horizon Chiropractic Center Clinic/Center 4425 East Agave Road Suite 104, Phoenix, AZ 85044 2019-12-09
1134777634 Elite Therapy of Az Occupational Therapist 15245 S 48th Street, Phoenix, AZ 85044 2019-08-28
1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1578082392 Karena Janiece Herron Nurse Practitioner 13625 S 48th St Apt 2100, Phoenix, AZ 85044 2017-09-13
1053847319 Amanda Girardi Dentist 4726 E Verbena Dr, Phoenix, AZ 85044 2017-05-05
1518402593 Janet Swift Counselor 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 2016-12-29
1588074876 Suzanne Morris Nurse Practitioner 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 2014-05-07
1891117974 Dr. Cameron Khavari Pllc Chiropractor 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 2014-01-09
1316213416 Shyam Sundar Tangri Internal Medicine 13623 S. 45th St, Phoenix, AZ 85044 2012-03-22
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326585662 Cleanslate Medical Group of Arizona Pllc Internal Medicine 8410 W Thomas, Phoenix, AZ 85037 2017-01-25
1851694103 Rtopete, Md, Plc Internal Medicine 3145 E Chandler Blvd Ste 110, Pmb 437, Phoenix, AZ 85048-8702 2010-12-08
1033342027 Rtopete LLC Internal Medicine 1943 E Brookwood Ct, Phoenix, AZ 85048-4233 2009-08-25
1487611158 Reyes R Topete Internal Medicine 3145 E Chandler Blvd, Ste 110 Pmb 437, Phoenix, AZ 85048-8702 2006-04-27
1033247630 Michael W. Loes Internal Medicine 11047 N 19th Ave, Phoenix, AZ 85029-4816 2007-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811491780 Ford Medical Treatment Center Internal Medicine 11624 E Bellflower Dr, Chandler, AZ 85249-4525 2018-03-23
1033509070 Cope Community Services, Inc. Internal Medicine 5401 E. 5th Street, Tucson, AZ 85712 2015-01-29
1346519071 Jay E Caldwell Internal Medicine 4700 N Camino Corto, Tucson, AZ 85718-6011 2011-12-27
1700835063 Michel A Sucher Internal Medicine 3260 N Hayden Rd, Suite 101, Scottsdale, AZ 85251-6649 2006-05-06
1891793956 Robert F Kasa Internal Medicine 500 N Florence St, Casa Grande, AZ 85122 2005-07-12
1841899887 Margie Faye Hoke Internal Medicine 9377 E Bell Rd Ste 361, Scottsdale, AZ 85260-1870 2020-10-21
1639633068 Hope Medical Clinic Internal Medicine 500 N Florence St, Casa Grande, AZ 85122-4427 2019-01-30
1487845756 Robert F. Kasa Md PC Internal Medicine 500 N Florence St, Casa Grande, AZ 85122-4427 2007-08-05
1982653838 Hope Medical Clinic Internal Medicine 500 N Florence St, Casa Grande, AZ 85122-4427 2006-05-09

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City PHOENIX
Zip Code 85044

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Dataset Information

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.

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