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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 169187 | 05 |
Street Address |
4350 E RAY RD SUITE 101B |
City | PHOENIX |
State | AZ |
Zip Code | 85044-4703 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 85044 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
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 |
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 |
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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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.