RONALD BERNARD KILLIAN (NPI# 1205813565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205813565 |
| Entity Type | Individual |
| Full Name | RONALD BERNARD KILLIAN |
| Credential | DPM |
| Practice Address |
25 Riviera Blvd Lake Havasu City AZ 86403-5694 |
| Practice Telephone | 9285055555 |
| Practice Fax Number | 9285052877 |
| Mailing Telephone | 9285055555 |
| Mailing Fax Number | 9285052877 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0554 | AZ | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0554 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 305439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235470113 | Ronald Joseph Killian | Pharmacist | 3701 Lapeer Rd, T-629, Flint, MI 48503-4598 | 2013-03-02 |
| Street Address |
25 RIVIERA BLVD |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912524380 | Lakeside Orthopedic Institute, LLC | Clinic/Center | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2020-07-01 |
| 1083265573 | Anita Gail Martin | Physical Therapist | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2019-09-25 |
| 1154780633 | Lakeside Physical Therapy, Rehab & Sports Medicine | Specialist/Technologist | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2016-02-12 |
| 1679764229 | Lakeside Orthopedic Institute LLC | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2007-08-08 |
| 1093938128 | Janet Marie Marinelli | Physician Assistant | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2007-04-10 |
| 1043245293 | William F Binder | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2006-07-12 |
| 1558331181 | Derek M Burnett | Physical Medicine & Rehabilitation | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2006-01-25 |
| 1841270873 | Daniel Edward Heiner | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2006-01-17 |
| 1649265596 | Eung Jun Cha | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558550533 | Kevin J Obrien Dpm Inc | Podiatrist | 1731 Mesquite Ave Ste 4, Lake Havasu City, AZ 86403-5653 | 2007-10-16 |
| 1356535405 | Western Arizona Foot & Ankle | Podiatrist | 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403-7713 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152452 | Arcadia Foot & Ankle PC | Podiatrist | 9421 W Bell Rd Ste 105, Sun City, AZ 85351-1361 | 2020-10-21 |
| 1093314072 | Arcadia Foot & Ankle PC | Podiatrist | 10900 N Scottsdale Rd Ste 101, Scottsdale, AZ 85254-5222 | 2020-10-21 |
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1285254813 | Foot & Ankle Specialists of Arizona | Podiatrist | 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 | 2020-04-23 |
| 1407418395 | Jupiter Medical Services LLC | Podiatrist | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-07-01 |
| 1629535273 | Saguaro Foot and Ankle | Podiatrist | 2128 E Maplewood St, Gilbert, AZ 85297-1140 | 2019-03-01 |
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1912439324 | Bogdan Baragau | Podiatrist | 14418 W Meeker Blvd Ste 205, Sun City West, AZ 85375-5291 | 2017-04-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on RONALD BERNARD KILLIAN.
| 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.