DR. TUTANKHAMEN A PAPPOE (NPI# 1205818614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205818614 |
| Entity Type | Individual |
| Full Name | DR. TUTANKHAMEN A PAPPOE |
| Credential | M.D. |
| Practice Address |
650 W Southern Ave 2 Mesa AZ 85210-5012 |
| Practice Telephone | 4808443648 |
| Practice Fax Number | 4808449363 |
| Mailing Telephone | 4808443648 |
| Mailing Fax Number | 4808449363 |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 33084 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
650 W SOUTHERN AVE 2 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053717298 | Cher Ann Roanhorse | Case Manager/Care Coordinator | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1255737490 | Kathryn Marie Woolley | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1013313261 | George Montiel | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1013313485 | Susan Jean Henry | Case Manager/Care Coordinator | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-13 |
| 1366848012 | Daniel Stephen Frimer | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-07 |
| 1841498474 | New Arizona Family Inc | Voluntary or Charitable | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2007-07-05 |
| 1316005283 | Robert Dean Hunn | Pediatrics | 650 W Southern Ave, Ste 1, Mesa, AZ 85210 | 2006-12-04 |
| 1689756215 | Lifewell Behavioral Wellness | Community/Behavioral Health | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883546 | Southern Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-20 |
| 1275956799 | James Galaviz | Physical Medicine & Rehabilitation | 7900 E Eagle Crest Dr, Mesa, AZ 85207-1111 | 2014-02-04 |
| 1457645830 | Praveen Natakal Pakeerappa | Physical Medicine & Rehabilitation | 7436 E Main St Ste 1, Mesa, AZ 85207-9338 | 2011-06-03 |
| 1396047247 | Siena Physical Medicine LLC | Physical Medicine & Rehabilitation | 7227 E Baseline Rd Ste 106, Mesa, AZ 85209-5005 | 2010-11-29 |
| 1790908515 | John Christian Jones | Physical Medicine & Rehabilitation | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2007-04-10 |
| 1790793339 | James Edward Kilgore II | Physical Medicine & Rehabilitation | 1345 E Mckellips Rd Ste 101, Mesa, AZ 85203-2721 | 2006-08-03 |
| 1659364016 | Paul Anthony Blake | Physical Medicine & Rehabilitation | 123 N Centennial Way, Ste 252, Mesa, AZ 85201-6693 | 2005-08-31 |
| 1477011237 | East Southern Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-03-11 |
| 1700342110 | East Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-02-11 |
| 1801368360 | 5233 Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-21 |
| Find all providers in MESA | ||||
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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.