JENNIFER DUMBOLTON (NPI# 1255488557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255488557 |
| Entity Type | Individual |
| Full Name | JENNIFER DUMBOLTON |
| Credential | D.O. |
| Practice Address |
122 E Main St Payson AZ 85541-5574 |
| Practice Telephone | 9284742888 |
| Practice Fax Number | 9284742992 |
| Mailing Telephone | 9284742888 |
| Mailing Fax Number | 9284742992 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 005119 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R-7684 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 386378 | 05 | |
| IA | 0476960 | 05 |
| Street Address |
122 E MAIN ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267937 | Leroy Wombold | Surgery | 122 E Main St, Payson, AZ 85541 | 2006-03-07 |
| 1588158448 | Banner Cancer Center Specialists LLC | Clinic/Center | 122 E Main St, Payson, AZ 85541-5574 | 2018-06-14 |
| 1699950485 | Akdhc, Ll | Internal Medicine | 122 E Main St, Akdhc (mountain View Family Clinic), Payson, AZ 85541-0000 | 2007-12-31 |
| 1932156437 | Mountain View Family Medicine PC | Family Medicine | 122 E Main St, Payson, AZ 85541-5646 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124503396 | Wesley Shayne Bott | Family Medicine | 238 E 400 S, Payson, UT 84651-5735 | 2018-10-03 |
| 1023449733 | Ihc Health Services Inc | Family Medicine | 854 Turf Farm Rd, Ste 1, Payson, UT 84651-5733 | 2013-12-05 |
| 1033349733 | Britton R Ercanbrack | Family Medicine | 854 Turf Farm Rd Unit 1, Payson, UT 84651-5733 | 2009-07-16 |
| 1356519656 | Elk Ridge Family Practice PC | Family Medicine | 1172 E 100 N Ste 11, Payson, UT 84651-1668 | 2008-02-20 |
| 1689866923 | Ray Dauson Hughes | Family Medicine | 914 N Blazing Star Cir, Payson, AZ 85541-1908 | 2007-08-10 |
| 1437364882 | Mountainlands Community Health Center, Inc | Family Medicine | 910 E 100 N Ste 155, Payson, UT 84651-1638 | 2007-05-11 |
| 1750425849 | Sheila Eva Bloomquist | Family Medicine | 101 E State Highway 260, Payson, AZ 85541-4921 | 2007-02-20 |
| 1790836575 | David E. Glow | Family Medicine | 1701 W Riley Rd, Payson, AZ 85541-3521 | 2007-01-16 |
| 1306996798 | Michael Paul Lowe | Family Medicine | 903 E. Hwy. 260, Suite #2, Payson, AZ 85541-4972 | 2007-01-10 |
| 1689692071 | Robert Brent Clark | Family Medicine | 97 S. Professional Way, Payson, UT 84651 | 2006-07-17 |
| Find all providers in PAYSON | ||||
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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.