MARTTI ELLIS KAHKONEN (NPI# 1336211101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336211101 |
| Entity Type | Individual |
| Full Name | MARTTI ELLIS KAHKONEN |
| Credential | M.D. |
| Practice Address |
1050 Gail Gardner Way Ste 100 Prescott AZ 86305-1631 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 9287770700 |
| Practice Fax Number | 9284454464 |
| Mailing Telephone | 9287595874 |
| Mailing Fax Number | 9284582039 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
56015 | AZ | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
35051440 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA MEDICAL LICENSE | 56015 | 01 |
| Street Address |
1050 GAIL GARDNER WAY STE 100 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063492346 | Tiffany A Lunt | Family Medicine | 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305-1631 | 2006-01-20 |
| 1770767022 | Yavapai Orthopaedics, Pllc | Orthopaedic Surgery | 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305-1631 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871924886 | Lisa Ann Moynihan | Preventive Medicine | 3725 W Nightflower St, Tucson, AZ 85741-2755 | 2013-12-02 |
| 1376819805 | Stefanie Lundell | Preventive Medicine | 1951 N. Wilmot Rd, Bldg 1, Suite 3a, Wellamerica, Inc., Tucson, AZ 85712-8000 | 2012-03-29 |
| 1457622011 | Francis Feng Song | Preventive Medicine | 3905 E Wildhorse Dr, Gilbert, AZ 85297-7863 | 2012-01-13 |
| 1407149867 | Helmut W Fleischer | Preventive Medicine | 1658 S Litchfield Rd, Goodyear, AZ 85338-1509 | 2011-05-18 |
| 1366771271 | Scott A Krasner | Preventive Medicine | 7656 N Sonoma Way, Tucson, AZ 85743-9489 | 2009-12-24 |
| 1205160454 | Joseph M. Hughes | Preventive Medicine | 9596 E Roadrunner Dr, Scottsdale, AZ 85262-1442 | 2009-09-21 |
| 1558482703 | William R. Lewis | Preventive Medicine | 320 E. Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004 | 2007-04-03 |
| 1174648844 | Gilbert T Webb II | Preventive Medicine | 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004-4514 | 2007-03-20 |
| 1053436063 | Michael A Keer | Preventive Medicine | 5340 W Buckeye Rd, Suite 3, Phoenix, AZ 85043-4700 | 2007-03-20 |
| 1881719615 | Robert N Gavlak | Preventive Medicine | 4600 S Park Avenue, Suite 3-5, Tucson, AZ 85714 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
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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.