THEODORE DANIEL LONDON (NPI# 1417950742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417950742 |
| Entity Type | Individual |
| Full Name | THEODORE DANIEL LONDON |
| Credential | MD |
| Practice Address |
3003 Highway 95 Ste 31 Bullhead City AZ 86442-7860 |
| Practice Telephone | 9287042229 |
| Practice Fax Number | 9287042255 |
| Mailing Telephone | 9287042229 |
| Mailing Fax Number | 9287042255 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 28719 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
3003 HIGHWAY 95 STE 31 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830418 | Lisa Darrah | Nurse Practitioner | 3003 Highway 95, Suite 100, Bullhead City, AZ 86442-7860 | 2017-02-15 |
| 1477006724 | Mohave Eye Center, Ltd | Optometrist | 3003 Highway 95, Suite 11, Bullhead City, AZ 86442-7860 | 2016-08-03 |
| 1912334988 | Nayef T. Resk Md Inc. | Internal Medicine | 3003 Highway 95, Suite 35, Bullhead City, AZ 86442-7896 | 2013-10-04 |
| 1740544741 | Marian Bautista Cid | Nurse Practitioner | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2012-06-25 |
| 1437300506 | Abc Therapy, Inc. | Preferred Provider Organization | 3003 Highway 95, Suite N-104, Bullhead City, AZ 86442-7860 | 2008-10-07 |
| 1831354414 | Southwestern Eye Center Ltd | Clinic/Center | 3003 Highway 95, Ste. 63, Bullhead City, AZ 86442-7860 | 2008-07-23 |
| 1952564841 | Keith E. Boyd Jr Dds PC | Dentist | 3003 Highway 95, Suite 103, Bullhead City, AZ 86442-7860 | 2008-07-09 |
| 1164603239 | Associated Bilingual Counselors, Inc. | Counselor | 3003 Highway 95, Suite 104, Bullhead City, AZ 86442-7860 | 2007-11-16 |
| 1992901672 | Ob-gyn Women's Center, PC | Point of Service | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2007-06-21 |
| 1942339460 | Mohave Arthritis Associates, Inc | Internal Medicine | 3003 Highway 95, Suite 100, Bullhead City, AZ 86442-7860 | 2007-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609941582 | David A Pennington | Obstetrics & Gynecology | 2020 Silver Creek Rd Ste 206, Bullhead City, AZ 86442-8476 | 2006-11-23 |
| 1720224116 | Stephen Vinh Whipp | Obstetrics & Gynecology | 2020 Silver Creek Rd Ste 206, Bullhead City, AZ 86442-8476 | 2009-01-06 |
| 1396888665 | Teresa Borchers | Obstetrics & Gynecology | 2500 Canyon Rd, Bullhead City, AZ 86442-8689 | 2007-02-15 |
| 1063510204 | Tri-state Ob-gyn PC | Obstetrics & Gynecology | 3003 Highway 95, Ste 31, Bullhead City, AZ 86442-7860 | 2006-09-20 |
| 1962429878 | Bullhead City Clinic Corp | Obstetrics & Gynecology | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724477 | Lilac Healthcare LLC | Obstetrics & Gynecology | 655 S Dobson Rd Ste A101, Chandler, AZ 85224-5675 | 2019-11-15 |
| 1619538907 | Marchand Obgyn and Partners Pllc | Obstetrics & Gynecology | 10238 E Hampton Ave Ste 212b, Mesa, AZ 85209-3316 | 2019-06-26 |
| 1215594809 | Deleonguerrero Obgyn, Pllc | Obstetrics & Gynecology | 1100 N. San Francisco St, Ste B, Flagstaff, AZ 86001-3200 | 2019-05-20 |
| 1902378342 | Rmercadomd, LLC | Obstetrics & Gynecology | 1500 North Wilmot Road, #c-260, Tucson, AZ 85712-4416 | 2018-12-26 |
| 1851863591 | William Quesenberry | Obstetrics & Gynecology | 85 Evergreen Dr, Sedona, AZ 86336-3043 | 2018-12-19 |
| 1982173779 | Kathryn Diana Kenton Kohler | Obstetrics & Gynecology | 767 E Canyon Rock Rd, Green Valley, AZ 85614-5246 | 2018-11-21 |
| 1003313362 | Womens Health Palace Pllc | Obstetrics & Gynecology | 1491 N Arizona Blvd Ste 110, Coolidge, AZ 85128-3261 | 2018-04-12 |
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1497295836 | Jei Holdings, LLC | Obstetrics & Gynecology | 9377 E Bell Rd Ste 313, Scottsdale, AZ 85260-1504 | 2017-03-05 |
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| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.