KENTROMED PLLC (NPI# 1487922290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487922290 |
| Entity Type | Organization |
| Organization Name | KENTROMED PLLC |
| Practice Address |
6130 N La Cholla Blvd Ste 117 Tucson AZ 85741-3589 |
| Mailing Address |
Po Box 36210 Tucson AZ 85740-6210 |
| Practice Telephone | 5202971803 |
| Practice Fax Number | 5205300128 |
| Mailing Telephone | 5202971803 |
| Mailing Fax Number | 5205310128 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | MR. TENEY B KENTRO (OWNER) |
| Authorized Official Telephone | 5202971803 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
25062 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
6130 N LA CHOLLA BLVD STE 117 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619269875 | Gerald E Morris | Internal Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2011-05-06 |
| 1013517333 | Amg Medical Tucson LLC | Internal Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2020-10-27 |
| 1871850453 | Kentromed, Pllc | Family Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2012-04-19 |
| 1164714325 | Amanda S Bacchus-morris | Internal Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741 | 2011-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
| 1568556561 | Vicki L Greiff Md | Internal Medicine | 1704 W Anklam, Suite 106, Tucson, AZ 85745 | 2006-10-03 |
| 1750328969 | Maressa M Alejandro Reyes | Internal Medicine | 1702 W. Anklam Road, Suite 111, Tucson, AZ 85745 | 2006-05-31 |
| 1598748428 | Milan Jansky | Internal Medicine | 1500 W Commerce Ct, Tucson, AZ 85746-6015 | 2005-11-23 |
| 1730160573 | Scott M Bolhack | Internal Medicine | 5130 North Circulo Sobrio, Tucson, AZ 85718-6036 | 2005-11-09 |
| 1295234615 | Emerald Care Pllc | Internal Medicine | 5390 E Erickson Dr, Tucson, AZ 85712-2822 | 2018-02-12 |
| 1285046706 | Shaun Chatelain | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724 | 2014-06-02 |
| 1528358322 | Bravo Geriatrics | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2011-04-13 |
| 1548417470 | Issa Y. Hallaq | Internal Medicine | 1 W Wetmore Rd, Suite 103, Tucson, AZ 85705-1687 | 2008-08-21 |
| Find all providers in TUCSON | ||||
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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.