DR. MANU BHAKOO (NPI# 1518952373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518952373 |
| Entity Type | Individual |
| Full Name | DR. MANU BHAKOO |
| Credential | MD |
| Practice Address |
1075 S Idaho Rd Suite 206 Apache Junction AZ 85219-6496 |
| Mailing Address |
Po Box 16455 Mesa AZ 85211-6455 |
| Practice Telephone | 4808891234 |
| Practice Fax Number | 4808891235 |
| Mailing Telephone | 4809620511 |
| Mailing Fax Number | 4809620523 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37865 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 24302 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 300232 | 05 | |
| OK | 200050810A | 05 | |
| OK | AETNA | 7738422 | 01 |
| Street Address |
1075 S IDAHO RD SUITE 206 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85219-6496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027878 | Jeremy Michael Stewart | Physical Therapist | 1075 S Idaho Rd, Apache Junction, AZ 85119 | 2019-01-18 |
| 1548690837 | Mark Lostracco | Physical Therapist | 1075 S Idaho Rd, Apache Junction, AZ 85119-6496 | 2013-11-22 |
| 1144583592 | Continuum Wellness Clinic, LLC | Durable Medical Equipment & Medical Supplies | 1075 S Idaho Rd, Suite 210, Apache Junction, AZ 85119-6496 | 2012-06-20 |
| 1942446083 | Moulton Family Eye Care LLC | Optometrist | 1075 S Idaho Rd, Suite 105b, Apache Junction, AZ 85119-6496 | 2008-12-19 |
| 1548429996 | Evaune Gale Winsor | Contractor | 1075 S Idaho Rd, Suite 106a, Apache Junction, AZ 85219 | 2008-06-02 |
| 1225208481 | Winn's Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2008-03-04 |
| 1588866453 | Apache Junction Pediatrics | Pediatrics | 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496 | 2007-06-04 |
| 1710042957 | Janet Michelle Gradle | Nurse Practitioner | 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496 | 2006-12-27 |
| 1154338440 | Shannon Cole Winn | Specialist | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2006-08-01 |
| 1841238565 | Jason Hugh Moulton | Optometrist | 1075 S Idaho Rd, Suite 105b, Apache Junction, AZ 85119-6496 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659508844 | John Gutierrez | Social Worker | 477 E Broadway Road, Apache Junction, AZ 85219 | 2009-06-16 |
| 1659533966 | Continuum Wellness Clinic | Clinic/Center | 1075 E Idaho Road, #210, Apache Junction, AZ 85219 | 2008-06-27 |
| 1932267846 | Jennifer Siozos | Counselor | 477 E. Broadway Road, Apache Junction, AZ 85219 | 2006-12-04 |
| 1285715458 | Brian M Bouck | Physical Therapist | 1075 S Idaho, #210, Apache Junction, AZ 85219 | 2006-10-17 |
| 1881778322 | Elwynn C Caffall | Dentist | 110 S Idaho Rd, #260, Apache Jct, AZ 85219 | 2006-10-24 |
| 1548419245 | Joyce Maurer Lindquist | Registered Nurse | 1785 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2008-09-17 |
| 1790803849 | Apache Junction Unified School District | Speech-Language Pathologist | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-03-27 |
| 1619197969 | Heather Ann Lundquest | Registered Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-27 |
| 1740302728 | Four Peaks Elementary School | Licensed Practical Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-03 |
| 1447223920 | Lisa R Field-sherlock | Optometrist | 110 S Idaho Rd, Apache Junction, AZ 85219-2379 | 2006-02-07 |
| Find all providers in zip 85219 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588866453 | Apache Junction Pediatrics | Pediatrics | 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496 | 2007-06-04 |
| 1013999226 | Marcela Cristea | Pediatrics | 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85119-6496 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85219 |
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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.