DR. SANDRA MARIE BRONNI (NPI# 1548209950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548209950 |
| Entity Type | Individual |
| Full Name | DR. SANDRA MARIE BRONNI |
| Credential | M.D. |
| Practice Address |
2090 Smoketree Ave N Lake Havasu City AZ 86403-5806 |
| Mailing Address |
Po Box 3630 Flagstaff AZ 86003-3630 |
| Practice Telephone | 9288541800 |
| Practice Fax Number | 9288541847 |
| Mailing Telephone | 9285229879 |
| Mailing Fax Number | 9285229880 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 60405 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2090 SMOKETREE AVE N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869302 | Mario Albert Torres | Internal Medicine | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2005-11-28 |
| 1932747870 | Ashley Renae Powell | Nurse Practitioner | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2019-12-10 |
| 1053582627 | Lakeview Family Health Care | Family Medicine | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2008-03-21 |
| 1578628293 | James M. De Laughter | Nurse Practitioner | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2006-12-22 |
| 1821005968 | Laura Ann Shackelford | Nurse Practitioner | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 | 2006-08-02 |
| 1588697544 | Neal Patrick Patalinghug | Family Medicine | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 | 2006-07-09 |
| 1114968310 | Lorraine R Byrd | Pediatrics | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2006-06-09 |
| 1104867308 | Kelli M Ward | Family Medicine | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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 |
|---|---|---|---|---|
| 1386833119 | Praise Pediatrics LLC | Pediatrics | 84 Acoma Blvd N, Suite 104, Lake Havasu City, AZ 86403-6096 | 2007-10-17 |
| 1093806093 | Vic S Oyas | Pediatrics | 1980 Mesquite Ave Ste 101, Lake Havasu City, AZ 86403-7713 | 2006-09-27 |
| 1205369162 | Parnian Changizzadeh | Pediatrics | 1851 Mesquite Ave Ste 202, Lake Havasu City, AZ 86403-5681 | 2017-04-07 |
| 1023469376 | Jodi P Cook | Pediatrics | 1851 Mesquite Ave Ste 202, Lake Havasu City, AZ 86403-5681 | 2016-06-28 |
| 1669729851 | Weiss Pediatrics Pllc | Pediatrics | 2082 Mesquite Ave, Suite A-102, Lake Havasu City, AZ 86403-6710 | 2012-08-07 |
| 1114968310 | Lorraine R Byrd | Pediatrics | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 2006-06-09 |
| 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 | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.