DR. KALEO C EDE (NPI# 1619058260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619058260 |
| Entity Type | Individual |
| Full Name | DR. KALEO C EDE |
| Credential | M.D. |
| Practice Address |
1920 E Cambridge Ave Suite 200 Phoenix AZ 85006-1459 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2327 |
| Practice Telephone | 6029330909 |
| Practice Fax Number | 6029330911 |
| Mailing Telephone | 6029331813 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A91852 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A91852 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
37734 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
A91852 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A918520 | 05 | |
| AZ | 335953 | 05 |
| Street Address |
1920 E CAMBRIDGE AVE SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630657 | Elisabet Prieto | Nurse Practitioner | 1920 E Cambridge Ave, Suite 301, Phoenix, AZ 85006-1459 | 2005-06-22 |
| 1396208625 | Nicole Dion Santonastaso | Dietitian, Registered | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 | 2019-04-12 |
| 1518486216 | Brianna Pruniski | Genetic Counselor, MS | 1920 E Cambridge Ave, Rosenberg Children's Medical Plaza, Suite 304, Phoenix, AZ 85006 | 2017-09-13 |
| 1063942639 | Allison Sayer | Audiologist | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 | 2017-06-15 |
| 1578969739 | Ashley Ortiz | Physician Assistant | 1920 E Cambridge Ave, Ste 302, Phoenix, AZ 85006-1459 | 2014-11-14 |
| 1932412152 | Andrea Marie Darosa | Dietitian, Registered | 1920 E Cambridge Ave, Suite 301, Phoenix, AZ 85006-1459 | 2010-07-16 |
| 1689986002 | Sheena Sharma | Pediatrics | 1920 E Cambridge Ave, 200, Phoenix, AZ 85006-1459 | 2010-07-14 |
| 1326363318 | Andrea Anne Ramirez | Pediatrics | 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459 | 2010-04-01 |
| 1669590543 | Mark Steven Molitor Jr. | Surgery | 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 | 2007-03-27 |
| 1336264944 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1920 E Cambridge Ave, Rosenberg Pl, Bdg E, Suite 205, Phoenix, AZ 85006-1459 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326363318 | Andrea Anne Ramirez | Pediatrics | 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459 | 2010-04-01 |
| 1972552396 | Michael Shishov | Pediatrics | 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85016-1459 | 2006-05-10 |
Please comment or provide details below to improve the information on DR. KALEO C EDE.
| 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.