DR. JESSE KIPP (NPI# 1649702978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649702978 |
| Entity Type | Individual |
| Full Name | DR. JESSE KIPP |
| Credential | DO |
| Practice Address |
965 W Chandler Heights Rd Chandler AZ 85248-5724 |
| Mailing Address |
6285 S Higley Rd Gilbert AZ 85298-4262 |
| Practice Telephone | 4804604949 |
| Practice Fax Number | 4804605858 |
| Mailing Telephone | 4804604949 |
| Mailing Fax Number | 4804605858 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 008606 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6285 S Higley Rd, Gilbert, AZ 852984262 | 4804604949 | 4804605858 |
| Street Address |
965 W CHANDLER HEIGHTS RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115371 | Natalie A Teng | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2005-09-22 |
| 1992114680 | Katelyn Squire | Physician Assistant | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2014-08-06 |
| 1437417342 | Lora J Van Tassel | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248 | 2012-04-27 |
| 1164442398 | David Michael Ciminello | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2006-07-20 |
| 1922072289 | Cheri Jeanine Nason | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| 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 |
|---|---|---|---|---|
| 1851802151 | Our Kidz Doc Pllc | Pediatrics | 3341 W Sheffield Ave, Chandler, AZ 85226-1418 | 2017-10-13 |
| 1780970343 | Abigail Frigillana Alviar | Pediatrics | 5680 W. Chandler Blvd., Suite 3, Chandler, AZ 85226-3342 | 2011-06-22 |
| 1164756995 | Amy Michelle Guzek | Pediatrics | 6909 W Ray Rd Ste 9, Chandler, AZ 85226-1526 | 2009-09-25 |
| 1699973750 | Pendleton Pediatrics PC | Pediatrics | 1445 W Chander Blvd, Bldg B, Chandler, AZ 85248 | 2007-07-10 |
| 1841399615 | Susan Chung | Pediatrics | 60 S Kyrene Rd, #1, Chandler, AZ 85226-4685 | 2006-09-21 |
| 1851318604 | Healing Hearts Pediatrics | Pediatrics | 595 N Dobson Rd Ste A18, Chandler, AZ 85224-4237 | 2006-07-17 |
| 1982677365 | Eric B Nyman | Pediatrics | 797 N Alma School Rd, Suite A8, Chandler, AZ 85224-3664 | 2006-02-08 |
| 1851362602 | Sumbul Shakoor | Pediatrics | 1850 W Frye Rd, Ste 101, Chandler, AZ 85224 | 2006-01-30 |
| 1174594931 | Asma Jafri | Pediatrics | 2175 N Alma School Rd Ste C104, Chandler, AZ 85224-2879 | 2006-01-30 |
| 1629059290 | Sandra Romero | Pediatrics | 595 N. Dobson Rd., Suite A18, Chandler, AZ 85224-4226 | 2005-11-09 |
| Find all providers in CHANDLER | ||||
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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.