DR. MICHELLE L JEFFRIES (NPI# 1669703286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669703286 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE L JEFFRIES |
| Credential | D.O. |
| Practice Address |
13943 N 91st Ave C-101 Peoria AZ 85381-3629 |
| Practice Telephone | 6237609449 |
| Practice Fax Number | 6239749351 |
| Mailing Telephone | 6237609449 |
| Mailing Fax Number | 6139749351 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
005347 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P00858778 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | 1669703286 | 01 |
| AZ | 545954 | 05 | |
| AZ | CIGNA | 3873832 | 01 |
| AZ | AHCCCS | 545954 | 01 |
| AZ | HEALTH NET | 4Z2977 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154605764 | Michelle Renee Jeffries | Nurse Practitioner | 1001 Lakeside Dr, Evercare/united Healthcare, Cleveland, OH 44102 | 2011-09-30 |
| Street Address |
13943 N 91ST AVE C-101 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508162 | Wayne A Weissinger | Nurse Practitioner | 13943 N 91st Ave, #h-101, Peoria, AZ 85381-3629 | 2005-12-13 |
| 1497156152 | Sun Imaging Associates | Radiology | 13943 N 91st Ave, Suite A102, Peoria, AZ 85381-3629 | 2014-09-11 |
| 1578904652 | Sun Imaging Associates Plc | Radiology | 13943 N 91st Ave, Suite A-102, Peoria, AZ 85381-3629 | 2013-07-17 |
| 1588956361 | Melissa F Efron-everett | Dermatology | 13943 N 91st Ave, Suite C-101, Peoria, AZ 85381-3629 | 2011-05-11 |
| 1073817490 | Scan Health Imaging LLC | Radiology | 13943 N 91st Ave, Suite 102, Peoria, AZ 85381-3629 | 2010-12-28 |
| 1063739373 | Murli Raman Md Facc Pllc | Internal Medicine | 13943 N 91st Ave, Suite F101, Peoria, AZ 85381-3629 | 2010-04-26 |
| 1609010883 | Amer Khan | Internal Medicine | 13943 N 91st Ave, Ste H101, Peoria, AZ 85381-3689 | 2009-05-01 |
| 1376798421 | Iain Alan Black | Physician Assistant | 13943 N 91st Ave, Building I, Peoria, AZ 85381-3629 | 2008-11-17 |
| 1063661023 | Phoenix Medical Group PC | Clinic/Center | 13943 N 91st Ave, Suite B104, Peoria, AZ 85381-3687 | 2008-09-15 |
| 1134309123 | Patrick L Dobash Dds PC | Dentist | 13943 N 91st Ave, Suite H-102, Peoria, AZ 85381-3689 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578068250 | Cynthia J Price Md Pllc | Dermatology | 6710 E Camelback Rd Ste 220, Scottsdale, AZ 85251-2012 | 2018-03-26 |
| 1548502701 | Daniela Cotrim Russi | Dermatology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-03-26 |
| 1073860920 | David Israel Andrews | Dermatology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-08-09 |
| 1508190133 | Vanessa Gildenstern | Dermatology | 1919 E Thomas Rd, Main Building, Phoenix, AZ 85016-7710 | 2009-09-29 |
| 1659552560 | Richard Cirelli, Md, PC | Dermatology | 955 Black Dr, Prescott, AZ 86305-1403 | 2007-11-19 |
| 1659593895 | Harper Price | Dermatology | 1919 E Thomas Rd, Main Building, 2nd Floor, Clinic F, Phoenix, AZ 85016-7710 | 2007-05-03 |
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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.