CONNECTIVE MED, LLC (NPI# 1801416011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801416011 |
| Entity Type | Organization |
| Organization Name | CONNECTIVE MED, LLC |
| Practice Address |
1641 S Carriage Ln Chandler AZ 85286-6711 |
| Mailing Address |
825 E Royal Palm Rd Phoenix AZ 85020-3749 |
| Practice Telephone | 4805702444 |
| Practice Fax Number | 4809071125 |
| Mailing Telephone | 4806529952 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | DR. HAMED ABBASZADEGAN (MANAGER) |
| Authorized Official Telephone | 4805702444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Connective Med | Doing Business As Name - Organization |
| Street Address |
1641 S CARRIAGE LN |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1760850283 | East Valley Medical Associates, Plc | Internal Medicine | 2201 W. Fairview St., #1, Chandler, AZ 85224 | 2015-09-15 |
| 1316315856 | East Valley Medical Associates, Plc | Internal Medicine | 5362 S San Sebastian Pl, Chandler, AZ 85249-3742 | 2015-09-14 |
| 1033598537 | Mark G Miles Md Pllc | Internal Medicine | 339350 E 850 Rd, Chandler, OK 74834-7759 | 2015-05-29 |
| 1053654624 | Westin Childs | Internal Medicine | 739 W Aloe Pl, Chandler, AZ 85248-4404 | 2013-04-02 |
| 1487918017 | Ramprakash Devadoss | Internal Medicine | 77 South Dobson Road, Chandler, AZ 85286 | 2012-06-28 |
| 1023374352 | Michael N. Igwe | Internal Medicine | 801 N Federal St, Chandler, AZ 85226-6316 | 2012-04-11 |
| 1336418367 | Howard Scott Podolsky | Internal Medicine | 6165 W Detroit St, Chandler, AZ 85226-2633 | 2011-12-20 |
| 1437438041 | Moses Ohiguerhei Imohi | Internal Medicine | 500 N Metro Blvd, Apt. 1258, Chandler, AZ 85226-3105 | 2011-08-12 |
| 1235468703 | Mir M. A Quadri | Internal Medicine | 2900 W Highland St, Apt # 283, Chandler, AZ 85224-7833 | 2009-12-13 |
| 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.