DR. DAVID THURLOW ACKLEY (NPI# 1801947767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801947767 |
| Entity Type | Individual |
| Full Name | DR. DAVID THURLOW ACKLEY |
| Credential | M.D. |
| Practice Address |
Highway 264 Milepost 388 Polacca AZ 86042 |
| Mailing Address |
Po Box 966 Hwy 264 Milepost 388 Polacca AZ 86042-0966 |
| Practice Telephone | 9287376321 |
| Practice Fax Number | 9287376001 |
| Mailing Telephone | 9287371095 |
| Mailing Fax Number | 9287376100 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
HIGHWAY 264 MILEPOST 388 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912372491 | Walema Ignacio | Technician | Highway 264 Milepost 388, Polacca, AZ 86042 | 2015-12-09 |
| 1841683273 | Amber Perry | Physician Assistant | Highway 264 Milepost 388, Polacca, AZ 86042-4000 | 2015-03-10 |
| 1811394885 | Amanda Reynolds | Registered Nurse | Highway 264 Milepost 388, Polacca, AZ 86042 | 2014-11-19 |
| 1285036376 | Delores Poe-ami | Registered Nurse | Highway 264 Milepost 388, Polacca, AZ 86042-4000 | 2014-09-19 |
| 1649672734 | Joycelyn Ovah | Registered Nurse | Highway 264 Milepost 388, Polacca, AZ 86042 | 2014-09-19 |
| 1740681212 | Fredrick Bedoni | Registered Nurse | Highway 264 Milepost 388, Polacca, AZ 86042-0207 | 2014-09-15 |
| 1851792642 | Karla Shearer | Registered Nurse | Highway 264 Milepost 388, Polacca, AZ 86042-4000 | 2014-09-11 |
| 1780094706 | Elise Sage | Registered Nurse | Highway 264 Milepost 388, Polacca, AZ 86042 | 2014-04-29 |
| 1891130522 | Hopi Health Care Center | Social Worker | Highway 264 Milepost 388, Polacca, AZ 86042-4000 | 2013-05-08 |
| 1184998635 | Dhhs Ihs Phoenix Area | General Acute Care Hospital | Highway 264 Milepost 388, Polacca, AZ 86042-4000 | 2012-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1467599183 | Anna Klaertje Lewis | Family Medicine | Hwy 264, Mile Post 388, Polacca, AZ 86042 | 2007-01-31 |
| 1013055672 | Darren Vicenti | Family Medicine | Hwy 264 Mp 388, Polacca, AZ 86042 | 2007-02-02 |
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| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
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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.