MRS. STACIA B KAGIE (NPI# 1811938962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811938962 |
| Entity Type | Individual |
| Full Name | MRS. STACIA B KAGIE |
| Other Name | STACIA T. BAIM |
| Credential | D.O. |
| Practice Address |
3035 S Ellsworth Rd Suite 103 Mesa AZ 85212-2136 |
| Practice Telephone | 4807361777 |
| Practice Fax Number | 4807361144 |
| Mailing Telephone | 4807361777 |
| Mailing Fax Number | 4807361144 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4129 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 210593 | 05 |
| Street Address |
3035 S ELLSWORTH RD SUITE 103 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222074 | Karen Marie Acevedo-mogharbel | Family Medicine | 3035 S Ellsworth Rd, Suite 103, Mesa, AZ 85212 | 2005-08-18 |
| 1194173666 | Kirsten Fogarty | Physical Therapist | 3035 S Ellsworth Rd, Bldg 4 Ste 128, Mesa, AZ 85212-2160 | 2016-05-25 |
| 1750762142 | Amelia Mae Campbell | Nurse Practitioner | 3035 S Ellsworth Rd, Suite 135, Mesa, AZ 85212-2160 | 2015-06-11 |
| 1780090373 | Timothy Hinton | Physical Therapist | 3035 S Ellsworth Rd, Bdlg 164 Suite 128, Mesa, AZ 85212-2160 | 2014-07-03 |
| 1730480666 | Eric James Bloom | Physical Therapist | 3035 S Ellsworth Rd, Building 4, Suite 128, Mesa, AZ 85212-2160 | 2010-11-09 |
| 1003145715 | Joshua N Lacanlale | Physical Therapist | 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212-2160 | 2009-12-09 |
| 1912035965 | Desert Ridge Spine, Inc | Chiropractor | 3035 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2160 | 2007-03-01 |
| 1760404495 | Eric Reid Nielson | Dentist | 3035 S Ellsworth Rd, 138, Mesa, AZ 85212-2160 | 2006-07-24 |
| 1144275025 | Surgicare Sheridan Surgical Services | Preferred Provider Organization | 3035 S Ellsworth Rd, Suite 104, Mesa, AZ 85212-2160 | 2006-05-22 |
| 1811941321 | Arizona Preferred Primary Care,plc | Family Medicine | 3035 S Ellsworth Rd, Suite 103, Mesa, AZ 85212 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| 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 |
|---|---|---|---|---|
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1457987679 | Az Med 4u | Family Medicine | 1136 E Harmony Ave Ste 101, Mesa, AZ 85204-5844 | 2020-03-19 |
| 1619500089 | Elizabeth Lapioli | Family Medicine | 5422 S St Claire, Mesa, AZ 85212-5420 | 2020-02-13 |
| 1003448952 | M.g.t Rn LLC | Family Medicine | 7117 E Peralta Cir, Mesa, AZ 85212-9825 | 2020-02-09 |
| 1144793126 | Health and Wellness Clinic LLC | Family Medicine | 1155 S Country Club Dr, Mesa, AZ 85210-4615 | 2019-01-02 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1447725189 | Adam Craig Turner | Family Medicine | 925 N Nina Dr, Mesa, AZ 85201-3935 | 2018-10-09 |
| 1235620170 | Stephanie Deborah Kotsur | Family Medicine | 7334 E Plata Ave, Mesa, AZ 85212-9754 | 2018-05-26 |
| 1902308042 | Andrew Jason Wood | Family Medicine | 10902 E Sunland Ave, Mesa, AZ 85208-3938 | 2018-03-05 |
| 1871002683 | Verve Wellness Center, LLC. | Family Medicine | 4838 E Baseline Rd Ste 110, Mesa, AZ 85206-4674 | 2017-09-25 |
| Find all providers in MESA | ||||
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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.