SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC (NPI# 1841721461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841721461 |
| Entity Type | Organization |
| Organization Name | SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC |
| Practice Address |
2204 S Dobson Rd Mesa AZ 85202-6457 |
| Mailing Address |
2149 E Warner Rd Ste 102 Tempe AZ 85284-3494 |
| Practice Telephone | 4807576457 |
| Practice Fax Number | 4803787090 |
| Mailing Telephone | 4806106159 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BRENDA GIBBS (PRACTICE MANAGER) |
| Authorized Official Telephone | 4807576457 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
49420 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 961725 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2149 E Warner Rd, Ste 102, Tempe, AZ 852843494 | 4806106159 |
| Street Address |
2204 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992794564 | Iva A Smolens | Surgery | 2204 S Dobson Rd, Suite 204, Mesa, AZ 85202-6457 | 2005-10-17 |
| 1861673501 | Mara L Hover | Pediatrics | 2204 S Dobson Rd, Ste 101, Mesa, AZ 85202-6457 | 2007-11-23 |
| 1225102858 | Valerie C Simoes | Physician Assistant | 2204 S Dobson Rd, Suite 101, Mesa, AZ 85202-6457 | 2006-11-17 |
| 1881624732 | Arizona Vascular Surgery Consultants | Surgery | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2006-07-04 |
| 1194765453 | Joseph C Creech | Dentist | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1316353873 | Soumya Nagaraja | Pediatrics | 1450s Dobsonrd, Ste B221, Mesa, AZ 85202-6770 | 2014-07-05 |
| 1174773717 | Aruna Divakaran Poduval | Pediatrics | 2204 S Dobson Rd Ste 103, Mesa, AZ 85202 | 2008-09-19 |
| 1861491656 | Edward I Holland | Pediatrics | 1520 S Dobson Rd, Suite 210a, Mesa, AZ 85202-4725 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468328 | Mark D. Wheeler | Pediatrics | Arizona Health Sciences Center, 1501 N. Campbell Ave., #3341, Tucson, AZ 85724-0001 | 2006-06-22 |
| 1679535405 | Tala S Dajani | Pediatrics | 15600 N Black Canyon Hwy, Suite C-102, Phoenix, AZ 85053-4055 | 2006-04-05 |
| 1841262581 | Anna Binkiewicz | Pediatrics | 2916 E Broadway Blvd, Tucson, AZ 85716-5312 | 2006-02-06 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1619395357 | Robert Gonsalves IIi | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006 | 2014-03-31 |
| 1053653113 | Amanda Marie Campos | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-26 |
| 1518227016 | Melissa Anne Chambers | Pediatrics | 1919 E Thomas Rd, Phoenix Children's Hospital, Phoenix, AZ 85016-7710 | 2012-05-18 |
| 1962706317 | Payal S Patel | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2010-12-28 |
| 1215190863 | Areej K Younes | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2008-07-03 |
| 1912167776 | Southwest Pediatric Endocrinology, Plc | Pediatrics | 9700 N 91st St, Suite B-220, Scottsdale, AZ 85258-5054 | 2008-06-13 |
| Find all providers with the same taxonomy | ||||
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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.