JERRY ELLEN OWENSBY (NPI# 1871524132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871524132 |
| Entity Type | Individual |
| Full Name | JERRY ELLEN OWENSBY |
| Credential | M.D. |
| Practice Address |
6242 E Arbor Ave Suite 111 Mesa AZ 85206-1309 |
| Practice Telephone | 4806108183 |
| Practice Fax Number | 4806108566 |
| Mailing Telephone | 4806108183 |
| Mailing Fax Number | 4806108566 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23843 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET PROVIDER NUMBER | 2Z1452 | 01 |
| AZ | BCBS PROVIDER NUMBER | AZ0838370 | 01 |
| AZ | CIGNA PROVIDER NUMBER | 1023413 | 01 |
| Street Address |
6242 E ARBOR AVE SUITE 111 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952380453 | Raul Alberto Osorio | Obstetrics & Gynecology | 6242 E Arbor Ave, 118, Mesa, AZ 85206-1309 | 2006-01-12 |
| 1861899783 | Lorraine Sophia Cuesta | Nurse Practitioner | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | 2014-11-20 |
| 1952555229 | Tamara Kay Waldron | Physician Assistant | 6242 E Arbor Ave, Suite #111, Mesa, AZ 85206-1309 | 2008-11-12 |
| 1053590869 | Mountain View Surgical Associates PC | Surgery | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 | 2007-10-29 |
| 1124211545 | Bruce C Davis, Md, PC | Surgery | 6242 E Arbor Ave, Ste 101, Mesa, AZ 85206-1309 | 2007-08-20 |
| 1750582888 | Concordia Oncology, PC | Specialist | 6242 E Arbor Ave, Suite 116, Mesa, AZ 85206-1309 | 2007-05-29 |
| 1396959359 | Desert Rose Obgyn PC | Obstetrics & Gynecology | 6242 E Arbor Ave, Ste 107, Mesa, AZ 85206-1309 | 2007-05-09 |
| 1750503124 | Gerard Brophy Chamberlin | Internal Medicine | 6242 E Arbor Ave, Ste 123, Mesa, AZ 85206 | 2007-05-03 |
| 1689896094 | Charina Tecson Md PC | Internal Medicine | 6242 E Arbor Ave, Suite113, Mesa, AZ 85206-1309 | 2007-05-03 |
| 1295899359 | Monica Abrante | Family Medicine | 6242 E Arbor Ave, Suite #103, Mesa, AZ 85206-1309 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1467914853 | Endeavor Mobile Medical, LLC | Internal Medicine | 6242 E Arbor Ave Ste 111, Mesa, AZ 85206-1309 | 2019-04-03 |
| 1851886329 | Alfonso A Tan Md PC | Internal Medicine | 6844 E Brown Rd Ste 101, Mesa, AZ 85207-3758 | 2018-06-27 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1952849945 | Platinum Internal Medicine | Internal Medicine | 130 S 63rd St Ste 101, Mesa, AZ 85206-1620 | 2017-02-09 |
| 1700235751 | Iora Senior Health Inc | Internal Medicine | 9124 E Main St, Suite 20-21, Mesa, AZ 85207-8700 | 2016-06-10 |
| 1265811418 | Sandra Violetta Mele | Internal Medicine | 1301 S. Crimson Rd, Mesa, AZ 85209-3316 | 2015-05-20 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1760778906 | Maaz Iqbal | Internal Medicine | 535 E Mckellips Rd Ste 121, Mesa, AZ 85203-2527 | 2011-06-27 |
| 1326333733 | Amy Elizabeth Daliman | Internal Medicine | 6116 East Arbor Avenue, Suite 112, Mesa, AZ 85206 | 2011-06-14 |
| 1396046413 | Lifecare Hospitalists Pllc | Internal Medicine | 2627 N Raven, Mesa, AZ 85207-2038 | 2010-11-04 |
| 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.