KEHART LYNN FLOM RACOMA


Address: 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353
Phone: 6028458000

KEHART LYNN FLOM RACOMA (NPI# 1962067363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962067363
Entity Type Individual
Full Name KEHART LYNN FLOM RACOMA
Practice Address 4527 N 16th St Ste 104
Phoenix
AZ 85016-5353
Mailing Address 3921 E Mercer Ln
Phoenix
AZ 85028-3437
Practice Telephone 6028458000
Practice Fax Number 6028458001
Mailing Telephone 6023000975
Enumeration Date 2019-05-01
Last Update Date 2020-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
230888 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4555 E Mayo Blvd Unit 3000, Phoenix, AZ 850506977 4803845816

Office Location

Street Address 4527 N 16TH ST STE 104
City PHOENIX
State AZ
Zip Code 85016-5353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255386413 John D Lewis Emergency Medicine 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 2006-05-24
1336708833 Christine L Willis Social Worker 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 2019-06-07
1518444801 Chelsea Aubree Cason Nurse Practitioner 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 2018-07-19
1831621119 Sasha Lee Nurse Practitioner 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 2017-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013485762 Todd Charles Coslett Internal Medicine 4149 W Kaler Dr, Phoenix, AZ 85055 2018-11-09
1689126971 Azmobilemd Internal Medicine 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 2016-11-02
1437457058 Southwest Geriatrics & Internal Medicine Pllc Internal Medicine 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 2011-03-06
1619043890 Stephen J Joyce Internal Medicine 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 2006-11-28
1952403644 Robert Iles Sandifur Jr. Internal Medicine 2716 E Vista Dr, Phoenix, AZ 85032-4958 2006-09-02
1265488258 Walter John Nieri Internal Medicine 6510 N 27th St, Phoenix, AZ 85016-8943 2006-05-25
1700850922 Andrew W March Internal Medicine 7244 N 12th Ave, Phoenix, AZ 85021-8022 2006-02-14
1942776646 Kelly Schultz, LLC. Internal Medicine 4555 E Mayo Blvd, Phoenix, AZ 85050-6952 2018-10-19
1033474119 Kk Mukkavilli Plc Internal Medicine 3333 E Indian School Rd, Suite 4, Phoenix, AZ 85018-5015 2012-07-05
1396070819 Matthew D. Skinner Internal Medicine 2601 E Roosevelt St, Dept of Internal Medicine, Phoenix, AZ 85008-4973 2009-10-16
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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