DR. KERI RAE DESOTO (NPI# 1982626594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982626594 |
| Entity Type | Individual |
| Full Name | DR. KERI RAE DESOTO |
| Credential | MD |
| Practice Address |
1058 Fair St Suite B Prescott AZ 86305 |
| Mailing Address |
1058 Fair St S Suite B Prescott AZ 86305 |
| Practice Telephone | 9284437777 |
| Practice Fax Number | 8889728306 |
| Mailing Telephone | 9284437777 |
| Mailing Fax Number | 8889728306 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31505 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1058 FAIR ST SUITE B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720287931 | Linda Sue Ferguson | Naturopath | 1058 Fair St, #b, Prescott, AZ 86305 | 2007-07-17 |
| 1043330186 | Lois Marie Eaton | Naturopath | 1058 Fair St, #b, Prescott, AZ 86305-1803 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1396363594 | Cabaluna Medical Pllc | Internal Medicine | 2001 Excellence Way Ste 200, Prescott, AZ 86301-8410 | 2020-07-14 |
| 1295149896 | William Paul Hennon | Internal Medicine | 2286 Crosswind Dr Ste C, Prescott, AZ 86301-6100 | 2014-06-12 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| 1225269673 | Daniel Alberto Cadena Castillo | Internal Medicine | 3773 Crossings Dr, Suite C, Prescott, AZ 86305-7140 | 2009-08-03 |
| 1124183751 | George Sein | Internal Medicine | 919 12th Pl Ste 6, Prescott, AZ 86305-1433 | 2006-12-26 |
| 1770678120 | Deanna Kaye Price | Internal Medicine | 1000 Willow Creek Rd Ste B, Prescott, AZ 86301-1645 | 2006-10-03 |
| 1598864522 | Joseph P. Griffin, Md, PC | Internal Medicine | 3633 Crossings Drive, Prescott, AZ 86305 | 2006-09-22 |
| 1699784546 | Joseph H Goldberger | Internal Medicine | 812 Black Dr, Prescott, AZ 86301-1402 | 2006-08-07 |
| 1366450447 | John Joseph Houston | Internal Medicine | 500 N. Highway 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-08-04 |
| 1407878721 | Gary Scott Jones | Internal Medicine | Prescott Va - Comp and Pen, 500 North Hwy 89, Prescott, AZ 86313 | 2006-07-24 |
| Find all providers in PRESCOTT | ||||
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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.