Kenneth O Anaeme LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30256 Issued in AZ

Legal business name

KENNETH O ANAEME LLC

Practice address

2600 E Southern Ave Ste F2
Tempe, AZ 85282-7626

Phone

(480) 625-4704

NPI assigned

Dec 13, 2006

Last updated

Mar 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth O Anaeme, MDNPI 1386618650

Title

Owner

Phone

(602) 689-5820

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth O Anaeme, MD

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1386618650
  Medicare reassignment NPD Authorized official
• Norbert N Mwangi, FNP

  • Family Nurse Practitioner
  • Laveen, AZ
  • NPI 1184277139

  Single Specialty

  Medicare reassignment NPD
• James John Newman, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Peoria, AZ
  • NPI 1275171340
  Medicare reassignment NPD
• Abraham Owusu Dommey, MD

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1457311367
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1033270723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11773",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480013",
            "telephone_number": "480-907-7707",
            "fax_number": "480-907-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE F2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827626",
            "telephone_number": "480-625-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH O ANAEME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "ANAEME",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-689-5820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AZ",
            "license": "30256",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30256",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "30256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324464",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Kennedy, BS, RBT
• Joshua Steven Kennedy, PT, DPT
• Sally Jean Kennedy, NP
• Shaun Patrick Kennedy, N.D.
• Kenneth M Levine, D.O. LTD
• Jessica Kenny
• Catherine Kent-Murtaugh, NP
• Kara Nicole Kent, RN
• Shaylyn Sheaffer Kerbey, MS, CCC-SLP
• Kelly Kerrigan, LMSW

• Internal Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.