Organization Active NPI

Domfeh PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1033829577
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOMFEH PLLC
Practice address
11411 N 19TH Ave
Phoenix, AZ 85029-3642
Phone
(602) 256-7500
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Nana Yaw Domfeh, MD
Title
President
Phone
(602) 432-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11411 N 19TH Ave
Phoenix, AZ 85029-3642

Mailing address

1546 W Griswold Rd
Phoenix, AZ 85021-5433
Phone (602) 432-5144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1033829577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 W GRISWOLD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215433",
            "telephone_number": "602-432-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293642",
            "telephone_number": "602-256-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMFEH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "DOMFEH",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "YAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-432-5144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.