Active NPI
Domfeh PLLC
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1033829577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DOMFEH PLLC
- Practice address
- 11411 N 19TH Ave
Phoenix, AZ 85029-3642 - Phone
- (602) 256-7500
- NPI assigned
- Nov 23, 2022
- Last updated
- Nov 23, 2022
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295167302
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.