Steve Ibrahim DO PLLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4396 Issued in AZ

Legal business name

STEVE IBRAHIM DO PLLC

Practice address

4065 E Bell Rd
Phoenix, AZ 85032-2208

Phone

(602) 867-0212

NPI assigned

Dec 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steve Ibrahim I, D.O.

Title

Owner

Phone

(602) 361-3593

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1063658334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "602-361-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322208",
            "telephone_number": "602-867-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE IBRAHIM DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-361-3593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E. Sterrett Jr., MD
• Jennifer Stettler
• Danielle Stetzel
• Wendy W Steuerwald, AUD
• Megan Kathleen Steuter, OTR/L
• Steven a. Cool, D.C. LTD.
• Steven B McRunels DO PC
• Steven C. Chang DDS PC
• Steven Fujihara DO PC
• Steven Gitt MD PC

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.