Aims Physicians and Surgeons
Organization Active NPI Family Medicine Physician · Kingman, AZ
NPI 1073699112 · NPPES record last updated Jun 4, 2018
Key facts
- NPI
- 1073699112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AIMS PHYSICIANS AND SURGEONS
- Practice address
- 3636 Stockton Hill Road
Kingman, AZ 86409 - Phone
- (928) 757-3636
- Fax
- (928) 757-3622
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Azam S. Khan
- Title
- Chief Administrative Officer
- Phone
- (928) 757-3636
Practitioners 20
-
Eddie A Ramirez, M.D.
-
Arshad Tariq, MD
-
Stacy Nelson, RN
-
Norman K. Weinstein, M.D.
-
Israel Coronado, C.R.N.A.
-
Charmaine M. Kovacs, CRNA
-
Muhammad Q Khan, MD
-
Mahmood Khan, M.D.
-
Marilou Reyes, MD
-
Attiya Salim, M.D.
-
Anwarul Haque, MD
-
Jeffrey D Havel, OD
-
Faisal Q Jhandiya, M.D.
-
Raul Ernesto Loaisiga, M.D.
-
Shaker F Saad, MD
-
David T Savage, DPM
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2150841 | Aims Physicians & Surgeons Group | Certificate of waiver | Jul 2, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000803 | AZ | Part B Supplier - Clinic/Group Practice | 6709770696 |
Receives reassigned benefits from 10 practitioners Practice locations: Kingman, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | |||
| Surgery Physician |
208600000X | |||
| Podiatrist |
213E00000X |
Addresses
Primary practice location
3636 Stockton Hill Road
Kingman, AZ 86409
Mailing address
3636 North Stockton Hill Road
Kingman, AZ 86409-0514
Phone (928) 757-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03D2044249 | Other | AZ | CLIA NUMBER |
| 400817 | Medicaid | AZ |
Other providers in Kingman, AZ
- Amit Agarwal
- Geovar Agbayani
- Shagun Ganesh Agrawal
- Suleman S Ahmed
- Aims Outpatient Surgery
- Anthonia Ajao
- Akdhc, LLC
- Akdhc,LLC
- Robert A Albani
- Alexander Pediatric Therapies LLC
All providers in Kingman, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.