Gerald T Kitchens II MD PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30278 Issued in AZ

Legal business name

GERALD T KITCHENS II MD PLLC

Practice address

7878 N 16TH St Ste 250
Phoenix, AZ 85020-4478

Phone

(602) 308-7888

Fax

(602) 277-8146

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Linda Hamelin

Title

Credentialing Manager

Phone

(602) 308-7817

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124541594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-308-7888",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 N 16TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204478",
            "telephone_number": "602-308-7888",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24722 S 195th St",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851423244",
            "country_code": "US",
            "telephone_number": "602-308-7888",
            "fax_number": "602-277-8146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERALD T KITCHENS II MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMELIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-308-7817"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "30278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.