Ocotillo Internal Medicine Associates

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

OCOTILLO INTERNAL MEDICINE ASSOCIATES

Practice address

245 S Dobson Rd
Chandler, AZ 85224-6577

Phone

(480) 895-5870

Fax

(480) 895-0573

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan W Hackenyos, DO

Title

Partner

Phone

(480) 895-5870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sultana Rabeya Akhter, MD

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1477810760
  Medicare reassignment Care Compare group NPD
• Cheryl A Maurice, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1265497713
  Medicare reassignment Care Compare group NPD
• Kelsey Collins, PA

  • Physician Assistant
  • Chandler, AZ
  • NPI 1659800290
  Medicare reassignment Care Compare group
• Megan Nicole Guse, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
  • NPI 1871813840
  Medicare reassignment Care Compare group
• Brooke M Lee, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1235641747
  Medicare reassignment Care Compare group
• Casey Lynne Michalski, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1912300070
  Medicare reassignment Care Compare group
• Lia Seguine, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1881142420
  Medicare reassignment Care Compare group
• Nicole Christine Uhriniak, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1538641410
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1154543650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246577",
            "telephone_number": "480-895-5870",
            "fax_number": "480-895-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246577",
            "telephone_number": "480-895-5870",
            "fax_number": "480-895-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "HACKENYOS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-895-5870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocotillo Eyecare P.C.
• Ocotillo Family Dentistry LLC (Ocotillo Family Dentistry)
• Ocotillo Foot and Ankle Centers, PLLC
• Ocotillo Health Centers, LLC
• Ocotillo Healthcare, Inc. (Chandler Post Acute)
• Ocotillo Lakes Dental Health
• Ocotillo Lakes Endodontics, LLC
• Ocotillo Medical Group LLC
• Ocotillo Primary Care LLC
• Ocotillomd PLC

• Hospice and Palliative Medicine (Internal Medicine) Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.