Ghebru Woldemichael MD LLC
Organization Active NPI Urology Physician · Yuma, AZ
NPI 1154749422 · NPPES record last updated Apr 2, 2014
Key facts
- NPI
- 1154749422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- AW3117454 (AZ)
- Legal business name
- GHEBRU WOLDEMICHAEL MD LLC
- Practice address
- 2851 S Avenue B
Suite 2601
Yuma, AZ 85364-7726 - Phone
- (928) 317-9562
- Fax
- (928) 726-1588
- NPI assigned
- Apr 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Ghebru W Woldemichael, M.D.
- Title
- Owner
- Phone
- (928) 317-9562
Practitioners 5
-
David J Atondo, FNP
-
Matilde Gaton, FNP
-
Adrian Gutierrez, FNP-BC
-
Celena Ruiz, PA
-
Daniel R Ortiz, PA-C
National Provider Directory
Locations
2851 S Avenue B
Ste 2601
Yuma, AZ 85364
Phone (928) 317-9562
Interoperability endpoints
- https://api.platform.athenahealth.com/5714/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | AW3117454 | AZ | Yes |
Addresses
Primary practice location
2851 S Avenue B
Suite 2601
Yuma, AZ 85364-7726
Mailing address
2851 S Avenue B
Suite 2601
Yuma, AZ 85364-7726
Phone (928) 317-9562
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.