Lahodas PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

40145 Issued in AZ

Legal business name

LAHODAS PLLC

Practice address

1720 E Boston St
Gilbert, AZ 85295-6226

Phone

(480) 745-3702

Fax

(480) 745-3709

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Michelle Reyes

Title

Office Manager

Phone

(480) 745-3704

Specialties & licenses 1

Addresses

Other names 1

• Mercy Grace Private Practice Doing business as

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 6

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

• Farheen Irene Khan, APRN-RNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1497369219

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Candice Renee Moore, FNP-BC

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1447884846
  Medicare reassignment Care Compare group NPD
• Aniekan Udoh, APRN, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1164903399

  AZ

  Medicare reassignment Care Compare group NPD
• Nancy Cecile Erdmann, DNP, FNP-BC

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1194848002
  Medicare reassignment NPD
• Hope Ijaola, MD

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1518120500
  Medicare reassignment
• Olanrewaju Ijaola, MD

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1437335049
  NPD

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1225462468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956226",
            "telephone_number": "480-745-3702",
            "fax_number": "480-745-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956226",
            "telephone_number": "480-745-3702",
            "fax_number": "480-745-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHODAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-745-3704"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "40145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Grace Private Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hope Lacy
• Michelle Deborah Lacy, MA
• Nicholas B Lafeber, D.M.D.
• Andrea Lafuente Esquivel, SLPA
• Rebbeca Lahann, PSY.D.
• Lindsey Lahr, RDN
• Kodey Lai
• Marko Anton Laitinen, MD
• Jason Edward Lake, MD
• Robin Laks, M.D.

• Primary Care Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.