Active NPI
Abraham Owusu-Dommey LLC
- Specialist
- Gilbert, AZ
National Provider Identifier
1346284668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26852
- Legal business name
- ABRAHAM OWUSU-DOMMEY LLC
- Practice address
- 3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297-1503 - Phone
- (480) 821-9339
- Fax
- (480) 821-9555
- NPI assigned
- Jun 16, 2006
- Last updated
- Oct 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abraham Owusu Dommey, M.D.
- Title
- Owner
- Phone
- (480) 821-9339
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 26852 | AZ | Primary |
Addresses
Primary practice location
3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297-1503
Mailing address
PO Box 2510
Mesa, AZ 85214-2510
Phone (480) 821-9339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 491176 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Gilbert, AZ
- NPI 1457311367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1346284668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2510",
"city": "MESA",
"state": "AZ",
"postal_code": "852142510",
"telephone_number": "480-821-9339",
"fax_number": "480-821-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S LINDSAY RD",
"address_2": "STE 123",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971503",
"telephone_number": "480-821-9339",
"fax_number": "480-821-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABRAHAM OWUSU-DOMMEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "OWUSU DOMMEY",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-821-9339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "26852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "491176",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.