Dr Afeworki Kidane LTD

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

4458 Issued in AZ

Legal business name

DR AFEWORKI KIDANE LTD

Practice address

6641 E Baywood Ave
Mesa, AZ 85206-1723

Phone

(480) 653-8400

Fax

(480) 209-1337

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Afeworki Ocbaghiorgis Kidane, DO

Title

President

Phone

(480) 653-8400

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Trudy Rumann Heil, MS, RN, FNP,COHN-S

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1720085798
  NPD (past)
• William H Higgins, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1992722565
  NPD (past)
• Karen Sue Woolf, ANP-C

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1376544882
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1366462764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-653-8400",
            "fax_number": "480-209-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-653-8400",
            "fax_number": "480-209-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6641 E Baywood Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061723",
            "country_code": "US",
            "telephone_number": "480-653-8400",
            "fax_number": "480-209-1337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR AFEWORKI KIDANE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "KIDANE",
        "authorized_official_first_name": "AFEWORKI",
        "authorized_official_middle_name": "OCBAGHIORGIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-653-8400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "4458",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012760",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "4458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCCS AZ",
            "identifier": "168550",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3480230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Elaine Downs, RN
• Rebecca Maria Downs, OTD, OTR/L
• Sharron Downs
• Whitney Lee Downs, DMD
• Kathryn Suzanne Doyle, CRNFA
• Dr Allan T Nguyen LLC
• Dr Allens Drugstore
• Dr Brian R McWhorter PLLC
• Dr Katerina Goncharova DDS PLC
• Dr Lorin Eric Jackrel, DMD, PC

• Neuromusculoskeletal Medicine & OMM Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.