Katrina Wadowski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24631 Issued in AZ

Practice address

4045 E Bell Rd Ste 134
Phoenix, AZ 85032-2234

Phone

(602) 569-2790

Fax

(602) 992-7851

NPI assigned

Mar 22, 2007

Last updated

Dec 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tina Lee Medical LLC

  dba Bell Well Medical

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1255924395
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1366568081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322234",
            "telephone_number": "602-569-2790",
            "fax_number": "602-992-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322234",
            "telephone_number": "602-569-2790",
            "fax_number": "602-992-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADOWSKI",
        "first_name": "KATRINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheetal Wadera, M.D.
• Chelsea Wadiak
• Meleika A Wadley, LCSW
• Amy Christine Wadlington, LMSW
• Kandace Wadlington
• Dedra A. Wadsworth, FNP
• Zachary Mark Wadsworth, MD
• Jessica Waechter, CCC-SLP
• Bonny Wager Tabah, RD
• Mark Wager

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.