Ghebru W Woldemichael, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

31647 Issued in AZ

Practice address

2851 S Ave B
Suite 2601
Yuma, AZ 85364-7726

Phone

(928) 317-9562

Fax

(928) 726-1588

NPI assigned

Dec 26, 2006

Last updated

Jul 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Locations

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.

• Ghebru Woldemichael MD LLC

  • Urology Physician
  • Yuma, AZ
  • NPI 1154749422
  Authorized official Same address or phone
• Best Healthcare LLC

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1578337689
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1588729065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVE B",
            "address_2": "SUITE 2601",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-317-9562",
            "fax_number": "928-726-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVE B",
            "address_2": "SUITE 2601",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-317-9562",
            "fax_number": "928-726-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEMICHAEL",
        "first_name": "GHEBRU",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "31647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004053776",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836025",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0735990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Winters, RN
• Suzette Reine Wisdom, PA-C
• Wissam Fayad M.D. PC
• Wissam Fayad MD PC
• Nathan Matthew Wnuk, M.D.
• Nicole Ann Wolff Conley, MSW
• Womens Health Specialists of Yuma PLLC
• Dennis Roy Wong
• Dorothy Lai Ping Wong, MD
• Laurette Wong, PHARMD, B.S.NEUROSCI

• Specialist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.