Organization Active NPI

Naegele Medical Inc.

  • Hematology & Oncology Physician
  • Kingman, AZ
National Provider Identifier
1710382767
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
005573 Issued in AZ
Legal business name
NAEGELE MEDICAL INC.
Doing business as
Naegele Medical
Practice address
3178 Western Ave
Kingman, AZ 86409-0950
Phone
(928) 757-7011
NPI assigned
Nov 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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

Authorized official

Name
Dr. Kathleen Naegele, D.O.
Title
President and Ceo
Phone
(708) 250-3410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 005573 AZ
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 005573 AZ Primary

Addresses

Primary practice location

3178 Western Ave
Kingman, AZ 86409-0950

Mailing address

1308 N Stockton Hill Rd
Suite A386
Kingman, AZ 86401-5139
Phone (708) 250-3410

Other names 1

  • Naegele Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1308 N Stockton Hill Rd
#A386
Kingman, AZ 86401

1308 N Stockton Hill Rd
Ste A386
Kingman, AZ 86401

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1710382767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N STOCKTON HILL RD",
            "address_2": "SUITE A386",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015139",
            "telephone_number": "708-250-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090950",
            "telephone_number": "928-757-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAEGELE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "NAEGELE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "708-250-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "005573",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "005573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naegele Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.