Active NPI
Ghentmd
- Internal Medicine Physician
- Gilbert, AZ
National Provider Identifier
1740758515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GHENTMD
- Doing business as
- GhentMD
GhentMD Integrative Health and Wellness Clinic - Practice address
- 1434 W Elliot Rd Ste 101
Gilbert, AZ 85233-5157 - Phone
- (651) 246-7242
- NPI assigned
- Nov 9, 2018
- 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
- Anthony Asuelimen Aghenta, MD
- Title
- President
- Phone
- (480) 935-8855
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
1434 W Elliot Rd Ste 101
Gilbert, AZ 85233-5157
Mailing address
1434 W Elliot Rd Ste 101
Gilbert, AZ 85233-5157
Phone (480) 935-8855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550726 | Medicaid | AZ |
Other names 2
- GhentMD
- GhentMD Integrative Health and Wellness Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Gilbert, AZ
- NPI 1316084130
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1053304808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621036800000",
"number": "1740758515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 W ELLIOT RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335157",
"telephone_number": "480-935-8855",
"fax_number": "855-450-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 W ELLIOT RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335157",
"telephone_number": "651-246-7242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHENTMD",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-09",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A",
"authorized_official_last_name": "AGHENTA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "ASUELIMEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-935-8855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "550726",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GhentMD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GhentMD Integrative Health and Wellness Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.