Organization Active NPI

Ghentmd

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1740758515
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on May 15, 2021

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

Authorized official

Name
Anthony Asuelimen Aghenta, MDNPI 1316084130
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
550726MedicaidAZ

Other names 2

  • GhentMD Doing business as
  • GhentMD Integrative Health and Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.