Organization Active NPI

Healing Touch Internal Medicine, LLC.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1861434284
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32142 Issued in AZ
Legal business name
HEALING TOUCH INTERNAL MEDICINE, LLC.
Practice address
2919 S Ellsworth Rd
Suite 124
Mesa, AZ 85212-2144
Phone
(480) 361-3636
Fax
(480) 361-2525
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Gabriel U Ogbonnaya, M.D
Title
Owner
Phone
(480) 361-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 32142 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd
Suite 124
Mesa, AZ 85212-2144

Mailing address

2919 S Ellsworth Rd
Suite 124
Mesa, AZ 85212-2144
Phone (480) 361-3636

Other identifiers 2

IdentifierTypeStateIssuer
AZ0408670OtherAZBLUE CROSS BLUE SHIELD
818510MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1861434284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 124",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122144",
            "telephone_number": "480-361-3636",
            "fax_number": "480-361-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 124",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122144",
            "telephone_number": "480-361-3636",
            "fax_number": "480-361-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TOUCH INTERNAL MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "OGBONNAYA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-361-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0408670",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818510",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.