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KYRENE MEDICAL CENTER PC
NPI 1043434897
Internal Medicine in Phoenix, AZ

Active since April 12, 2007CLIA 03D1081904 · Waiver
4545 E CHANDLER BLVD, SUITE 201, PHOENIX, AZ 85048(480) 598-4145(480) 598-4346 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyrene Medical Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYRENE MEDICAL CENTER PC (NPI 1043434897) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Dorette Oppong-takyi, Vice President, as its authorized official.

NPPES Registry Identity

NPI1043434897
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKYRENE MEDICAL CENTER PC
Location Address4545 E CHANDLER BLVD, SUITE 201Phoenix, AZ 85048-7643
Mailing Address4545 E Chandler Blvd, Suite 201Phoenix, AZ 85048-7643 · (480) 598-4145 · Fax (480) 598-4346
Phone(480) 598-4145
Fax(480) 598-4346
Organization SubpartNo
Authorized OfficialDorette Oppong-takyiVice President · (480) 598-4145
Enumeration DateApril 12, 2007
Last NPPES UpdateFebruary 15, 2011
✔ NPI 1043434897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4545 E CHANDLER BLVD, Phoenix, AZ 85048
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Other Identifiers 1

Medicare ID-Type UnspecifiedZ106699AZ · Medicare Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1081904

Kyrene Internal Medicine PLLC · Phoenix, AZ
Active · expires Mar 26, 2028
CLIA Number03D1081904
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorFrank Oppong-Takyi
Laboratory Phone(480) 598-4145
Laboratory LocationKyrene Internal Medicine PLLC4545 E Chandler Blvd, Ste 201, Phoenix, AZ 85048
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REM MEDICAL EQUIPMENT, LLC
Durable Medical Equipment & Medical Supplies
4545 E CHANDLER BLVD, STE 202
PHOENIX, AZ 85048
Maricopa County (480) 991-0480
DR. STANLEY A GERING M.D.
Specialist
4545 E CHANDLER BLVD, STE 204
PHOENIX, AZ 85048
Maricopa County (480) 893-2100
DR. TRACI LEIGH PAIGE D.O.
Family Medicine
4545 E CHANDLER BLVD, SUITE 206
PHOENIX, AZ 85048
Maricopa County (480) 961-5956
AARON W KEMP MD
Family Medicine
4545 E CHANDLER BLVD, SUITE 304
PHOENIX, AZ 85048
Maricopa County (480) 961-2366
DR. SHAWN MICHAEL MCCRUM
Family Medicine
4545 E CHANDLER BLVD
PHOENIX, AZ 85048
Maricopa County (480) 728-4075
DR. DAVID J. CROCKETT M.D.
Otolaryngology (Pediatric Otolaryngology)
4545 E CHANDLER BLVD, SUITE 202
PHOENIX, AZ 85048
Maricopa County (480) 659-2330
MS. BRENDA MARCELLA VOGL NURSE PRACTIONER
Nurse Practitioner (Adult Health)
4545 E CHANDLER BLVD, SUITE 305
PHOENIX, AZ 85048
Maricopa County (480) 785-7546
IATRIKO, LLC
Family Medicine
4545 E CHANDLER BLVD, SUITE 304
PHOENIX, AZ 85048
Maricopa County (480) 961-2366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyrene Medical Center PC's NPI number?

The NPI number for Kyrene Medical Center PC is 1043434897. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Kyrene Medical Center PC located?

Kyrene Medical Center PC is located at 4545 E Chandler Blvd Suite 201, Phoenix, AZ 85048. The listed phone number is (480) 598-4145.

What is Kyrene Medical Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Kyrene Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1081904) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kyrene Medical Center PC was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.