Healthcare Provider Details

I. General information

NPI: 1326267238
Provider Name (Legal Business Name): THOMAS H SCHIMKE MD PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 E BELL RD 112
PHOENIX AZ
85022-6639
US

IV. Provider business mailing address

702 E BELL RD 112
PHOENIX AZ
85022-6639
US

V. Phone/Fax

Practice location:
  • Phone: 602-493-9180
  • Fax: 602-493-8370
Mailing address:
  • Phone: 602-493-9180
  • Fax: 602-493-8370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLE DONATI BAKER
Title or Position: MANAGER
Credential:
Phone: 602-493-9180