| Derik K Kenworthy, DO | |
|
1979 W Ray Rd, Chandler, AZ 85224-4007 | |
| (480) 821-9404 | |
| (480) 857-1490 |
| Full Name | Derik K Kenworthy |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1979 W Ray Rd, Chandler, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861726077 | NPI | - | NPPES |
| Z173125 | Other | MEDICARE PTAN | |
| 503865 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DO220167 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derik K Kenworthy, DO 1250 S Clearview Ave Ste 100, Mesa, AZ 85209-3378 Ph: (480) 988-9108 | Derik K Kenworthy, DO 1979 W Ray Rd, Chandler, AZ 85224-4007 Ph: (480) 821-9404 |
Gujjarappa Srinivas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 S Dobson Rd, Suite# E 42, Chandler, AZ 85224 Phone: 480-963-4183 Fax: 480-963-4184 | |
Alice F. Tsai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-2838 Fax: 480-821-9444 | |
Robert Baldwin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-3179 Fax: 480-821-3989 | |
Jay Boyer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-3179 Fax: 480-821-3989 | |
Dr. Stamatis Kantartzis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 | |
Janice R.l. Smith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-3179 Fax: 480-821-3989 | |
Eric T Gross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-2838 Fax: 480-821-9444 |