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DR. DONNI T FLEISCHAKER MD NPI 1619074358


NPI Information

NPI: 1619074358
Provider Name: DR. DONNI T FLEISCHAKER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 03D2278949

Address:
3933 E EDNA AVE
STE 102
PHOENIX, AZ
ZIP 85032
Phone: (602) 992-4246
Get Directions

DR. Donni T Fleischaker, MD is a pediatrics in Phoenix, AZ with 38 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Donni T Fleischaker, MD NPI is 1619074358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

3933 E EDNA AVE
STE 102
PHOENIX, AZ
ZIP 85032-127
Phone: (602) 992-4246
Fax: (602) 482-4640

The NPI 1619074358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 03D2278949 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 6/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)17503ARIZONANo
2101YM0800XCounselorMental Health17503ARIZONANo
3103T00000XPsychologist17503ARIZONANo
4103TB0200XPsychologistCognitive & Behavioral17503ARIZONANo
5103TP2701XPsychologistGroup Psychotherapy17503ARIZONANo
6174400000XSpecialist17503ARIZONANo
7207Q00000XFamily Medicine17503ARIZONANo
82080P0006XPediatricsDevelopmental - Behavioral Pediatrics17503ARIZONANo
9251S00000XCommunity/Behavioral Health17503ARIZONANo
10261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)17503ARIZONANo
11208000000XPediatrics17503ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1279168OTHERARIZONADES
24077245OTHERARIZONAAETNA
370441OTHERPACIFICARE
41902518988OTHERARIZONAASSOCIATED NPI NOVA MEDICAL ASSOCIATES
53324076-007OTHERARIZONACIGNA
6AZ0864000OTHERARIZONABCBS
71Z7395OTHERARIZONAHEALTHNET
8279168003MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.