Angela Johansson, DO | |
15351 W Bell Rd, Surprise, AZ 85374-4580 | |
(877) 809-5092 | |
(623) 214-5231 |
Full Name | Angela Johansson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 15351 W Bell Rd, Surprise, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295739985 | NPI | - | NPPES |
4233 | Other | AZ | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4233 (Arizona) | Primary |
Entity Name | Adelante Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335 |
Mailing Address | Practice Location Address |
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Angela Johansson, DO 15351 W Bell Rd, Surprise, AZ 85374-4580 Ph: (877) 809-5092 | Angela Johansson, DO 15351 W Bell Rd, Surprise, AZ 85374-4580 Ph: (877) 809-5092 |
Dr. Paulina Elise Mariki-mhango, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 623-583-3001 | |
Dr. Mark J Pyle, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 480-964-2273 Fax: 623-214-5214 | |
Mark C Sivakoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 Fax: 623-815-9253 | |
Daryl R Marcelo, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14239 W Bell Rd, Suite 112, Surprise, AZ 85374 Phone: 623-876-9983 Fax: 623-876-9984 | |
Mrs. Tinuola K Babarinde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14741 W Mountain View Blvd Ste 149, Surprise, AZ 85374 Phone: 623-975-5400 Fax: 623-975-6004 | |
Dr. Brian Lawrence Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15653 N Reems Rd, Suite 110, Surprise, AZ 85374 Phone: 623-214-3454 Fax: 623-214-3455 |