John Gabriel Sarmiento, MD | |
28471 N Vistancia Blvd Ste 102, Peoria, AZ 85383 | |
(623) 327-8800 | |
Not Available |
Full Name | John Gabriel Sarmiento |
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Gender | Male |
Speciality | Pediatrics |
Location | 28471 N Vistancia Blvd Ste 102, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598743478 | NPI | - | NPPES |
960577 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34147 (Arizona) | Primary |
Entity Name | Banner Primary Care Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
Entity Name | Banner Childrens Banner Health Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407191216 PECOS PAC ID: 2466697735 Enrollment ID: O20130315000131 |
Mailing Address | Practice Location Address |
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John Gabriel Sarmiento, MD 28471 N Vistancia Blvd Ste 102, Peoria, AZ 85383-2092 Ph: (623) 327-8800 | John Gabriel Sarmiento, MD 28471 N Vistancia Blvd Ste 102, Peoria, AZ 85383 Ph: (623) 327-8800 |
Kristin Sue Shepherd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7757 W. Deer Valley Road Suite 275, Peoria, AZ 85382 Phone: 623-878-2800 Fax: 623-878-9150 | |
Dr. Robin Broz, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8801 W Union Hills Dr, Peoria, AZ 85382 Phone: 623-241-9026 | |
Dr. Wylie Carhartt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9000 W Thunderbird Rd Ste 110, Peoria, AZ 85381 Phone: 855-776-7266 | |
Sandhya Ravi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382 Phone: 623-322-3380 Fax: 623-322-4399 | |
Dr. Agnes T Lardizabal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6780 W Thunderbird Rd, Suite A101, Peoria, AZ 85381 Phone: 602-843-1991 Fax: 602-843-3224 | |
Ashley Lynn Matrose Hineman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21681 N 77th Ave Ste 1410, Peoria, AZ 85382 Phone: 623-362-1818 Fax: 623-362-8095 | |
Heather Holley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 Phone: 623-322-3380 Fax: 623-332-4399 |