| Gilbert Neurology Partners Pllc | |
|
3507 S Mercy Rd Suite 101 Gilbert AZ 85297-0441 | |
| (480) 926-0644 | |
| (480) 926-0645 |
| Full Name | Gilbert Neurology Partners Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3507 S Mercy Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Jonathan W Hodgson (JOINT OWNER) |
| Authorized Official Contact | 4809260644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert Neurology Partners Pllc 3507 S Mercy Rd Ste 101 Gilbert AZ 85297-0441 Ph: (480) 926-0644 | Gilbert Neurology Partners Pllc 3507 S Mercy Rd Suite 101 Gilbert AZ 85297-0441 Ph: (480) 926-0644 |
| NPI Number | 1417266305 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Medicare PECOS PAC ID | 4587852793 |
|---|---|
| Medicare Enrollment ID | O20110103000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417266305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4335 (Arizona) | Primary |
| Provider Name | Jonathan W Hodgson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851345433 PECOS PAC ID: 3577569599 Enrollment ID: I20061016000348 |
| Provider Name | Dan J Capampangan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114956273 PECOS PAC ID: 1254477425 Enrollment ID: I20091002000007 |
| Provider Name | Ajo Joy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679781652 PECOS PAC ID: 6204967003 Enrollment ID: I20100623000079 |
| Provider Name | Theodore W Etling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497063424 PECOS PAC ID: 4981870326 Enrollment ID: I20120105000746 |
| Provider Name | Celeste J Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023379393 PECOS PAC ID: 4486808441 Enrollment ID: I20130129000463 |
| Provider Name | David J Salvatore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578763223 PECOS PAC ID: 8820276850 Enrollment ID: I20140702002081 |
| Provider Name | Brian Beck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154642205 PECOS PAC ID: 7214156496 Enrollment ID: I20140922000001 |
| Provider Name | Michelle L Raphael |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023243813 PECOS PAC ID: 3577719442 Enrollment ID: I20150702002331 |
| Provider Name | Jaime M Rawson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508026469 PECOS PAC ID: 8224329461 Enrollment ID: I20160620001316 |
| Provider Name | Muhammad Osman Salim Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124409073 PECOS PAC ID: 8921420498 Enrollment ID: I20200630000839 |
| Provider Name | Tamara Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801401369 PECOS PAC ID: 5193145043 Enrollment ID: I20201015001550 |
| Provider Name | Makensey Durrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063029486 PECOS PAC ID: 2567877848 Enrollment ID: I20210218001804 |
| Provider Name | Michele Lynne Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114675493 PECOS PAC ID: 9830565845 Enrollment ID: I20221017001270 |
| Provider Name | Jessica L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992579759 PECOS PAC ID: 6103277314 Enrollment ID: I20240111002335 |
| Provider Name | Savannah Lynn Minehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528895976 PECOS PAC ID: 0143753467 Enrollment ID: I20241024004604 |
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