| |
2033 E Warner Rd Ste 109 Tempe AZ 85284-3417 | |
(480) 820-5525 | |
(480) 831-6755 |
Full Name | |
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Speciality | Pediatrics |
Location | 2033 E Warner Rd Ste 109, Tempe, Arizona |
Authorized Official Name and Position | Roman Carrasco (CEO) |
Authorized Official Contact | 4808205525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2033 E Warner Rd Ste 109 Tempe AZ 85284-3417 Ph: (480) 820-5525 | 2033 E Warner Rd Ste 109 Tempe AZ 85284-3417 Ph: (480) 820-5525 |
NPI Number | 1821288606 |
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Provider Enumeration Date | 07/27/2007 |
Last Update Date | 07/17/2023 |
Certification Date | 07/17/2023 |
Medicare PECOS PAC ID | 8426322504 |
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Medicare Enrollment ID | O20170928001435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821288606 | NPI | - | NPPES |
Provider Name | Christopher J Labban |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134165848 PECOS PAC ID: 7618865791 Enrollment ID: I20040309001334 |
Provider Name | Cecile D Dumerve |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1619165248 PECOS PAC ID: 4385868918 Enrollment ID: I20140620001625 |
Provider Name | Luis F Vazquez |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1437387883 PECOS PAC ID: 8022236389 Enrollment ID: I20140827002967 |
Provider Name | Josefina Castelo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346613908 PECOS PAC ID: 8022319631 Enrollment ID: I20151223000665 |
Provider Name | Jose F Carrazco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568444875 PECOS PAC ID: 1254560931 Enrollment ID: I20160114001093 |
Provider Name | Edwina Carrion-loucks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558813469 PECOS PAC ID: 5193006773 Enrollment ID: I20161220001897 |
Provider Name | Philemon Theologos Spencer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437348950 PECOS PAC ID: 1052443694 Enrollment ID: I20170809003570 |
Provider Name | Araceli Labastida |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821591108 PECOS PAC ID: 5890059414 Enrollment ID: I20180508001515 |
Provider Name | Rosanna Lujan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609378314 PECOS PAC ID: 4082979422 Enrollment ID: I20180605002987 |
Provider Name | Angelina R Canjura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184015794 PECOS PAC ID: 8426393760 Enrollment ID: I20181214001696 |
Provider Name | Liceett Pena |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740705961 PECOS PAC ID: 1658611884 Enrollment ID: I20190325002462 |
Provider Name | Elsa Lisa Atchley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295204972 PECOS PAC ID: 7719317049 Enrollment ID: I20200428001197 |
Provider Name | Rene Gonzalez Garcia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639269913 PECOS PAC ID: 5395762702 Enrollment ID: I20200720000265 |
Provider Name | Elicia B Hinton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922644012 PECOS PAC ID: 3971920562 Enrollment ID: I20200827001637 |
Provider Name | Sarah Kathryn Spencer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134734007 PECOS PAC ID: 8527488691 Enrollment ID: I20201012002720 |
Provider Name | Steven Paul Hauben |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730216953 PECOS PAC ID: 2961810627 Enrollment ID: I20210416001893 |
Provider Name | Stephenie Ann Lechuga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083258354 PECOS PAC ID: 4688074206 Enrollment ID: I20210617002547 |
Provider Name | Carlos Antonio Baldit |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1699067272 PECOS PAC ID: 3375946460 Enrollment ID: I20210727003005 |
Provider Name | Suhir Bitar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760698419 PECOS PAC ID: 7113320227 Enrollment ID: I20210727003805 |
Provider Name | Emma M Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831843226 PECOS PAC ID: 4082091350 Enrollment ID: I20220509000342 |
Provider Name | Georgina Hines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972259448 PECOS PAC ID: 3274910039 Enrollment ID: I20220517000179 |
Provider Name | Sara Whitney Bahena |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154056380 PECOS PAC ID: 6608250394 Enrollment ID: I20220830000646 |
Provider Name | Adriana Silva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093023970 PECOS PAC ID: 5294107132 Enrollment ID: I20230202001331 |
Provider Name | Christina Jauregui |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588355549 PECOS PAC ID: 5496114084 Enrollment ID: I20230629001771 |
Provider Name | Alina Moayer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366124638 PECOS PAC ID: 9638524473 Enrollment ID: I20231013000539 |
Provider Name | Kristin Kelley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528821097 PECOS PAC ID: 4587005053 Enrollment ID: I20240515001226 |
Provider Name | Julieanne Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225881451 PECOS PAC ID: 8224574686 Enrollment ID: I20240722001426 |
Provider Name | Taryll Galloway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013756808 PECOS PAC ID: 7517403777 Enrollment ID: I20240724000447 |
Skycrest Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 E Southern Ave, #d1, Tempe, AZ 85282 Phone: 480-219-7272 | |
Empact-suicide Prevention Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 618 S. Madison Drive, Tempe, AZ 85281 Phone: 480-784-1514 Fax: 480-967-3528 | |
Avira Behavioral Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 E Broadway Rd Ste 200, Tempe, AZ 85282 Phone: 346-500-4514 | |