| Neurology Associates Of The East Valley, Plc | |
|
2201 W Fairview St Ste 1 Chandler AZ 85224-4712 | |
| (480) 800-4890 | |
| (480) 427-4766 |
| Full Name | Neurology Associates Of The East Valley, Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2201 W Fairview St Ste 1, Chandler, Arizona |
| Authorized Official Name and Position | Andrea H An (OWNER/PROVIDER) |
| Authorized Official Contact | 4808004890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of The East Valley, Plc 2201 W Fairview St Ste 1 Chandler AZ 85224-4712 Ph: (480) 800-4890 | Neurology Associates Of The East Valley, Plc 2201 W Fairview St Ste 1 Chandler AZ 85224-4712 Ph: (480) 800-4890 |
| NPI Number | 1225404379 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 1850607151 |
|---|---|
| Medicare Enrollment ID | O20150901002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225404379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 42372 (Arizona) | Primary |
| Provider Name | Julius R Charlie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063479707 PECOS PAC ID: 9638149966 Enrollment ID: I20040726001317 |
| Provider Name | Eric L Gee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023199742 PECOS PAC ID: 8325000565 Enrollment ID: I20041101000199 |
| Provider Name | Kari L Patterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700874906 PECOS PAC ID: 6901852151 Enrollment ID: I20050330000828 |
| Provider Name | Andrea H An |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609826510 PECOS PAC ID: 4284637281 Enrollment ID: I20100528000270 |
| Provider Name | Brian Rabin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386898419 PECOS PAC ID: 8123332889 Enrollment ID: I20150808015954 |
| Provider Name | Kerby B Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662007 PECOS PAC ID: 4486805587 Enrollment ID: I20170105001915 |
| Provider Name | Julie L Lockwood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548522253 PECOS PAC ID: 1658665518 Enrollment ID: I20170615000758 |
| Provider Name | Marianne De Lima |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346683794 PECOS PAC ID: 6305148156 Enrollment ID: I20190611001486 |
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