Oak Street Health Physicians Group Of Arizona Pllc | |
183 W Apache Trl Apache Junction AZ 85120-3425 | |
(480) 618-0945 | |
(602) 671-6859 |
Full Name | Oak Street Health Physicians Group Of Arizona Pllc |
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Speciality | Clinic/Center |
Location | 183 W Apache Trl, Apache Junction, Arizona |
Authorized Official Name and Position | Griffin Myers (CMO) |
Authorized Official Contact | 3072642085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oak Street Health Physicians Group Of Arizona Pllc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 733-9730 | Oak Street Health Physicians Group Of Arizona Pllc 183 W Apache Trl Apache Junction AZ 85120-3425 Ph: (480) 618-0945 |
NPI Number | 1063083590 |
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Provider Enumeration Date | 07/06/2021 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Medicare PECOS PAC ID | 3274939988 |
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Medicare Enrollment ID | O20210903002048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063083590 | NPI | - | NPPES |
Provider Name | Karen S Connally Frank |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952355042 PECOS PAC ID: 0749274066 Enrollment ID: I20040412000089 |
Provider Name | Kimberly R Stone |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780644138 PECOS PAC ID: 2769464197 Enrollment ID: I20040601001075 |
Provider Name | Francis E Carmel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336348432 PECOS PAC ID: 9830170224 Enrollment ID: I20050127001052 |
Provider Name | William H Mcginnis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275591612 PECOS PAC ID: 5698708683 Enrollment ID: I20050912000054 |
Provider Name | Gregory Miller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821040783 PECOS PAC ID: 0547281230 Enrollment ID: I20060706000065 |
Provider Name | Joshua A Millstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376749721 PECOS PAC ID: 5092816652 Enrollment ID: I20070726000170 |
Provider Name | Sarah Louise Bivens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386653251 PECOS PAC ID: 7911067079 Enrollment ID: I20081119000222 |
Provider Name | Charlotte V Gurule |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770552598 PECOS PAC ID: 1850417882 Enrollment ID: I20100928000764 |
Provider Name | Danielle R Sink |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952390833 PECOS PAC ID: 4183767114 Enrollment ID: I20100929000888 |
Provider Name | Angela Armenta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992018980 PECOS PAC ID: 2365635620 Enrollment ID: I20101027000321 |
Provider Name | Paul S Laven |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396718102 PECOS PAC ID: 7618960857 Enrollment ID: I20110202000242 |
Provider Name | Leslie M Rach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629384284 PECOS PAC ID: 5395926182 Enrollment ID: I20110228000351 |
Provider Name | Joseph R Mawyer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336301035 PECOS PAC ID: 6507031168 Enrollment ID: I20111208000800 |
Provider Name | Melissa R Frye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629342787 PECOS PAC ID: 3678737384 Enrollment ID: I20120608000430 |
Provider Name | Kimberly Shipman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376707471 PECOS PAC ID: 9133370794 Enrollment ID: I20121108000466 |
Provider Name | Marianne H Tortora |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588936793 PECOS PAC ID: 1759543192 Enrollment ID: I20130412000217 |
Provider Name | Huixu Liang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154648749 PECOS PAC ID: 2466696679 Enrollment ID: I20130909000775 |
Provider Name | Angela L Overturf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457758609 PECOS PAC ID: 1254657497 Enrollment ID: I20150305000251 |
Provider Name | Ifeanyi C Willson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801290051 PECOS PAC ID: 9830409143 Enrollment ID: I20151116002629 |
Provider Name | Melissa M Romero |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811333693 PECOS PAC ID: 7911227137 Enrollment ID: I20160823003150 |
Provider Name | Consuelo Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639623531 PECOS PAC ID: 8426339201 Enrollment ID: I20170110002710 |
Provider Name | Patrick Vinck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639466311 PECOS PAC ID: 2860795184 Enrollment ID: I20170410001282 |
Provider Name | Sahar S Zuberi |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1407291750 PECOS PAC ID: 2163748286 Enrollment ID: I20171013001026 |
Provider Name | Janette R Buhl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952327249 PECOS PAC ID: 1456364702 Enrollment ID: I20171201002851 |
Provider Name | Matthew Glen Checketts |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518344753 PECOS PAC ID: 3971896416 Enrollment ID: I20180709000572 |
Provider Name | Judith Bliss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114412681 PECOS PAC ID: 2466796032 Enrollment ID: I20181207002594 |
Provider Name | Sufia Khan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508271800 PECOS PAC ID: 6103137633 Enrollment ID: I20190617002059 |
Provider Name | Ondrea Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477844223 PECOS PAC ID: 8224206586 Enrollment ID: I20190627001746 |
Provider Name | Melissa Frost |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689135733 PECOS PAC ID: 0941536924 Enrollment ID: I20190729003020 |
Provider Name | Marceline E Ndum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366007411 PECOS PAC ID: 4284963430 Enrollment ID: I20190912002474 |
Provider Name | Wende M Frybarger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245797117 PECOS PAC ID: 4587990510 Enrollment ID: I20191001001923 |
Provider Name | Vanica Bryant Caswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982985818 PECOS PAC ID: 6901232701 Enrollment ID: I20200213002089 |
Provider Name | Patricia Elzner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326673906 PECOS PAC ID: 3678904828 Enrollment ID: I20200504001326 |
Provider Name | Sadie Franco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720605231 PECOS PAC ID: 8527471036 Enrollment ID: I20201230000555 |
Provider Name | Deepa Tandon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053727768 PECOS PAC ID: 9436465721 Enrollment ID: I20210426000496 |
Provider Name | Lillian Huili Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093380891 PECOS PAC ID: 9638574007 Enrollment ID: I20210823002823 |
Provider Name | Brittany Alexandra Bonfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194392951 PECOS PAC ID: 5799180196 Enrollment ID: I20210824000850 |
Provider Name | Ali Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710202999 PECOS PAC ID: 7810137718 Enrollment ID: I20210826003793 |
Provider Name | Maria Fernanda Chamorro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871254235 PECOS PAC ID: 2567854565 Enrollment ID: I20220125002729 |
Provider Name | Gail A Ward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306416078 PECOS PAC ID: 4284545898 Enrollment ID: I20220207002208 |
Provider Name | Melinda Jones-saah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477078798 PECOS PAC ID: 2062778061 Enrollment ID: I20220218001745 |
Provider Name | Cora Marie Reynolds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639586399 PECOS PAC ID: 2163644055 Enrollment ID: I20220805001599 |
Provider Name | Palak Shah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598292799 PECOS PAC ID: 5395161210 Enrollment ID: I20220913003073 |
Provider Name | Michelle Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104334077 PECOS PAC ID: 7810259488 Enrollment ID: I20220922002173 |
Provider Name | Holly Lago |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649240938 PECOS PAC ID: 9739112384 Enrollment ID: I20221005001009 |
Provider Name | Unnati Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952838179 PECOS PAC ID: 9436577178 Enrollment ID: I20221005001674 |
Provider Name | Justin Hunt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20221111001042 |
Provider Name | Leyna Inberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801255898 PECOS PAC ID: 9830498138 Enrollment ID: I20221216000569 |
Provider Name | Fernanda Castaneda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154796845 PECOS PAC ID: 4587967237 Enrollment ID: I20230209001672 |
Provider Name | Cindy Suthar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750815981 PECOS PAC ID: 6204113194 Enrollment ID: I20230310001198 |
Provider Name | Natalia Klusacek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497142285 PECOS PAC ID: 1759686660 Enrollment ID: I20230310001988 |
Provider Name | Ashley Chou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033409297 PECOS PAC ID: 9234376054 Enrollment ID: I20230330000185 |
Provider Name | Forrest Yeakley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841787611 PECOS PAC ID: 7911305842 Enrollment ID: I20230822000955 |
Provider Name | Yong Pan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598446841 PECOS PAC ID: 8426404708 Enrollment ID: I20231023001579 |
Provider Name | Tina Marie Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568962611 PECOS PAC ID: 6204175284 Enrollment ID: I20231110001875 |
Provider Name | Marion Ddamulira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205113495 PECOS PAC ID: 7315104536 Enrollment ID: I20231219001034 |
Provider Name | Haydn Jessup |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881056802 PECOS PAC ID: 3375910839 Enrollment ID: I20240109002768 |
Provider Name | Jason Matthew Packard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043086838 PECOS PAC ID: 8921441403 Enrollment ID: I20240212003583 |
Provider Name | Rebecca Murray |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134557473 PECOS PAC ID: 2365675451 Enrollment ID: I20240222002087 |
Provider Name | Raina A Decina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861258246 PECOS PAC ID: 2062850795 Enrollment ID: I20240401002018 |
San Tan Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 288 N Ironwood Dr Ste 101, Apache Junction, AZ 85220 Phone: 480-982-2356 Fax: 480-982-2449 | |
Apache Junction Unified School District #43 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 W Southern Ave, Suite 6, Apache Junction, AZ 85220 Phone: 480-982-1110 Fax: 480-983-6497 | |
Aj Adult With Serious Mental Illness Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11518 E Apache Trl, #129, Apache Junction, AZ 85120 Phone: 480-784-1514 Fax: 480-967-3528 | |
By Your Side Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 W 13th Ave, Apache Junction, AZ 85120 Phone: 480-388-4906 | |
Apache Junction Unified School District #43 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 W Southern Ave, Suite 6, Apache Junction, AZ 85220 Phone: 480-982-1110 Fax: 480-983-6497 | |
Apache Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Idaho Rd, Apache Junction, AZ 85119 Phone: 775-354-9789 |