| 4c Medical Group Plc | |
|
9590 E Ironwood Square Dr Ste 125 Scottsdale AZ 85258-4583 | |
| (480) 455-3000 | |
| (866) 819-6115 |
| Full Name | 4c Medical Group Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9590 E Ironwood Square Dr Ste 125, Scottsdale, Arizona |
| Authorized Official Name and Position | Emily Castillo (MEDICAL STAFF MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4c Medical Group Plc 9590 E Ironwood Square Dr Ste 125 Scottsdale AZ 85258-4583 Ph: (480) 455-3000 | 4c Medical Group Plc 9590 E Ironwood Square Dr Ste 125 Scottsdale AZ 85258-4583 Ph: (480) 455-3000 |
| NPI Number | 1558654384 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 2769653641 |
|---|---|
| Medicare Enrollment ID | O20110926000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558654384 | NPI | - | NPPES |
| 625202 | Medicaid | AZ |
| Provider Name | Vance M Abshire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457374290 PECOS PAC ID: 9537055462 Enrollment ID: I20040309000194 |
| Provider Name | Steven T Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255305835 PECOS PAC ID: 9133019375 Enrollment ID: I20040319000348 |
| Provider Name | Paul A Babey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679509301 PECOS PAC ID: 7416941406 Enrollment ID: I20040413000388 |
| Provider Name | Stacey J Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447284088 PECOS PAC ID: 5991793754 Enrollment ID: I20040503000446 |
| Provider Name | Jalal M Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205895034 PECOS PAC ID: 2769463009 Enrollment ID: I20040525000204 |
| Provider Name | Vafa K Matin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184695371 PECOS PAC ID: 9133100886 Enrollment ID: I20040527000949 |
| Provider Name | Rajesh U Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023077872 PECOS PAC ID: 3870574130 Enrollment ID: I20040528000643 |
| Provider Name | Donald J Fruchtman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689628513 PECOS PAC ID: 7517949969 Enrollment ID: I20040601001202 |
| Provider Name | Michael F Kleven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447323423 PECOS PAC ID: 4486638749 Enrollment ID: I20040615000573 |
| Provider Name | Ruth L Eckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376571174 PECOS PAC ID: 1850375858 Enrollment ID: I20040616001335 |
| Provider Name | Patricia A Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023267051 PECOS PAC ID: 1254316532 Enrollment ID: I20040621001653 |
| Provider Name | Brian C Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326127473 PECOS PAC ID: 2567449374 Enrollment ID: I20040630000466 |
| Provider Name | Marie T Pimentel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891874962 PECOS PAC ID: 6608860606 Enrollment ID: I20040630000558 |
| Provider Name | Saeed Behbahani |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063466522 PECOS PAC ID: 7719965714 Enrollment ID: I20040707001234 |
| Provider Name | Richard M Ernst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417944802 PECOS PAC ID: 5991784001 Enrollment ID: I20040714000205 |
| Provider Name | Katayoun Baniriah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013992817 PECOS PAC ID: 3577534700 Enrollment ID: I20040803000182 |
| Provider Name | Janet F Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205814621 PECOS PAC ID: 7416922984 Enrollment ID: I20040827001109 |
| Provider Name | Izabela A Musial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659313070 PECOS PAC ID: 7214996412 Enrollment ID: I20041124000932 |
| Provider Name | Shilpa Gujrathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528056967 PECOS PAC ID: 1153388566 Enrollment ID: I20041217000158 |
| Provider Name | Julius Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851394183 PECOS PAC ID: 1052362241 Enrollment ID: I20050204000396 |
| Provider Name | Irwin L Levey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548337082 PECOS PAC ID: 9032163969 Enrollment ID: I20050303000655 |
| Provider Name | Meena Venugopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588674832 PECOS PAC ID: 9931154721 Enrollment ID: I20050315000247 |
| Provider Name | Nanni B Bachenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578562807 PECOS PAC ID: 2769476191 Enrollment ID: I20050414001088 |
| Provider Name | Bonnie L Mcdonald Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306830898 PECOS PAC ID: 8921035338 Enrollment ID: I20050718000657 |
| Provider Name | Mayur Rathod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982661799 PECOS PAC ID: 5597792242 Enrollment ID: I20050725000466 |
| Provider Name | Dat Tien Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720047566 PECOS PAC ID: 8325029671 Enrollment ID: I20050830000748 |
| Provider Name | Martin S Chattman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427117894 PECOS PAC ID: 8921082561 Enrollment ID: I20050902000745 |
| Provider Name | Hernan L Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982684924 PECOS PAC ID: 2961436233 Enrollment ID: I20050926000818 |
| Provider Name | Dilip C Dhadvai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497861181 PECOS PAC ID: 6406881200 Enrollment ID: I20050929001254 |
| Provider Name | Rama Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871606673 PECOS PAC ID: 6305864760 Enrollment ID: I20051104000258 |
| Provider Name | Gerald L Muncy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376506246 PECOS PAC ID: 4981624368 Enrollment ID: I20051130000374 |
| Provider Name | Marisa Laura Sosinsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609905439 PECOS PAC ID: 8426078320 Enrollment ID: I20051206000594 |
| Provider Name | Jodi K Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659371425 PECOS PAC ID: 9436152345 Enrollment ID: I20060815000302 |
| Provider Name | Wookjin Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689688699 PECOS PAC ID: 7012911134 Enrollment ID: I20060901000395 |
| Provider Name | Alkeshkumar H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881616290 PECOS PAC ID: 3476550484 Enrollment ID: I20061106000365 |
| Provider Name | Kyle J Stoeckmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154322907 PECOS PAC ID: 6507827458 Enrollment ID: I20070109000561 |
| Provider Name | Steven C Macko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639155070 PECOS PAC ID: 8022093434 Enrollment ID: I20070109000568 |
| Provider Name | Leo Odle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073601415 PECOS PAC ID: 5597759340 Enrollment ID: I20070515000298 |
| Provider Name | Shruti G Chaurasia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801950464 PECOS PAC ID: 7416056411 Enrollment ID: I20070615000147 |
| Provider Name | Veronica Torres Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790976876 PECOS PAC ID: 1355434531 Enrollment ID: I20070904000421 |
| Provider Name | Pina P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336110584 PECOS PAC ID: 5193814184 Enrollment ID: I20071128000508 |
| Provider Name | Anupama Nutakki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386605657 PECOS PAC ID: 9739262338 Enrollment ID: I20080205000595 |
| Provider Name | Gerald R Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811087653 PECOS PAC ID: 3779561428 Enrollment ID: I20080825000578 |
| Provider Name | Amar P Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245415710 PECOS PAC ID: 9739256991 Enrollment ID: I20080930000445 |
| Provider Name | Mehdy Zarandy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346401700 PECOS PAC ID: 8921176132 Enrollment ID: I20081001000215 |
| Provider Name | Reza Maleknia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740464759 PECOS PAC ID: 4688734437 Enrollment ID: I20081124000382 |
| Provider Name | Nagaraju Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639168487 PECOS PAC ID: 6002976099 Enrollment ID: I20081125000134 |
| Provider Name | George L Sibley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043397276 PECOS PAC ID: 1951201789 Enrollment ID: I20090107000170 |
| Provider Name | Michele F Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144395476 PECOS PAC ID: 1658436514 Enrollment ID: I20090210000599 |
| Provider Name | Rajesh N Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235147380 PECOS PAC ID: 9133298029 Enrollment ID: I20090611000474 |
| Provider Name | Dorothy A Trimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891756045 PECOS PAC ID: 5698813384 Enrollment ID: I20091118000203 |
| Provider Name | Warren M Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750339784 PECOS PAC ID: 5991892671 Enrollment ID: I20091208000471 |
| Provider Name | Robert J Fauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114988672 PECOS PAC ID: 3971644238 Enrollment ID: I20100108000229 |
| Provider Name | Foster T Mccarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497869531 PECOS PAC ID: 3274663869 Enrollment ID: I20100608000521 |
| Provider Name | Kianoush Cheybani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013901578 PECOS PAC ID: 4385776897 Enrollment ID: I20100720000213 |
| Provider Name | Barbara A Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457411613 PECOS PAC ID: 8224126495 Enrollment ID: I20100902000866 |
| Provider Name | Ernie Riffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134284268 PECOS PAC ID: 0042308215 Enrollment ID: I20100902000902 |
| Provider Name | Barbara C Lipschitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215097472 PECOS PAC ID: 9133217300 Enrollment ID: I20100902000927 |
| Provider Name | Essam E Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083948400 PECOS PAC ID: 5092830455 Enrollment ID: I20100909000355 |
| Provider Name | Heidi L Banister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538629 PECOS PAC ID: 4183704646 Enrollment ID: I20101029000662 |
| Provider Name | Parminder Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629379904 PECOS PAC ID: 4880882794 Enrollment ID: I20101220000450 |
| Provider Name | Robert B Arashahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003995457 PECOS PAC ID: 8426016320 Enrollment ID: I20110113000773 |
| Provider Name | Stephanie A Van Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760688212 PECOS PAC ID: 8729260161 Enrollment ID: I20110307000864 |
| Provider Name | Joseph M Brewster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871544122 PECOS PAC ID: 2769486240 Enrollment ID: I20110712000385 |
| Provider Name | Tamara Djurisic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740213503 PECOS PAC ID: 3072598234 Enrollment ID: I20111116000331 |
| Provider Name | Matthew D Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396070819 PECOS PAC ID: 0749437994 Enrollment ID: I20120823000592 |
| Provider Name | Vishal Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750607933 PECOS PAC ID: 9436282092 Enrollment ID: I20130610000752 |
| Provider Name | Sridhar Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992981153 PECOS PAC ID: 5597774000 Enrollment ID: I20130820001065 |
| Provider Name | Mahesh Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356570568 PECOS PAC ID: 3870774961 Enrollment ID: I20130903000458 |
| Provider Name | Mila Easapour Cheshani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871861617 PECOS PAC ID: 0547404022 Enrollment ID: I20130924000263 |
| Provider Name | Thomas R Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194036566 PECOS PAC ID: 7113155466 Enrollment ID: I20140112000016 |
| Provider Name | Vikas K Kalra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801041041 PECOS PAC ID: 5597935833 Enrollment ID: I20140715001247 |
| Provider Name | Kaveh Karandish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346485919 PECOS PAC ID: 2769528702 Enrollment ID: I20140826001056 |
| Provider Name | Neeja N. Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780998237 PECOS PAC ID: 3678796026 Enrollment ID: I20141027001411 |
| Provider Name | Samer Muala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790943900 PECOS PAC ID: 9234292384 Enrollment ID: I20141030000134 |
| Provider Name | Preethi Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731863 PECOS PAC ID: 5294057220 Enrollment ID: I20141202002512 |
| Provider Name | Jasmine Sra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689006785 PECOS PAC ID: 4789679259 Enrollment ID: I20150113000225 |
| Provider Name | Kara B Koelbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295125946 PECOS PAC ID: 2264753532 Enrollment ID: I20150611002665 |
| Provider Name | Caroline Syowia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588847 PECOS PAC ID: 2062721053 Enrollment ID: I20151013001953 |
| Provider Name | Basim Mozaffari-nejad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770879835 PECOS PAC ID: 8123337979 Enrollment ID: I20151019002179 |
| Provider Name | Tarandeep Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053671529 PECOS PAC ID: 3274834379 Enrollment ID: I20151215000671 |
| Provider Name | Maria Radulovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033570304 PECOS PAC ID: 3173821907 Enrollment ID: I20160412001814 |
| Provider Name | Shaila Karan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609174648 PECOS PAC ID: 2163648585 Enrollment ID: I20170406002286 |
| Provider Name | Victoria Cupic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669421038 PECOS PAC ID: 0941212765 Enrollment ID: I20170411000590 |
| Provider Name | Fida Sawalha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750545422 PECOS PAC ID: 5395813828 Enrollment ID: I20170804003125 |
| Provider Name | Satyadevi R Sista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275632044 PECOS PAC ID: 0840250064 Enrollment ID: I20170816002651 |
| Provider Name | Nina Sukhrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265737977 PECOS PAC ID: 4385895135 Enrollment ID: I20170821003481 |
| Provider Name | Julia Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669891735 PECOS PAC ID: 5890067888 Enrollment ID: I20170825002703 |
| Provider Name | Sara El Gassim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508285214 PECOS PAC ID: 5395018600 Enrollment ID: I20170908001156 |
| Provider Name | Marium Muzaffar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306191242 PECOS PAC ID: 4385947902 Enrollment ID: I20171128003220 |
| Provider Name | Alicia Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053626648 PECOS PAC ID: 6002004736 Enrollment ID: I20180102002582 |
| Provider Name | Ronald Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114426012 PECOS PAC ID: 9335400738 Enrollment ID: I20180227003134 |
| Provider Name | Shu Ting Kung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053706705 PECOS PAC ID: 1355654567 Enrollment ID: I20180611002971 |
| Provider Name | Sandra Violetta Mele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265811418 PECOS PAC ID: 0446507008 Enrollment ID: I20180727001883 |
| Provider Name | Sumediah Nzuonkwelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184010571 PECOS PAC ID: 5193074342 Enrollment ID: I20180821001955 |
| Provider Name | Matthew Reed Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194110965 PECOS PAC ID: 8224343322 Enrollment ID: I20181024002718 |
| Provider Name | Madhavi Boga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346622289 PECOS PAC ID: 9739474057 Enrollment ID: I20181031002801 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376939769 PECOS PAC ID: 7517272776 Enrollment ID: I20181105000039 |
| Provider Name | Anna L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427528686 PECOS PAC ID: 7315287182 Enrollment ID: I20190314002065 |
| Provider Name | Troy Lance Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528561016 PECOS PAC ID: 7012257488 Enrollment ID: I20190321000590 |
| Provider Name | Naomi Nicole Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083189112 PECOS PAC ID: 2961743638 Enrollment ID: I20190405000820 |
| Provider Name | Maralee Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902370711 PECOS PAC ID: 9739420878 Enrollment ID: I20190417002990 |
| Provider Name | Crisanto Esguerra Melchor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427535582 PECOS PAC ID: 0547503351 Enrollment ID: I20190520000390 |
| Provider Name | Ashbeel Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659728004 PECOS PAC ID: 6709112576 Enrollment ID: I20190731003738 |
| Provider Name | Robert S Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790148104 PECOS PAC ID: 0345579769 Enrollment ID: I20190911000548 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831572221 PECOS PAC ID: 2769779834 Enrollment ID: I20191003000876 |
| Provider Name | Amar S Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295020683 PECOS PAC ID: 3779701719 Enrollment ID: I20191114000238 |
| Provider Name | Nanako Negome-kapur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013205822 PECOS PAC ID: 3577812221 Enrollment ID: I20191127001492 |
| Provider Name | Hajera Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417353509 PECOS PAC ID: 9638487945 Enrollment ID: I20200114001327 |
| Provider Name | Adrian A Bunta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043542061 PECOS PAC ID: 1557796471 Enrollment ID: I20200122002162 |
| Provider Name | Shelby J Kary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730376633 PECOS PAC ID: 4385730100 Enrollment ID: I20200630001837 |
| Provider Name | Rebecca A Rist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497284590 PECOS PAC ID: 1052681582 Enrollment ID: I20200714001616 |
| Provider Name | Stanley Babu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700935525 PECOS PAC ID: 6507906807 Enrollment ID: I20200717001052 |
| Provider Name | Carley A Vento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689289258 PECOS PAC ID: 5294153482 Enrollment ID: I20200921002105 |
| Provider Name | Saraswati Hamal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831711670 PECOS PAC ID: 4385055920 Enrollment ID: I20201202002713 |
| Provider Name | Polina Barboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877267 PECOS PAC ID: 9436564861 Enrollment ID: I20210217002884 |
| Provider Name | Nicole Angeli Garcia Calma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043894512 PECOS PAC ID: 2668871328 Enrollment ID: I20210528001890 |
| Provider Name | Jennifer Odle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952828956 PECOS PAC ID: 5597161927 Enrollment ID: I20210909001586 |
| Provider Name | Patrick Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649876889 PECOS PAC ID: 0749686194 Enrollment ID: I20210909002580 |
| Provider Name | Erica Marie Grabinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780176404 PECOS PAC ID: 7416353875 Enrollment ID: I20210909002862 |
| Provider Name | Gail A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306416078 PECOS PAC ID: 4284545898 Enrollment ID: I20220207002208 |
| Provider Name | Beena Achuthan Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841951852 PECOS PAC ID: 6608269659 Enrollment ID: I20220215001882 |
| Provider Name | Crystal Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982915237 PECOS PAC ID: 7810376621 Enrollment ID: I20220624002721 |
| Provider Name | Kimberly Klatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144887134 PECOS PAC ID: 3678956414 Enrollment ID: I20220811002451 |
| Provider Name | Tina Marie Menghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235343120 PECOS PAC ID: 5597149369 Enrollment ID: I20220826003080 |
| Provider Name | Richelle Ann Tuazon Radzykewycz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583341 PECOS PAC ID: 0749645216 Enrollment ID: I20230505001277 |
| Provider Name | Shawn Dunmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083359962 PECOS PAC ID: 0941684369 Enrollment ID: I20230519000578 |
| Provider Name | Daniel Abelev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417573163 PECOS PAC ID: 6901228535 Enrollment ID: I20230526001314 |
New Hope Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8945 E Calle Buena Vis, Scottsdale, AZ 85255 Phone: 480-473-9808 Fax: 480-473-7916 | |
Richard J Settles, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, Suite 218, Scottsdale, AZ 85260 Phone: 480-314-9700 Fax: 480-314-9650 | |
Md Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7814 N Via De La Montana, Scottsdale, AZ 85258 Phone: 480-848-1428 | |
Akos Live Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23565 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 602-899-4404 | |
Lifescape Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8757 E Bell Rd, Scottsdale, AZ 85260 Phone: 480-860-5500 Fax: 480-860-5511 | |
Nanni B. Bachenheimer Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9630 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-747-3009 Fax: 480-296-7665 | |
Visitsathomemd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8160 E Butherus Dr, Ste 7, Scottsdale, AZ 85260 Phone: 623-388-3676 |