| Advanced Minimally Invasive Surgical | |
|
202 E Earll Dr Ste 360 Phoenix AZ 85012-2677 | |
| (480) 788-5621 | |
| (480) 779-1277 |
| Full Name | Advanced Minimally Invasive Surgical |
|---|---|
| Speciality | Surgery |
| Location | 202 E Earll Dr Ste 360, Phoenix, Arizona |
| Authorized Official Name and Position | Kiup Alex Kim (MANAGER) |
| Authorized Official Contact | 4802997654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Minimally Invasive Surgical 202 E Earll Dr Ste 360 Phoenix AZ 85012-2677 Ph: (480) 788-5621 | Advanced Minimally Invasive Surgical 202 E Earll Dr Ste 360 Phoenix AZ 85012-2677 Ph: (480) 788-5621 |
| NPI Number | 1295056919 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 4183758527 |
|---|---|
| Medicare Enrollment ID | O20100819001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295056919 | NPI | - | NPPES |
| 501341 | Medicaid | AZ | |
| Z139139 | Other | AZ | PTAN |
| P00924643 | Other | RR PTAN | |
| Z139140 | Other | MEDICARE PTAN |
| Provider Name | Marc L Eckhauser |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811997513 PECOS PAC ID: 2567362676 Enrollment ID: I20040113000443 |
| Provider Name | Brian W Zernich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902878895 PECOS PAC ID: 9931091253 Enrollment ID: I20040329001820 |
| Provider Name | Christopher S Ray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548267131 PECOS PAC ID: 1658341326 Enrollment ID: I20040729000654 |
| Provider Name | Stephen J Joyce |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619043890 PECOS PAC ID: 3274553946 Enrollment ID: I20051128000481 |
| Provider Name | John J Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1568534741 PECOS PAC ID: 9335153881 Enrollment ID: I20060203000413 |
| Provider Name | Ayad Agha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113903 PECOS PAC ID: 4789663998 Enrollment ID: I20060223000507 |
| Provider Name | Michael F Esber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174597462 PECOS PAC ID: 7416965355 Enrollment ID: I20060406000381 |
| Provider Name | Laureen G Cota |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548275969 PECOS PAC ID: 7416048871 Enrollment ID: I20070814000656 |
| Provider Name | Theresa M Hensler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386761484 PECOS PAC ID: 7416022728 Enrollment ID: I20080821000276 |
| Provider Name | Pierre Claude Gilles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780651737 PECOS PAC ID: 7113080847 Enrollment ID: I20090107000197 |
| Provider Name | Joel E Braun |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144457110 PECOS PAC ID: 9436204187 Enrollment ID: I20090901000272 |
| Provider Name | Wei Jen Sheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104069392 PECOS PAC ID: 0446306625 Enrollment ID: I20090914000750 |
| Provider Name | Anne Luhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093985731 PECOS PAC ID: 0143366153 Enrollment ID: I20091006000111 |
| Provider Name | Kiup A Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225242985 PECOS PAC ID: 2668501586 Enrollment ID: I20100602000230 |
| Provider Name | Kelli R Favata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184822348 PECOS PAC ID: 1052507241 Enrollment ID: I20120526000028 |
| Provider Name | Scott M Brannan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033369707 PECOS PAC ID: 4688866619 Enrollment ID: I20120730000756 |
| Provider Name | Mary K Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881984342 PECOS PAC ID: 9739366055 Enrollment ID: I20151119002723 |
| Provider Name | Victoria Cupic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669421038 PECOS PAC ID: 0941212765 Enrollment ID: I20170411000590 |
| Provider Name | Jennifer D Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194963 PECOS PAC ID: 0648542340 Enrollment ID: I20170815003285 |
| Provider Name | Randy Jo Kauk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982131702 PECOS PAC ID: 1456613256 Enrollment ID: I20180314001204 |
| Provider Name | Marti M Manko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259725 PECOS PAC ID: 0840547584 Enrollment ID: I20180726000272 |
| Provider Name | Nikhil C Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053345926 PECOS PAC ID: 7911800487 Enrollment ID: I20180919002131 |
| Provider Name | Shannon Ganley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073976833 PECOS PAC ID: 5698066231 Enrollment ID: I20190814003984 |
| Provider Name | Kendra Ann Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003473018 PECOS PAC ID: 2163751280 Enrollment ID: I20190913002263 |
| Provider Name | Sonia Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366006199 PECOS PAC ID: 1951733229 Enrollment ID: I20191107002620 |
| Provider Name | Stephen Leschak |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760430029 PECOS PAC ID: 7315832805 Enrollment ID: I20200325000899 |
| Provider Name | Kimberly Ann Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811483480 PECOS PAC ID: 5092067207 Enrollment ID: I20201105001194 |
| Provider Name | James Ferlmann |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558369371 PECOS PAC ID: 3577623057 Enrollment ID: I20210512001718 |
| Provider Name | Lizete Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598341877 PECOS PAC ID: 6406255504 Enrollment ID: I20210521001773 |
| Provider Name | Jacob John Wolfrum |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437649084 PECOS PAC ID: 2668853763 Enrollment ID: I20220720003958 |
| Provider Name | Abbas Ghazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124735006 PECOS PAC ID: 9133591837 Enrollment ID: I20230206002661 |
| Provider Name | Jyldyz Temirkan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463715 PECOS PAC ID: 4082088844 Enrollment ID: I20230316002383 |
| Provider Name | Joshua Paul Pessin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669665675 PECOS PAC ID: 2163582412 Enrollment ID: I20230324000543 |
| Provider Name | Daniel Mcaffee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023403078 PECOS PAC ID: 5496004418 Enrollment ID: I20230330001477 |
| Provider Name | Nadezhda Ivanovna Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982391058 PECOS PAC ID: 7214392901 Enrollment ID: I20230502002829 |
| Provider Name | Simisola Asekun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386380608 PECOS PAC ID: 9032587738 Enrollment ID: I20230512001752 |
| Provider Name | Dorcas Lomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225599863 PECOS PAC ID: 2163757519 Enrollment ID: I20230706003057 |
| Provider Name | Timothy Chan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790955367 PECOS PAC ID: 9537297940 Enrollment ID: I20230717002938 |
| Provider Name | Darian Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699392761 PECOS PAC ID: 3577923523 Enrollment ID: I20230721001893 |
| Provider Name | Genesis Parra-lugo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699392753 PECOS PAC ID: 5496115321 Enrollment ID: I20230724002288 |
| Provider Name | Kristina Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399600 PECOS PAC ID: 7810353802 Enrollment ID: I20230802003972 |
| Provider Name | Francis Reynold Serdenia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730871948 PECOS PAC ID: 9830543586 Enrollment ID: I20230928002059 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |