Apogee Medical Group New Mexico Inc | |
15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 | |
(602) 778-3600 | |
(602) 778-3695 |
Full Name | Apogee Medical Group New Mexico Inc |
---|---|
Speciality | Internal Medicine |
Location | 15059 N Scottsdale Road, Scottsdale, Arizona |
Authorized Official Name and Position | Karen J Harwell (CFO) |
Authorized Official Contact | 6027783600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Apogee Medical Group New Mexico Inc Po Box 708850 Sandy UT 84070-8850 Ph: (801) 352-9500 | Apogee Medical Group New Mexico Inc 15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 Ph: (602) 778-3600 |
NPI Number | 1740237262 |
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Provider Enumeration Date | 05/29/2006 |
Last Update Date | 10/21/2016 |
Medicare PECOS PAC ID | 1456337542 |
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Medicare Enrollment ID | O20040629000263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740237262 | NPI | - | NPPES |
3632369 | Medicaid | NM | |
96671823 | Medicaid | NM | |
NM007E50 | Other | NM | BCBS |
24870889 | Medicaid | NM | |
DB9470 | Other | NM | RR MEDICARE |
94888523 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lisa S Noya |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619938677 PECOS PAC ID: 9133172000 Enrollment ID: I20050401000966 |
Provider Name | Marc A Masotti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790794824 PECOS PAC ID: 0941247886 Enrollment ID: I20050603001046 |
Provider Name | Absar S Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720184187 PECOS PAC ID: 3173563749 Enrollment ID: I20050705001015 |
Provider Name | Michael J Bell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851397723 PECOS PAC ID: 8729078548 Enrollment ID: I20050824001048 |
Provider Name | Abderrahmane Temmar |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1114950615 PECOS PAC ID: 4183640311 Enrollment ID: I20051110001009 |
Provider Name | Yosef Raskin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336169663 PECOS PAC ID: 8628084753 Enrollment ID: I20061222000018 |
Provider Name | Abhinav Singh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194841254 PECOS PAC ID: 1759467798 Enrollment ID: I20080520000680 |
Provider Name | William A Gaspar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497739015 PECOS PAC ID: 0244221331 Enrollment ID: I20081103000125 |
Provider Name | Mario S Benavidez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982743985 PECOS PAC ID: 9335201250 Enrollment ID: I20081230000481 |
Provider Name | Shane J Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487806808 PECOS PAC ID: 7113084120 Enrollment ID: I20090318000552 |
Provider Name | Ronald A Li |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295919140 PECOS PAC ID: 0941352876 Enrollment ID: I20090723000347 |
Provider Name | Fahad Inam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073734166 PECOS PAC ID: 0840346235 Enrollment ID: I20090928000205 |
Provider Name | Lisa Lesher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275778433 PECOS PAC ID: 6406994003 Enrollment ID: I20101112000111 |
Provider Name | Melissa M Gomez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134327661 PECOS PAC ID: 6800083429 Enrollment ID: I20101208001239 |
Provider Name | Faith Solomon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508157975 PECOS PAC ID: 2264605781 Enrollment ID: I20111028000375 |
Provider Name | Bard Layne Rogers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639185192 PECOS PAC ID: 4789642505 Enrollment ID: I20111114000141 |
Provider Name | Mohammad Izhar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114178779 PECOS PAC ID: 2365698974 Enrollment ID: I20120815000313 |
Provider Name | Indra Prasad R Peram |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063653285 PECOS PAC ID: 6608022165 Enrollment ID: I20120816000171 |
Provider Name | Irum Haq |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1497066799 PECOS PAC ID: 9638328495 Enrollment ID: I20121011000356 |
Provider Name | Staci West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326383589 PECOS PAC ID: 6800049644 Enrollment ID: I20130104000051 |
Provider Name | Cynthia Caranta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952653180 PECOS PAC ID: 2466606645 Enrollment ID: I20130218000353 |
Provider Name | Robert Leon Clark |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508850181 PECOS PAC ID: 1759381171 Enrollment ID: I20130222000097 |
Provider Name | Sarah Elizabeth Aragon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437402450 PECOS PAC ID: 0749428076 Enrollment ID: I20130529000106 |
Provider Name | Mary C Dicarlo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073778643 PECOS PAC ID: 9537219407 Enrollment ID: I20130812000470 |
Provider Name | Maanasa R Konda |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1831400340 PECOS PAC ID: 9931343183 Enrollment ID: I20130910000488 |
Provider Name | Harkesh Arora |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1427211523 PECOS PAC ID: 1355528613 Enrollment ID: I20130923000123 |
Provider Name | Mariam Hashimi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497998165 PECOS PAC ID: 0042461014 Enrollment ID: I20130927000020 |
Provider Name | Aaron A Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285898817 PECOS PAC ID: 0749453033 Enrollment ID: I20140506001347 |
Provider Name | David Emerson Good |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1770786618 PECOS PAC ID: 3274615711 Enrollment ID: I20140612000555 |
Provider Name | Connie M Ebach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053417493 PECOS PAC ID: 1759379258 Enrollment ID: I20140728002198 |
Provider Name | Venkata P Konda |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1679851786 PECOS PAC ID: 6305065996 Enrollment ID: I20140912001697 |
Provider Name | Kimberly S Adler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952688848 PECOS PAC ID: 2860654902 Enrollment ID: I20141222000731 |
Provider Name | Eileen D Barrett |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1972592723 PECOS PAC ID: 9739104399 Enrollment ID: I20141231000879 |
Provider Name | Said Abuhasna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699187344 PECOS PAC ID: 8224350210 Enrollment ID: I20150102000689 |
Provider Name | Segun Patrick Adeoye |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629418025 PECOS PAC ID: 3779717640 Enrollment ID: I20150203000859 |
Provider Name | Kristie L Grayhek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487045969 PECOS PAC ID: 7113243122 Enrollment ID: I20150311000596 |
Provider Name | Kelly J Jamison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356423933 PECOS PAC ID: 3577608231 Enrollment ID: I20150401000898 |
Provider Name | Rambabu Thallapaneni |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043521255 PECOS PAC ID: 3870736390 Enrollment ID: I20150406001070 |
Provider Name | Leigh Ann Slater |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356546774 PECOS PAC ID: 6709041528 Enrollment ID: I20150604002134 |
Provider Name | Dena L George |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417061326 PECOS PAC ID: 1951576909 Enrollment ID: I20150609000513 |
Provider Name | Lang M Chhour |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538575667 PECOS PAC ID: 2668692237 Enrollment ID: I20150629001002 |
Provider Name | Gary Newton Lambert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013979913 PECOS PAC ID: 8123089612 Enrollment ID: I20150630000604 |
Provider Name | Heather S Salazar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831578343 PECOS PAC ID: 7517271455 Enrollment ID: I20150805007754 |
Provider Name | Tahir Mahmood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508111089 PECOS PAC ID: 1658685482 Enrollment ID: I20150806011200 |
Provider Name | Ruthie A Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790163244 PECOS PAC ID: 6305151036 Enrollment ID: I20150810003007 |
Provider Name | Sudhir Shah |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356742159 PECOS PAC ID: 3779898838 Enrollment ID: I20150818005859 |
Provider Name | Jose A Marin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053666719 PECOS PAC ID: 4880900653 Enrollment ID: I20150916001600 |
Provider Name | Michael F Reidy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1609950500 PECOS PAC ID: 1557363223 Enrollment ID: I20150926000188 |
Provider Name | Suchitha Bheemreddy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083908172 PECOS PAC ID: 1153630447 Enrollment ID: I20151028000773 |
Provider Name | Chinenye Anthonia Osuorji |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437413820 PECOS PAC ID: 8224348321 Enrollment ID: I20151102001127 |
Provider Name | Vinay V Nair |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356468623 PECOS PAC ID: 7416010525 Enrollment ID: I20151111001457 |
Provider Name | Mary J Seiler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902164536 PECOS PAC ID: 5193966471 Enrollment ID: I20151208001745 |
Provider Name | Philip S Walker |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1649512807 PECOS PAC ID: 8921302076 Enrollment ID: I20160210000585 |
Provider Name | Faisal A Khasawneh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316189772 PECOS PAC ID: 2163568114 Enrollment ID: I20160216001201 |
Provider Name | Layhong Soth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366602294 PECOS PAC ID: 6800054859 Enrollment ID: I20160617001107 |
Provider Name | Timothy Clark Bray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689643090 PECOS PAC ID: 3274526389 Enrollment ID: I20160829001734 |
Provider Name | Carol M Rhodes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154394435 PECOS PAC ID: 8527089994 Enrollment ID: I20160928000984 |
Provider Name | David Fitzgerald |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932169653 PECOS PAC ID: 3476532086 Enrollment ID: I20161013000221 |
Provider Name | Donghong Zhang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477577435 PECOS PAC ID: 0143292052 Enrollment ID: I20161104000967 |
Provider Name | Muhammad Q Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790730398 PECOS PAC ID: 1052350824 Enrollment ID: I20161202000677 |
Provider Name | Erin M Wray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881857357 PECOS PAC ID: 1052580545 Enrollment ID: I20170206000297 |
Provider Name | April Zalika Shepherd |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891046033 PECOS PAC ID: 4284923210 Enrollment ID: I20170822002130 |
Provider Name | Michael J Marvinny |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1164468534 PECOS PAC ID: 8820092331 Enrollment ID: I20170828000571 |
Provider Name | Duy M Tran |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1467871988 PECOS PAC ID: 1658644703 Enrollment ID: I20170912000887 |
Provider Name | David E Frankl |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1699758318 PECOS PAC ID: 7214064336 Enrollment ID: I20171016002444 |
Provider Name | Sohail Khan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1689602930 PECOS PAC ID: 7618980921 Enrollment ID: I20171213000199 |
Provider Name | Harrison Wilson Wood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20171227002366 |
Provider Name | David Kung |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1669656922 PECOS PAC ID: 3971656356 Enrollment ID: I20180328001132 |
Provider Name | Khaled Abdel-rahman |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1881731370 PECOS PAC ID: 7911811815 Enrollment ID: I20180410001749 |
Provider Name | Jonathan Lawson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20180522000103 |
Provider Name | Shirley O Ayuk Takem |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710249826 PECOS PAC ID: 9436452257 Enrollment ID: I20180605000729 |
Provider Name | Thai O Wong |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1427318955 PECOS PAC ID: 7517246507 Enrollment ID: I20180628000262 |
Provider Name | Nikul A Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1881981363 PECOS PAC ID: 7315166139 Enrollment ID: I20180719000939 |
Provider Name | Alaa Masjune |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063895324 PECOS PAC ID: 0648569996 Enrollment ID: I20180921001317 |
Provider Name | Lisa E Connery |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619973294 PECOS PAC ID: 6901895820 Enrollment ID: I20181207002362 |
Provider Name | Gaurav Nigam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437445947 PECOS PAC ID: 4385953215 Enrollment ID: I20190104000895 |
Provider Name | Trina C Parker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316191950 PECOS PAC ID: 8123144219 Enrollment ID: I20190315001382 |
Provider Name | Arinola Odumusi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1447602834 PECOS PAC ID: 0143517458 Enrollment ID: I20190716003121 |
Provider Name | Juan P Ortega-sandoya |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457714925 PECOS PAC ID: 0244568772 Enrollment ID: I20190822000748 |
Provider Name | Hussain Alhamza |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548611999 PECOS PAC ID: 7012200660 Enrollment ID: I20190822004082 |
Provider Name | Julie L Beckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639556608 PECOS PAC ID: 3274843057 Enrollment ID: I20191029003179 |
Provider Name | Toni Laree Eeftink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265081806 PECOS PAC ID: 8426481722 Enrollment ID: I20191126003237 |
Provider Name | Lisa M Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083985832 PECOS PAC ID: 2163726019 Enrollment ID: I20200124001515 |
Provider Name | Leith Sawalha |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1487830907 PECOS PAC ID: 7810076973 Enrollment ID: I20200129001242 |
Provider Name | Aishat Omoyeni Olagunju |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912427410 PECOS PAC ID: 5193141323 Enrollment ID: I20200818002322 |
Provider Name | Manjinder Kaur Pannu |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396091062 PECOS PAC ID: 5991018095 Enrollment ID: I20200916000621 |
Provider Name | Kishan V Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1326577909 PECOS PAC ID: 0648689208 Enrollment ID: I20210511002280 |
Provider Name | Sarmad Riaz Farooqui |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760977243 PECOS PAC ID: 1557768579 Enrollment ID: I20210917001447 |
Provider Name | Kathleen Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225635808 PECOS PAC ID: 2961816384 Enrollment ID: I20211007003177 |
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