| Apogee Medical Group Virginia, Pc | |
|
15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 | |
| (602) 778-3600 | |
| (602) 778-3695 |
| Full Name | Apogee Medical Group Virginia, Pc |
|---|---|
| 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 Virginia, Pc Po Box 708910 Sandy UT 84070-8910 Ph: (866) 869-2395 | Apogee Medical Group Virginia, Pc 15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 Ph: (602) 778-3600 |
| NPI Number | 1861660540 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 04/11/2023 |
| Medicare PECOS PAC ID | 0345310256 |
|---|---|
| Medicare Enrollment ID | O20080604000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861660540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902880370 PECOS PAC ID: 1951207836 Enrollment ID: I20031210001122 |
| Provider Name | Jon D Cargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804754 PECOS PAC ID: 1951203454 Enrollment ID: I20040124000077 |
| Provider Name | Daniel M Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730157066 PECOS PAC ID: 3779481726 Enrollment ID: I20041104001026 |
| Provider Name | Kimberly Coates Bird |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073506572 PECOS PAC ID: 9830122258 Enrollment ID: I20050915001153 |
| Provider Name | Sridhar Madhunapantula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821844 PECOS PAC ID: 3577597582 Enrollment ID: I20050920000536 |
| Provider Name | Sydney M Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659371805 PECOS PAC ID: 6901813286 Enrollment ID: I20060310000384 |
| Provider Name | James Isernia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144281148 PECOS PAC ID: 1557374758 Enrollment ID: I20060710000213 |
| Provider Name | Ilham C Grant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457355075 PECOS PAC ID: 4385649722 Enrollment ID: I20060919000167 |
| Provider Name | Tracy Lee Mathena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386706018 PECOS PAC ID: 8628162443 Enrollment ID: I20070924000340 |
| Provider Name | Arthur Samuel Pemberton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533873 PECOS PAC ID: 8820183551 Enrollment ID: I20070926000856 |
| Provider Name | Jennifer L Bennett Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750574935 PECOS PAC ID: 5698861474 Enrollment ID: I20071010000459 |
| Provider Name | Roland A Quaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407043656 PECOS PAC ID: 6608957295 Enrollment ID: I20080122000279 |
| Provider Name | Howis Yvette Aros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033126156 PECOS PAC ID: 8628071214 Enrollment ID: I20080408000197 |
| Provider Name | Donald B Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821290131 PECOS PAC ID: 0446320774 Enrollment ID: I20080529000500 |
| Provider Name | Mauricio D Arrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184884488 PECOS PAC ID: 7810062585 Enrollment ID: I20080814000217 |
| Provider Name | Sajid Melvin George |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144410507 PECOS PAC ID: 0648327304 Enrollment ID: I20090415000231 |
| Provider Name | Prashant Khetpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215136148 PECOS PAC ID: 8729175252 Enrollment ID: I20090415000646 |
| Provider Name | Elizabeth A Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609050285 PECOS PAC ID: 7416007489 Enrollment ID: I20090612000302 |
| Provider Name | William W Henderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497755680 PECOS PAC ID: 7416927652 Enrollment ID: I20091207000504 |
| Provider Name | Olukayode Oludapo Ojo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588835839 PECOS PAC ID: 0143351262 Enrollment ID: I20100706000176 |
| Provider Name | James C Mckay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487681169 PECOS PAC ID: 0941202337 Enrollment ID: I20110128000284 |
| Provider Name | Kalyana Boddapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407186422 PECOS PAC ID: 8527197037 Enrollment ID: I20110217000822 |
| Provider Name | Mary U Ozoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710284112 PECOS PAC ID: 1254516214 Enrollment ID: I20110506000488 |
| Provider Name | Tooba Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932365061 PECOS PAC ID: 1759569098 Enrollment ID: I20110711000002 |
| Provider Name | Bita Mansouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255593646 PECOS PAC ID: 0648441170 Enrollment ID: I20110914000079 |
| Provider Name | Mwiza Gausi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750688651 PECOS PAC ID: 9133390420 Enrollment ID: I20110916000374 |
| Provider Name | Mohini Pandiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699848945 PECOS PAC ID: 9830190313 Enrollment ID: I20120201000099 |
| Provider Name | John S Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154520476 PECOS PAC ID: 1254581549 Enrollment ID: I20121023000115 |
| Provider Name | Rolyn Paster Te |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144567272 PECOS PAC ID: 8022242080 Enrollment ID: I20131014001100 |
| Provider Name | Mark Ancel G Edang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508064502 PECOS PAC ID: 7911023395 Enrollment ID: I20131108000927 |
| Provider Name | Subhose Bathina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184853459 PECOS PAC ID: 4688821333 Enrollment ID: I20131112001475 |
| Provider Name | Atefeh Azad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154627388 PECOS PAC ID: 5395971436 Enrollment ID: I20131120001693 |
| Provider Name | Tiffany Ceylon Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003065582 PECOS PAC ID: 8123254851 Enrollment ID: I20131202000486 |
| Provider Name | Cynthia Pie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528364809 PECOS PAC ID: 9931336310 Enrollment ID: I20131210000666 |
| Provider Name | Paulette A Bayne Gaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730493909 PECOS PAC ID: 5799913562 Enrollment ID: I20140124001794 |
| Provider Name | Ankur S Fadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063701076 PECOS PAC ID: 6507095924 Enrollment ID: I20140206000264 |
| Provider Name | Eric L Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700151461 PECOS PAC ID: 4789813924 Enrollment ID: I20140210000842 |
| Provider Name | Zachary L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992127328 PECOS PAC ID: 2961633763 Enrollment ID: I20140319002297 |
| Provider Name | Peter M Dereus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568774875 PECOS PAC ID: 9931343357 Enrollment ID: I20140819001350 |
| Provider Name | Ryan Oconnell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083973374 PECOS PAC ID: 7517184393 Enrollment ID: I20140819001613 |
| Provider Name | Joshua D Case |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750608121 PECOS PAC ID: 7719105881 Enrollment ID: I20140903000231 |
| Provider Name | Adina Elise Bowe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568623213 PECOS PAC ID: 3577715366 Enrollment ID: I20140903001606 |
| Provider Name | Kwadwo A Ofori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124335872 PECOS PAC ID: 3870711765 Enrollment ID: I20140908000762 |
| Provider Name | Abu Taher Md. Ziaul Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700171527 PECOS PAC ID: 2961622907 Enrollment ID: I20140925001698 |
| Provider Name | Kingsley Prakash Anand Pudota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942594924 PECOS PAC ID: 6103078993 Enrollment ID: I20141014001130 |
| Provider Name | Rebecca Williams Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316347354 PECOS PAC ID: 2961623715 Enrollment ID: I20141021001566 |
| Provider Name | Safal Hathiramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841584745 PECOS PAC ID: 5395069306 Enrollment ID: I20150122001946 |
| Provider Name | Pardeep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164781936 PECOS PAC ID: 3072827393 Enrollment ID: I20150730013535 |
| Provider Name | Patrick Vickers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740544923 PECOS PAC ID: 9739495599 Enrollment ID: I20150825004382 |
| Provider Name | Sheranda C Gunn-nolan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053661934 PECOS PAC ID: 5496065005 Enrollment ID: I20151111002076 |
| Provider Name | Teena Jo Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053367193 PECOS PAC ID: 7416055934 Enrollment ID: I20160111000531 |
| Provider Name | Chijioke Kingsley Ofoche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891030268 PECOS PAC ID: 1759684087 Enrollment ID: I20160120002701 |
| Provider Name | Abhijeet A Nakave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366605313 PECOS PAC ID: 3173798501 Enrollment ID: I20160201000662 |
| Provider Name | Subash Ala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053606426 PECOS PAC ID: 0941457071 Enrollment ID: I20160404000655 |
| Provider Name | Pedro Veloz-peralta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538453782 PECOS PAC ID: 8820218068 Enrollment ID: I20160620001458 |
| Provider Name | Maureen T Cadmus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104811678 PECOS PAC ID: 5698721785 Enrollment ID: I20160907002027 |
| Provider Name | Viola L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912369489 PECOS PAC ID: 0941588545 Enrollment ID: I20161102002119 |
| Provider Name | Verlecia L Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885638 PECOS PAC ID: 9931488020 Enrollment ID: I20161213001390 |
| Provider Name | Chaitanya Korrapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033524863 PECOS PAC ID: 5092096610 Enrollment ID: I20161219002521 |
| Provider Name | Sameh M Hozayen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992060966 PECOS PAC ID: 3577846237 Enrollment ID: I20170203001976 |
| Provider Name | Rudra Paudel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891104527 PECOS PAC ID: 6103109301 Enrollment ID: I20170214001638 |
| Provider Name | Michael T Pittmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255865333 PECOS PAC ID: 5294002143 Enrollment ID: I20170524000731 |
| Provider Name | Karen Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558728055 PECOS PAC ID: 7416254776 Enrollment ID: I20170607002646 |
| Provider Name | David Htoon-boehme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548606429 PECOS PAC ID: 6406152081 Enrollment ID: I20170620000293 |
| Provider Name | Mohammad A Fasahat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548676984 PECOS PAC ID: 0446558142 Enrollment ID: I20170731002287 |
| Provider Name | Wayne Edward Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689055881 PECOS PAC ID: 9335456797 Enrollment ID: I20170823002681 |
| Provider Name | Supo Folaranmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710321724 PECOS PAC ID: 3779853478 Enrollment ID: I20171004000766 |
| Provider Name | Emmanuel Aguh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058549 PECOS PAC ID: 3971864497 Enrollment ID: I20180226001623 |
| Provider Name | Mehad Osman Yousif Musbah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326465204 PECOS PAC ID: 4880983436 Enrollment ID: I20180409001431 |
| Provider Name | Susan Frye-yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740784776 PECOS PAC ID: 6709141757 Enrollment ID: I20180523001082 |
| Provider Name | Patricia H Gambrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649223611 PECOS PAC ID: 1254342439 Enrollment ID: I20180605003179 |
| Provider Name | Faran D Rashid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013391861 PECOS PAC ID: 1850607748 Enrollment ID: I20180926003999 |
| Provider Name | Jennifer D Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316418775 PECOS PAC ID: 5597003137 Enrollment ID: I20190206002677 |
| Provider Name | Dawn M Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392325 PECOS PAC ID: 2264709864 Enrollment ID: I20190319001500 |
| Provider Name | James Rixey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386095438 PECOS PAC ID: 2062742935 Enrollment ID: I20190919002884 |
| Provider Name | Asia Bristine Zierle-ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205288578 PECOS PAC ID: 7810284668 Enrollment ID: I20191023001803 |
| Provider Name | Jason W Moyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889244 PECOS PAC ID: 3870893365 Enrollment ID: I20200214000927 |
| Provider Name | Oluwabunmi Oba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598314049 PECOS PAC ID: 3476885633 Enrollment ID: I20200812000017 |
| Provider Name | Arnaud Kaze Djou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306373808 PECOS PAC ID: 8123444536 Enrollment ID: I20200817001171 |
| Provider Name | Prince Tano Djan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225569015 PECOS PAC ID: 0446536593 Enrollment ID: I20200818002224 |
| Provider Name | Aaron Thomas Welly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154844306 PECOS PAC ID: 6406274596 Enrollment ID: I20200922003076 |
| Provider Name | Lanchi Duong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881105955 PECOS PAC ID: 5890051171 Enrollment ID: I20201229002476 |
| Provider Name | Dorothy Kabutu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891329132 PECOS PAC ID: 1355755810 Enrollment ID: I20210126000337 |
| Provider Name | Kimberly Sue Gravely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952998858 PECOS PAC ID: 7416364971 Enrollment ID: I20210329002151 |
| Provider Name | Syed Haris Ahmed Pir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891159869 PECOS PAC ID: 2567707680 Enrollment ID: I20210505001015 |
| Provider Name | Dunstan Akolbire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053818898 PECOS PAC ID: 4082015045 Enrollment ID: I20210628002602 |
| Provider Name | Shayan S Anwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861997462 PECOS PAC ID: 3072861400 Enrollment ID: I20210806002744 |
| Provider Name | Oluwakemi Owoyemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578926721 PECOS PAC ID: 7214235886 Enrollment ID: I20210826003483 |
| Provider Name | Emil Montano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427553171 PECOS PAC ID: 0446500987 Enrollment ID: I20210928002436 |
| Provider Name | Hussam Sawass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770019655 PECOS PAC ID: 5193123925 Enrollment ID: I20211008002302 |
| Provider Name | Stephen C Canfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326542135 PECOS PAC ID: 1254681083 Enrollment ID: I20211102001474 |
| Provider Name | Sidrah Ghaffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528625548 PECOS PAC ID: 0143653857 Enrollment ID: I20220601000063 |
| Provider Name | Imran Husain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821442773 PECOS PAC ID: 5890049167 Enrollment ID: I20220722000425 |
| Provider Name | Yonatan Ghiwot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982164141 PECOS PAC ID: 7113251117 Enrollment ID: I20220930002572 |
| Provider Name | Daniel K Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467914515 PECOS PAC ID: 7012383334 Enrollment ID: I20221011002550 |
| Provider Name | Estifanos Teklemichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922662311 PECOS PAC ID: 4486020039 Enrollment ID: I20221021002494 |
| Provider Name | Carolyn Kor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972952471 PECOS PAC ID: 7113215047 Enrollment ID: I20221102002757 |
| Provider Name | Faryal G Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386105096 PECOS PAC ID: 6709201254 Enrollment ID: I20221103002443 |
| Provider Name | Gina Shawkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730539347 PECOS PAC ID: 6709167166 Enrollment ID: I20221103003008 |
| Provider Name | Ali Azzawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467019455 PECOS PAC ID: 1456727775 Enrollment ID: I20221105000003 |
| Provider Name | Dingkun Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063804946 PECOS PAC ID: 2668777418 Enrollment ID: I20221105000007 |
| Provider Name | Benjamin Lipham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356908701 PECOS PAC ID: 4486087186 Enrollment ID: I20221121002543 |
| Provider Name | Venkata S Kondisetti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376867788 PECOS PAC ID: 2668504481 Enrollment ID: I20230117002069 |
| Provider Name | Heather Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108361 PECOS PAC ID: 0547631780 Enrollment ID: I20230125002222 |
| Provider Name | Zackery Sira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306290572 PECOS PAC ID: 9739428491 Enrollment ID: I20230301000308 |
| Provider Name | Sherri T Eagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831896109 PECOS PAC ID: 0143695296 Enrollment ID: I20230404000436 |
| Provider Name | Unknown Pavitra Balasubramanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457969164 PECOS PAC ID: 0840651931 Enrollment ID: I20230807000144 |
| Provider Name | Feham Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487117354 PECOS PAC ID: 7618331364 Enrollment ID: I20230913002148 |
| Provider Name | Hiondy Polanco Morillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871080226 PECOS PAC ID: 4385099357 Enrollment ID: I20231011001151 |
| Provider Name | Peng Yin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265056485 PECOS PAC ID: 3173948726 Enrollment ID: I20231110001554 |
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 |