Arizona Digestive Health, Pc | |
645 E Missouri Ave Ste 280 Phoenix AZ 85012-1349 | |
(602) 264-9100 | |
(602) 264-9101 |
Full Name | Arizona Digestive Health, Pc |
---|---|
Speciality | Internal Medicine |
Location | 645 E Missouri Ave Ste 280, Phoenix, Arizona |
Authorized Official Name and Position | Nancy Mcmanus (CEO) |
Authorized Official Contact | 6022649100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Arizona Digestive Health, Pc 645 E Missouri Ave Ste 280 Phoenix AZ 85012-1349 Ph: (602) 264-9100 | Arizona Digestive Health, Pc 645 E Missouri Ave Ste 280 Phoenix AZ 85012-1349 Ph: (602) 264-9100 |
NPI Number | 1992981583 |
---|---|
Provider Enumeration Date | 01/14/2008 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 6507940731 |
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Medicare Enrollment ID | O20080227000334 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992981583 | NPI | - | NPPES |
03D1098060 | Other | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | John M Yalam |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568434819 PECOS PAC ID: 1052217205 Enrollment ID: I20031209000943 |
Provider Name | Rohit V Mahajani |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194820233 PECOS PAC ID: 1052218633 Enrollment ID: I20031212000911 |
Provider Name | Shauna L Binette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427043496 PECOS PAC ID: 2860484128 Enrollment ID: I20040330000921 |
Provider Name | Richard P Shaughnessy |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689776254 PECOS PAC ID: 6305838384 Enrollment ID: I20040331000611 |
Provider Name | Bruce D Noland |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245280346 PECOS PAC ID: 8921096397 Enrollment ID: I20040504000977 |
Provider Name | James B Burgess |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235118589 PECOS PAC ID: 5496744690 Enrollment ID: I20040512000065 |
Provider Name | Eugene Francis Tharalson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346290442 PECOS PAC ID: 5991795098 Enrollment ID: I20040512000960 |
Provider Name | Puja Verma |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1497735815 PECOS PAC ID: 5799775201 Enrollment ID: I20040517000439 |
Provider Name | Adam C Randolph |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669695409 PECOS PAC ID: 7517957897 Enrollment ID: I20040518000126 |
Provider Name | Sumir M Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1801858113 PECOS PAC ID: 5597756353 Enrollment ID: I20040520000524 |
Provider Name | Parag H Chokshi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144243510 PECOS PAC ID: 0446241947 Enrollment ID: I20040522000327 |
Provider Name | David J Drewitz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174574610 PECOS PAC ID: 8527965110 Enrollment ID: I20040713000211 |
Provider Name | Shiv Kumar Verma |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811939747 PECOS PAC ID: 3173415064 Enrollment ID: I20040719000672 |
Provider Name | Michael R Mills |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811948359 PECOS PAC ID: 3072410661 Enrollment ID: I20041223000066 |
Provider Name | Andrew J Grade |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881655819 PECOS PAC ID: 0143124669 Enrollment ID: I20041229001022 |
Provider Name | Robert L Sawyer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1487616892 PECOS PAC ID: 6608770128 Enrollment ID: I20041229001031 |
Provider Name | Elisa M Faybush |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538264684 PECOS PAC ID: 1759311996 Enrollment ID: I20050817000215 |
Provider Name | Shiva K Ratuapli |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1265492060 PECOS PAC ID: 4183657471 Enrollment ID: I20050916000420 |
Provider Name | Daniel A Meline |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982714960 PECOS PAC ID: 3971538802 Enrollment ID: I20050929000584 |
Provider Name | Suzanne M Skoog |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174598643 PECOS PAC ID: 2466409800 Enrollment ID: I20050930000283 |
Provider Name | Douglas J Schwartz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215929971 PECOS PAC ID: 2668497975 Enrollment ID: I20051005001263 |
Provider Name | Vincent J Honan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1073585014 PECOS PAC ID: 8820013782 Enrollment ID: I20051010000772 |
Provider Name | Gary I Goldstein |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952366791 PECOS PAC ID: 4183667124 Enrollment ID: I20051115000189 |
Provider Name | Paul J Berggreen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093703605 PECOS PAC ID: 7517980626 Enrollment ID: I20060104000354 |
Provider Name | Brenda Dennert |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235127846 PECOS PAC ID: 7214950328 Enrollment ID: I20060104000370 |
Provider Name | Joseph David |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1700874310 PECOS PAC ID: 1557384674 Enrollment ID: I20060104000395 |
Provider Name | Barbara J Maccollum |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215925821 PECOS PAC ID: 0345263463 Enrollment ID: I20060104000423 |
Provider Name | Cristiana Bortuzzo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1891739017 PECOS PAC ID: 1759344666 Enrollment ID: I20060920000512 |
Provider Name | Ramsey K Umar |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134202500 PECOS PAC ID: 5193727758 Enrollment ID: I20070209000619 |
Provider Name | Bradford C Gelzayd |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306826086 PECOS PAC ID: 2062409329 Enrollment ID: I20070308000046 |
Provider Name | Daniel M Jondle |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1649255449 PECOS PAC ID: 3870693674 Enrollment ID: I20070710000069 |
Provider Name | Bradford Jones |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306912118 PECOS PAC ID: 5294755658 Enrollment ID: I20070809000534 |
Provider Name | Steven R Kanner |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326015678 PECOS PAC ID: 7416940804 Enrollment ID: I20080227000455 |
Provider Name | Jodie K Labowitz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1922074012 PECOS PAC ID: 4284717224 Enrollment ID: I20080227000472 |
Provider Name | Mahesh S Mokhashi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1891761987 PECOS PAC ID: 6002999042 Enrollment ID: I20080227000475 |
Provider Name | James A Singer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1962478818 PECOS PAC ID: 8426041815 Enrollment ID: I20080227000487 |
Provider Name | Michael J Yanish |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1316913262 PECOS PAC ID: 2062405459 Enrollment ID: I20080227000505 |
Provider Name | George J Walker |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528053121 PECOS PAC ID: 8820988819 Enrollment ID: I20080404000393 |
Provider Name | Craig M Stein |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861487456 PECOS PAC ID: 1658261649 Enrollment ID: I20080407000031 |
Provider Name | Andrew K Collins |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740275338 PECOS PAC ID: 4385534379 Enrollment ID: I20080407000046 |
Provider Name | Steven T Zierer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1366437337 PECOS PAC ID: 5294639712 Enrollment ID: I20080408000202 |
Provider Name | Nayan Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518099654 PECOS PAC ID: 8325112212 Enrollment ID: I20080812000056 |
Provider Name | Daryl Scott Hutchinson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881689792 PECOS PAC ID: 1052383841 Enrollment ID: I20080819000639 |
Provider Name | Marianne Rosati |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568445237 PECOS PAC ID: 2769542570 Enrollment ID: I20081125000051 |
Provider Name | Charles I Saperstein |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780789826 PECOS PAC ID: 7113821638 Enrollment ID: I20090303000179 |
Provider Name | Chirag D Trivedi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003078973 PECOS PAC ID: 7315091949 Enrollment ID: I20090817000780 |
Provider Name | Gregory H Nguyenduc |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326016239 PECOS PAC ID: 6507846102 Enrollment ID: I20091009000398 |
Provider Name | Brendan Levy |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1548260474 PECOS PAC ID: 0547215022 Enrollment ID: I20091202000345 |
Provider Name | Robert Daniel Tavani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821243692 PECOS PAC ID: 5496895682 Enrollment ID: I20100125000650 |
Provider Name | Jennifer R Scudiere |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1639378326 PECOS PAC ID: 5698848604 Enrollment ID: I20100324000433 |
Provider Name | Swarnjit Singh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134128069 PECOS PAC ID: 8224027156 Enrollment ID: I20100528000448 |
Provider Name | Ronald J Hauptman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1699779074 PECOS PAC ID: 6901800499 Enrollment ID: I20100915000393 |
Provider Name | Jennifer A Schaeffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821292277 PECOS PAC ID: 0446342570 Enrollment ID: I20100923000963 |
Provider Name | Mark D Gulinson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881698264 PECOS PAC ID: 9739183229 Enrollment ID: I20100928001540 |
Provider Name | John J Wells |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1043214422 PECOS PAC ID: 4183628670 Enrollment ID: I20100929000431 |
Provider Name | Keng-yu Chuang |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1730380676 PECOS PAC ID: 3274725502 Enrollment ID: I20101005001117 |
Provider Name | Jeffrey T Henderson |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1942465026 PECOS PAC ID: 3779775739 Enrollment ID: I20101008000318 |
Provider Name | Ramkrishna R Kothur |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1922113075 PECOS PAC ID: 9537233747 Enrollment ID: I20101022001339 |
Provider Name | Gary Ronald Monash |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1891771846 PECOS PAC ID: 7214129543 Enrollment ID: I20110301000624 |
Provider Name | Michael F Foley |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235365784 PECOS PAC ID: 3971780131 Enrollment ID: I20110615000867 |
Provider Name | Abraham Moses Panossian |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1760674295 PECOS PAC ID: 8123194172 Enrollment ID: I20110929000681 |
Provider Name | Rebecca L Mccollaum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669658969 PECOS PAC ID: 2264571215 Enrollment ID: I20111027000354 |
Provider Name | Sandy R Sargent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952694861 PECOS PAC ID: 1254507650 Enrollment ID: I20120106000444 |
Provider Name | Toni J Tanzella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487924965 PECOS PAC ID: 6204097645 Enrollment ID: I20120412000175 |
Provider Name | Lisa A Cerilli |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1518973262 PECOS PAC ID: 4587631163 Enrollment ID: I20120705000544 |
Provider Name | Lyn Nhoung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689949729 PECOS PAC ID: 0941466858 Enrollment ID: I20120720000597 |
Provider Name | Tamara Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942569785 PECOS PAC ID: 3678721008 Enrollment ID: I20120910000610 |
Provider Name | Mary Ann Atia |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376851360 PECOS PAC ID: 6305095258 Enrollment ID: I20121009000524 |
Provider Name | Anil B Seetharam |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023229408 PECOS PAC ID: 8527236587 Enrollment ID: I20121031000123 |
Provider Name | Yvette Lam-tsai |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518147701 PECOS PAC ID: 7416149455 Enrollment ID: I20140416001921 |
Provider Name | Doris J Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407272818 PECOS PAC ID: 1456576321 Enrollment ID: I20140709000698 |
Provider Name | Nilay H Kavathia |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174796999 PECOS PAC ID: 8224257928 Enrollment ID: I20140911000627 |
Provider Name | Leslie A Wojtowicz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861421679 PECOS PAC ID: 3072785799 Enrollment ID: I20150930000828 |
Provider Name | Layth Al-jashaami |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1255691895 PECOS PAC ID: 8022326297 Enrollment ID: I20151008000106 |
Provider Name | Adam D Harris |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114119187 PECOS PAC ID: 4981882453 Enrollment ID: I20151014003053 |
Provider Name | Wendi Zhou |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1952694838 PECOS PAC ID: 1557651932 Enrollment ID: I20160526002111 |
Provider Name | Danielle Carrillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366992802 PECOS PAC ID: 6103104237 Enrollment ID: I20161025001274 |
Provider Name | Prabhakar P Swaroop |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295743177 PECOS PAC ID: 5092806638 Enrollment ID: I20180502000372 |
Provider Name | Shifat Ahmed |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568881472 PECOS PAC ID: 7911208707 Enrollment ID: I20181226000593 |
Provider Name | Lindsay K Van Dam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659840767 PECOS PAC ID: 7416298658 Enrollment ID: I20190416002051 |
Provider Name | Sarabdeep S Mann |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508283706 PECOS PAC ID: 7416298849 Enrollment ID: I20190530002941 |
Provider Name | Jordan Taylor Vulcano |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861734915 PECOS PAC ID: 0840526463 Enrollment ID: I20190719001156 |
Provider Name | Carol L Selby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659854131 PECOS PAC ID: 6901217660 Enrollment ID: I20201201002495 |
Provider Name | Ilka Mayela Moreno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396343430 PECOS PAC ID: 1951713791 Enrollment ID: I20201218001585 |
Provider Name | Eugene Verkhovsky |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164836516 PECOS PAC ID: 4284936071 Enrollment ID: I20210617000506 |
Provider Name | Sirish Chamkur Rao |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427464130 PECOS PAC ID: 9436473675 Enrollment ID: I20210824001478 |
Provider Name | Brett William Hughes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831630243 PECOS PAC ID: 4385001056 Enrollment ID: I20230621001575 |
Provider Name | Brian M Fung |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366974164 PECOS PAC ID: 6204259443 Enrollment ID: I20230623000857 |
Provider Name | Radhika C Babaria |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811421613 PECOS PAC ID: 3779906680 Enrollment ID: I20230823001288 |
Provider Name | Stephanie Anne Tilley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316709009 PECOS PAC ID: 7719321355 Enrollment ID: I20240222000258 |
Provider Name | Raluca Szentes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215719026 PECOS PAC ID: 5092151910 Enrollment ID: I20240313002484 |
Provider Name | Sarah E Denny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295502797 PECOS PAC ID: 7517305113 Enrollment ID: I20240402001390 |
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