| Arizona Medical Specialists Pc | |
|
Two North Central Ave 18th And 19th Fl Phoenix AZ 85004-2322 | |
| (800) 557-8950 | |
| Not Available |
| Full Name | Arizona Medical Specialists Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | Two North Central Ave 18th And 19th Fl, Phoenix, Arizona |
| Authorized Official Name and Position | Hirenkumar Italia (MD) |
| Authorized Official Contact | 8005578950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Medical Specialists Pc 133 Rollins Ave Ste 3 Rockville MD 20852-4040 Ph: () - | Arizona Medical Specialists Pc Two North Central Ave 18th And 19th Fl Phoenix AZ 85004-2322 Ph: (800) 557-8950 |
| NPI Number | 1366015919 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 6608262365 |
|---|---|
| Medicare Enrollment ID | O20220405001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366015919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jill Beavers Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760510481 PECOS PAC ID: 3577694462 Enrollment ID: I20200220003060 |
| Provider Name | Amanda Elizabeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245798909 PECOS PAC ID: 9032549928 Enrollment ID: I20200416001547 |
| Provider Name | Yolanda Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536479 PECOS PAC ID: 5890108542 Enrollment ID: I20210119002261 |
| Provider Name | Rachel Bardos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265003081 PECOS PAC ID: 4385049360 Enrollment ID: I20210830001975 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20220405002049 |
| Provider Name | Lorie E Pistone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356890834 PECOS PAC ID: 0446539415 Enrollment ID: I20231009002664 |
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