B--umg Integrated Health Clinic, Llc | |
535 N Wilmot Rd Fl 2 Tucson AZ 85711-2600 | |
(520) 694-1234 | |
(520) 694-2185 |
Full Name | B--umg Integrated Health Clinic, Llc |
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Speciality | Clinic/Center |
Location | 535 N Wilmot Rd Fl 2, Tucson, Arizona |
Authorized Official Name and Position | Dennis Laraway (CFO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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B--umg Integrated Health Clinic, Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | B--umg Integrated Health Clinic, Llc 535 N Wilmot Rd Fl 2 Tucson AZ 85711-2600 Ph: (520) 694-1234 |
NPI Number | 1043758816 |
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Provider Enumeration Date | 02/01/2017 |
Last Update Date | 12/27/2021 |
Medicare PECOS PAC ID | 3577831494 |
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Medicare Enrollment ID | O20170619001543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043758816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Laura T Neely |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629168760 PECOS PAC ID: 4587684246 Enrollment ID: I20051128000371 |
Provider Name | Angela C Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548225584 PECOS PAC ID: 4385656065 Enrollment ID: I20090610000657 |
Provider Name | Randa M Kutob |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326145889 PECOS PAC ID: 2567591720 Enrollment ID: I20100526000498 |
Provider Name | Tamsen L Bassford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265404933 PECOS PAC ID: 1759410954 Enrollment ID: I20100526000878 |
Provider Name | Susan K Hadley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437148533 PECOS PAC ID: 0840227211 Enrollment ID: I20100810001190 |
Provider Name | Joanna Katsanis |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669448189 PECOS PAC ID: 1658567540 Enrollment ID: I20101117001370 |
Provider Name | Marisa Menchola |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134439961 PECOS PAC ID: 4981892429 Enrollment ID: I20101227000833 |
Provider Name | Ole Thienhaus |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689784811 PECOS PAC ID: 3476578675 Enrollment ID: I20120312000543 |
Provider Name | Mari A Ricker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477500049 PECOS PAC ID: 6608819313 Enrollment ID: I20141024000812 |
Provider Name | Saira S Kalia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568724680 PECOS PAC ID: 0446566715 Enrollment ID: I20150901001552 |
Provider Name | Peter L Klinger |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730384116 PECOS PAC ID: 4587850151 Enrollment ID: I20151222000217 |
Provider Name | Andrew W Gardner |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851538995 PECOS PAC ID: 8921387416 Enrollment ID: I20161128002701 |
Provider Name | Ann E Mathias |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255394185 PECOS PAC ID: 5294775235 Enrollment ID: I20170306000854 |
Provider Name | Michael A Colon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508209891 PECOS PAC ID: 8224260294 Enrollment ID: I20170623002399 |
Provider Name | Gustavo Joaquin Perez |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104071471 PECOS PAC ID: 2365716784 Enrollment ID: I20170925001590 |
Provider Name | Brian C Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487092516 PECOS PAC ID: 6901184563 Enrollment ID: I20171031002429 |
Provider Name | Chad Mcwhinnie |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447773742 PECOS PAC ID: 2860755501 Enrollment ID: I20180411002185 |
Provider Name | Juan Cristobal Sanchez |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356719751 PECOS PAC ID: 4981946746 Enrollment ID: I20190425002539 |
Provider Name | Valerie A Swingle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710343124 PECOS PAC ID: 6103152574 Enrollment ID: I20190723001410 |
Provider Name | Melody J Glenn |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770826976 PECOS PAC ID: 6103118633 Enrollment ID: I20190925001076 |
Provider Name | Jeffrey Scott Dixon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982234068 PECOS PAC ID: 9436588324 Enrollment ID: I20200327001111 |
Provider Name | Philip P Lam |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588011985 PECOS PAC ID: 4284926346 Enrollment ID: I20200519001597 |
Provider Name | Jasmine Singh |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457738726 PECOS PAC ID: 2466768049 Enrollment ID: I20200716000131 |
Provider Name | Cristina Phoenix Garcia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124625181 PECOS PAC ID: 8921418021 Enrollment ID: I20201030001243 |
Provider Name | Jordan Karp |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144365156 PECOS PAC ID: 7618889858 Enrollment ID: I20201104002861 |
Provider Name | Lauren Lieppman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740886340 PECOS PAC ID: 1557773280 Enrollment ID: I20201221002876 |
Provider Name | Jacquelin Esque |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275997785 PECOS PAC ID: 8628474855 Enrollment ID: I20210913003135 |
Provider Name | Wendy Suzanne Weise |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497425771 PECOS PAC ID: 6002213204 Enrollment ID: I20210929003667 |
Provider Name | Noel D Bondi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518392158 PECOS PAC ID: 1254569585 Enrollment ID: I20211118001254 |
Provider Name | Diana Kisiel Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114685666 PECOS PAC ID: 5294120051 Enrollment ID: I20220315001676 |
Provider Name | Kimberly L Schiefelbein |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477278802 PECOS PAC ID: 1456728534 Enrollment ID: I20221102000845 |
Provider Name | Genna M Losinski |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972388734 PECOS PAC ID: 6406291764 Enrollment ID: I20240227002401 |
Provider Name | Evan Benjamin Marcus |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720520497 PECOS PAC ID: 2860839867 Enrollment ID: I20240326003715 |
Provider Name | Carmen Daniela Mendoza |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861161317 PECOS PAC ID: 1052759123 Enrollment ID: I20240409002080 |
Provider Name | Soni Tiounoff |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932657947 PECOS PAC ID: 6901245778 Enrollment ID: I20240413000416 |
Provider Name | Lisa Ann Rauch |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689189052 PECOS PAC ID: 3173963527 Enrollment ID: I20240501004077 |
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