| Banner -- University Primary Care Physicians Llc | |
|
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | Banner -- University Primary Care Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 N Central Ave Ste 160, Phoenix, Arizona |
| Authorized Official Name and Position | Venkata Evani (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner -- University Primary Care Physicians Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 | Banner -- University Primary Care Physicians Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 |
| NPI Number | 1154791960 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 2365746450 |
|---|---|
| Medicare Enrollment ID | O20160210001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154791960 | NPI | - | NPPES |
| 086588 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Diem Thuy N Kahlon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851365688 PECOS PAC ID: 9436050044 Enrollment ID: I20040121001021 |
| Provider Name | Robyn L Prosser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669441408 PECOS PAC ID: 1153316724 Enrollment ID: I20040415000111 |
| Provider Name | William W Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831192590 PECOS PAC ID: 3173511300 Enrollment ID: I20040505000556 |
| Provider Name | Cheryl R Buyama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164491510 PECOS PAC ID: 2062402506 Enrollment ID: I20040515000523 |
| Provider Name | Cheryl W Omalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588633226 PECOS PAC ID: 3375518392 Enrollment ID: I20040901000597 |
| Provider Name | Kam D Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673822 PECOS PAC ID: 5991773772 Enrollment ID: I20040920000717 |
| Provider Name | Maria Manriquez-sanchez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417900952 PECOS PAC ID: 8527052901 Enrollment ID: I20041022001086 |
| Provider Name | Brett A Roeder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134116700 PECOS PAC ID: 1850378407 Enrollment ID: I20050421000530 |
| Provider Name | Ayrn D Oconnor |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1194785063 PECOS PAC ID: 5294771481 Enrollment ID: I20050628000830 |
| Provider Name | Steven R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083674154 PECOS PAC ID: 7517994130 Enrollment ID: I20050725001099 |
| Provider Name | Steven J Bowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639164650 PECOS PAC ID: 6709805989 Enrollment ID: I20051116000915 |
| Provider Name | Michelle B Huddleston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164484200 PECOS PAC ID: 8123041456 Enrollment ID: I20060112000335 |
| Provider Name | Sharry Kay Veres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831135300 PECOS PAC ID: 4880604008 Enrollment ID: I20060502000395 |
| Provider Name | Harvey Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659330769 PECOS PAC ID: 4486665569 Enrollment ID: I20060606000261 |
| Provider Name | Heather M Bartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861417271 PECOS PAC ID: 5799781050 Enrollment ID: I20061117000101 |
| Provider Name | Sara C Stimsonriahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023063450 PECOS PAC ID: 5294734752 Enrollment ID: I20061211000181 |
| Provider Name | Susanne G Wild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972627867 PECOS PAC ID: 8224137237 Enrollment ID: I20070615000269 |
| Provider Name | Jayne M Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084397 PECOS PAC ID: 4880768910 Enrollment ID: I20080807000075 |
| Provider Name | Lindsay J Grizzle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336335017 PECOS PAC ID: 2163598921 Enrollment ID: I20080903000193 |
| Provider Name | Roger L Mccoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558322297 PECOS PAC ID: 5890887707 Enrollment ID: I20080911000283 |
| Provider Name | Lee Anne Denny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891958302 PECOS PAC ID: 7618146127 Enrollment ID: I20110817000462 |
| Provider Name | Tiffany N Graybill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679754592 PECOS PAC ID: 2062565906 Enrollment ID: I20111118000570 |
| Provider Name | Jason K Leubner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487881546 PECOS PAC ID: 2466618962 Enrollment ID: I20120727000674 |
| Provider Name | Stephanie M Briney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609003755 PECOS PAC ID: 9133376692 Enrollment ID: I20120906000120 |
| Provider Name | Scott D Haferkamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497084479 PECOS PAC ID: 1153573738 Enrollment ID: I20121205000293 |
| Provider Name | Lise K Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205156528 PECOS PAC ID: 3072756188 Enrollment ID: I20130821000197 |
| Provider Name | Craig W Heise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629398912 PECOS PAC ID: 9234364050 Enrollment ID: I20131104000990 |
| Provider Name | Nimit K Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811155245 PECOS PAC ID: 8820140684 Enrollment ID: I20131231001856 |
| Provider Name | Neychelle Rocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063645778 PECOS PAC ID: 6305095811 Enrollment ID: I20140116001702 |
| Provider Name | Sarah W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841578986 PECOS PAC ID: 2365765153 Enrollment ID: I20141231001646 |
| Provider Name | Rishi Basnyat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609158799 PECOS PAC ID: 2567770159 Enrollment ID: I20150930003462 |
| Provider Name | Angel L Chu-peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811010 PECOS PAC ID: 9335448315 Enrollment ID: I20160425002643 |
| Provider Name | Dana Archbold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003254566 PECOS PAC ID: 9133173669 Enrollment ID: I20160623000176 |
| Provider Name | Jacob S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558708792 PECOS PAC ID: 9830481274 Enrollment ID: I20160706000672 |
| Provider Name | Yasir Abdulqader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184955395 PECOS PAC ID: 5799058640 Enrollment ID: I20170829002117 |
| Provider Name | Linnet Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659801223 PECOS PAC ID: 6305102278 Enrollment ID: I20171108003539 |
| Provider Name | Jennifer S Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932528056 PECOS PAC ID: 3971858077 Enrollment ID: I20180613001815 |
| Provider Name | Evan F Werk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036774 PECOS PAC ID: 8022365311 Enrollment ID: I20180718000450 |
| Provider Name | Kristen J Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881089274 PECOS PAC ID: 6103190426 Enrollment ID: I20180719004113 |
| Provider Name | Leah Margaret Hillier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306318340 PECOS PAC ID: 4688917545 Enrollment ID: I20190515003052 |
| Provider Name | Matthew A Schmidgall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912361387 PECOS PAC ID: 0941570121 Enrollment ID: I20190607001666 |
| Provider Name | Jenna Leigh Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639533227 PECOS PAC ID: 4688944119 Enrollment ID: I20190610000495 |
| Provider Name | Jordan Merz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710373725 PECOS PAC ID: 7416280979 Enrollment ID: I20190614002574 |
| Provider Name | Varun Tandon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902251903 PECOS PAC ID: 5395031652 Enrollment ID: I20190821000539 |
| Provider Name | Joseph Seelbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275997868 PECOS PAC ID: 0446520944 Enrollment ID: I20190917001165 |
| Provider Name | Susan Patricia Anduaga Bocanegra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316331259 PECOS PAC ID: 6305273640 Enrollment ID: I20200225002965 |
| Provider Name | Daniel Alcantar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730542903 PECOS PAC ID: 2163793654 Enrollment ID: I20200624001716 |
| Provider Name | Paul Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427582972 PECOS PAC ID: 3274958822 Enrollment ID: I20200730001137 |
| Provider Name | Nathanael Adjei-kyeremeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134651896 PECOS PAC ID: 6608291679 Enrollment ID: I20200807001438 |
| Provider Name | Viktoria L Krajnc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073047098 PECOS PAC ID: 9739452624 Enrollment ID: I20200810001690 |
| Provider Name | Freya Spielberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467664607 PECOS PAC ID: 9537248836 Enrollment ID: I20210622003533 |
| Provider Name | Kiana M Espinosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790281046 PECOS PAC ID: 1355693896 Enrollment ID: I20210817004127 |
| Provider Name | Richard Bigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487018495 PECOS PAC ID: 5890190037 Enrollment ID: I20210825003380 |
| Provider Name | Julia Gray Farber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356873996 PECOS PAC ID: 1557752995 Enrollment ID: I20211220001650 |
| Provider Name | Sonia Teresa Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003408303 PECOS PAC ID: 8820489891 Enrollment ID: I20211229002472 |
| Provider Name | Mohamed B Abdelhabib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184287161 PECOS PAC ID: 8426382227 Enrollment ID: I20220420000420 |
| Provider Name | Krista Regina Labruzzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871099127 PECOS PAC ID: 8820341704 Enrollment ID: I20220526002161 |
| Provider Name | Maria C Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720585805 PECOS PAC ID: 8123417755 Enrollment ID: I20220616002415 |
| Provider Name | Elizabeth A Rowland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306409313 PECOS PAC ID: 8921334335 Enrollment ID: I20220705002641 |
| Provider Name | Genevieve Lambert |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306343611 PECOS PAC ID: 4183977069 Enrollment ID: I20220713003519 |
| Provider Name | Naomi Catton Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013470541 PECOS PAC ID: 3274923495 Enrollment ID: I20220901002459 |
| Provider Name | Kelly Lynn Marcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699270462 PECOS PAC ID: 1850647397 Enrollment ID: I20230203001828 |
| Provider Name | Pierce Lewien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295354983 PECOS PAC ID: 2264855444 Enrollment ID: I20230628003617 |
| Provider Name | Ahsan Shahid Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306465646 PECOS PAC ID: 4981027034 Enrollment ID: I20230630000361 |
| Provider Name | Tara Marie Lanzendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295354470 PECOS PAC ID: 2062803364 Enrollment ID: I20230707003217 |
| Provider Name | Kaelin Meesook Bernier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205455326 PECOS PAC ID: 0244652212 Enrollment ID: I20230807001669 |
| Provider Name | Tiffany Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265121222 PECOS PAC ID: 1759743552 Enrollment ID: I20230810002508 |
| Provider Name | Elizabeth M Batterton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639435266 PECOS PAC ID: 4587959598 Enrollment ID: I20230823001923 |
| Provider Name | George Van Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629698907 PECOS PAC ID: 7012331119 Enrollment ID: I20230908000831 |
| Provider Name | Cory Robert Whale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487031373 PECOS PAC ID: 6406113554 Enrollment ID: I20231017003516 |
| Provider Name | Jennifer Meyfeldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326544701 PECOS PAC ID: 1254681398 Enrollment ID: I20240614001450 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |