| |
5055 E Broadway Blvd Suite 111 Tucson AZ 85711-3640 | |
(520) 529-8387 | |
(520) 844-1111 |
Full Name | |
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Speciality | Family Medicine |
Location | 5055 E Broadway Blvd, Tucson, Arizona |
Authorized Official Name and Position | Timothy Albion (OWNER) |
Authorized Official Contact | 2242345025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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12900 Park Plaza Dr Suite 150, Ms-6165 Cerritos CA 90703-9329 Ph: (562) 741-4461 | 5055 E Broadway Blvd Suite 111 Tucson AZ 85711-3640 Ph: (520) 529-8387 |
NPI Number | 1972879773 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 06/05/2024 |
Medicare PECOS PAC ID | 6406010552 |
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Medicare Enrollment ID | O20120621000233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972879773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18791 (Arizona) | Primary |
Provider Name | Robert Allen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821049800 PECOS PAC ID: 0446278451 Enrollment ID: I20051108001058 |
Provider Name | Phuong T Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376503490 PECOS PAC ID: 6103846761 Enrollment ID: I20051129000415 |
Provider Name | Rosemary Siobhan Browne |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508808502 PECOS PAC ID: 3779680673 Enrollment ID: I20070529000229 |
Provider Name | Laura K Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477742930 PECOS PAC ID: 5395832307 Enrollment ID: I20071107000260 |
Provider Name | Sheryl A Peteuil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306877170 PECOS PAC ID: 2567508013 Enrollment ID: I20091014000125 |
Provider Name | Anjelica M Graves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043442098 PECOS PAC ID: 5496894719 Enrollment ID: I20091130000271 |
Provider Name | Robert A Kiesecker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750567129 PECOS PAC ID: 7113060203 Enrollment ID: I20100212000034 |
Provider Name | Ramona S Woodworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073869947 PECOS PAC ID: 2961652839 Enrollment ID: I20121031000134 |
Provider Name | Michelle A Magboo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174966782 PECOS PAC ID: 0446494504 Enrollment ID: I20130917000772 |
Provider Name | Kamy J Cunningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669716494 PECOS PAC ID: 9032348925 Enrollment ID: I20140219001391 |
Provider Name | Chris Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598282832 PECOS PAC ID: 2860759743 Enrollment ID: I20171130003032 |
Provider Name | Abigail S Hawke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699114272 PECOS PAC ID: 8426344995 Enrollment ID: I20190123001739 |
Provider Name | Joseph A Linton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871944777 PECOS PAC ID: 7517254246 Enrollment ID: I20191030002398 |
Provider Name | Albert N Dy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104488493 PECOS PAC ID: 2163856246 Enrollment ID: I20191224000232 |
Provider Name | Yeo K Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538569603 PECOS PAC ID: 5092012641 Enrollment ID: I20200122001161 |
Provider Name | Demetrius Barnes |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1619383510 PECOS PAC ID: 4587930219 Enrollment ID: I20200123002749 |
Provider Name | Hetter E Fuller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386278554 PECOS PAC ID: 4981035227 Enrollment ID: I20200520002635 |
Provider Name | Michael Groshner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861929952 PECOS PAC ID: 7719257740 Enrollment ID: I20201015001215 |
Provider Name | Phyllis Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114268281 PECOS PAC ID: 7911285952 Enrollment ID: I20201116001381 |
Provider Name | July Alexandra Gallardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346808748 PECOS PAC ID: 0648504662 Enrollment ID: I20201124000000 |
Provider Name | Maryrose Deguzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750556916 PECOS PAC ID: 1153544358 Enrollment ID: I20210601002223 |
Provider Name | Megan Anne Mayne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790338085 PECOS PAC ID: 9739512161 Enrollment ID: I20210607000800 |
Provider Name | Tisa Lynn Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447928270 PECOS PAC ID: 4183021033 Enrollment ID: I20210921000850 |
Provider Name | Magda Lina Villegas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679975510 PECOS PAC ID: 7113302878 Enrollment ID: I20220928002752 |
Provider Name | Jenny Teppett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922721836 PECOS PAC ID: 6800262320 Enrollment ID: I20221024002511 |
Provider Name | Jessica L Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861112260 PECOS PAC ID: 9931571726 Enrollment ID: I20230203000869 |
Provider Name | Brinda Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790418960 PECOS PAC ID: 5799150272 Enrollment ID: I20230414001631 |
Provider Name | Ray Coleen Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861164428 PECOS PAC ID: 3375900335 Enrollment ID: I20230606002703 |
Provider Name | Jesse Korth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457870586 PECOS PAC ID: 4587091350 Enrollment ID: I20231129001038 |
Provider Name | Corrine Favela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447304001 PECOS PAC ID: 3971881889 Enrollment ID: I20240520003133 |
Provider Name | Tessa Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245385053 PECOS PAC ID: 0042112658 Enrollment ID: I20240604003554 |
Provider Name | Danielle Fernald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033622493 PECOS PAC ID: 0648536037 Enrollment ID: I20240909001505 |
Provider Name | Maria Jefferson-walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831522630 PECOS PAC ID: 0648576082 Enrollment ID: I20240918003840 |
Provider Name | Obuchukwuneme Calais |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457829640 PECOS PAC ID: 3375880495 Enrollment ID: I20241111003342 |
Provider Name | Janice Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245720317 PECOS PAC ID: 5092053090 Enrollment ID: I20241114002831 |
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