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395 N Silverbell Rd Ste 355 Tucson AZ 85745-2981 | |
| (520) 622-5912 | |
| (520) 791-2246 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 395 N Silverbell Rd Ste 355, Tucson, Arizona |
| Authorized Official Name and Position | Brian Rasmus (VP, CFO TPR TENET) |
| Authorized Official Contact | 4698932532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 22224 Belfast ME 04915-4473 Ph: (520) 872-7000 | 395 N Silverbell Rd Ste 355 Tucson AZ 85745-2981 Ph: (520) 622-5912 |
| NPI Number | 1356726939 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 0547560070 |
|---|---|
| Medicare Enrollment ID | O20151204001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356726939 | NPI | - | NPPES |
| Provider Name | Diana V Benenati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871573493 PECOS PAC ID: 2062314412 Enrollment ID: I20040126000064 |
| Provider Name | Lisa M Castellano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144345810 PECOS PAC ID: 4183517428 Enrollment ID: I20040202001205 |
| Provider Name | Rizwan Safdar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982651857 PECOS PAC ID: 2769389832 Enrollment ID: I20040203000902 |
| Provider Name | Anthony A Nazaroff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235249251 PECOS PAC ID: 1052219565 Enrollment ID: I20040211000493 |
| Provider Name | Macantoine Louis Jacques |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790723773 PECOS PAC ID: 9032102702 Enrollment ID: I20040407000820 |
| Provider Name | Joseph J Hessel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306996228 PECOS PAC ID: 3173518974 Enrollment ID: I20040420000586 |
| Provider Name | Ana Maria Teresa Longoria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174636005 PECOS PAC ID: 7315935111 Enrollment ID: I20040503000007 |
| Provider Name | Cristina D Popovici |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326024449 PECOS PAC ID: 1658361928 Enrollment ID: I20040518000015 |
| Provider Name | Kathryn Lynn Bates |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003818246 PECOS PAC ID: 8426031881 Enrollment ID: I20040608001053 |
| Provider Name | William C Kuo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760487706 PECOS PAC ID: 5092790824 Enrollment ID: I20040623001656 |
| Provider Name | Geronimo Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407947054 PECOS PAC ID: 3173509296 Enrollment ID: I20040628001438 |
| Provider Name | Kelly A Favre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801831201 PECOS PAC ID: 4486631918 Enrollment ID: I20040702000232 |
| Provider Name | George Haloftis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740277268 PECOS PAC ID: 2860388147 Enrollment ID: I20040818000460 |
| Provider Name | Edwin E Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952383143 PECOS PAC ID: 0547236416 Enrollment ID: I20040902000908 |
| Provider Name | Kevin W Olden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386682185 PECOS PAC ID: 4486622636 Enrollment ID: I20040924000242 |
| Provider Name | Ian Livingstone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275626939 PECOS PAC ID: 3779548631 Enrollment ID: I20041119001042 |
| Provider Name | Eric P Sipos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275513038 PECOS PAC ID: 3577529726 Enrollment ID: I20041208001097 |
| Provider Name | William L Bartholomew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285626754 PECOS PAC ID: 0446218986 Enrollment ID: I20041229000955 |
| Provider Name | Jerome K Steck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972540367 PECOS PAC ID: 5395718779 Enrollment ID: I20050511001011 |
| Provider Name | Timothy B Dixon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669435319 PECOS PAC ID: 0042281552 Enrollment ID: I20050606000599 |
| Provider Name | Howard J Rolins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114903242 PECOS PAC ID: 6204871213 Enrollment ID: I20050621000625 |
| Provider Name | John Powers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235120429 PECOS PAC ID: 1557306586 Enrollment ID: I20050621000737 |
| Provider Name | Merick S Kirshner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831183870 PECOS PAC ID: 8729011713 Enrollment ID: I20050912000101 |
| Provider Name | Joseph Chambers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578533238 PECOS PAC ID: 5193794568 Enrollment ID: I20050919000989 |
| Provider Name | Matthew P Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225018096 PECOS PAC ID: 3870527641 Enrollment ID: I20050921000461 |
| Provider Name | David P Los |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598741720 PECOS PAC ID: 7810921665 Enrollment ID: I20050921001048 |
| Provider Name | Yulius Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356416366 PECOS PAC ID: 6709859598 Enrollment ID: I20050923000148 |
| Provider Name | Scott J Biehler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518940089 PECOS PAC ID: 9638153752 Enrollment ID: I20050923000634 |
| Provider Name | Katalin Scherer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063465508 PECOS PAC ID: 8921032426 Enrollment ID: I20050923000671 |
| Provider Name | Brenda C Peart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700882651 PECOS PAC ID: 9234027152 Enrollment ID: I20050928000845 |
| Provider Name | Gonzalo M Celis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366425886 PECOS PAC ID: 1557386521 Enrollment ID: I20051008000236 |
| Provider Name | James Belitsos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942217914 PECOS PAC ID: 1850318387 Enrollment ID: I20051025000117 |
| Provider Name | Lloyd R Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467432237 PECOS PAC ID: 0446277149 Enrollment ID: I20051101001034 |
| Provider Name | Kathlean Y Perrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124160197 PECOS PAC ID: 3678580107 Enrollment ID: I20060308000571 |
| Provider Name | Katie S Artz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396781860 PECOS PAC ID: 6305849191 Enrollment ID: I20060816000580 |
| Provider Name | Mohammad Reza Movahed Shariat Panahi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578574232 PECOS PAC ID: 7719927243 Enrollment ID: I20060901000014 |
| Provider Name | Brian J Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881814549 PECOS PAC ID: 7113026485 Enrollment ID: I20070627000365 |
| Provider Name | Brett L Haywood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518174515 PECOS PAC ID: 5698874832 Enrollment ID: I20070628000352 |
| Provider Name | Bassel Kisso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093918302 PECOS PAC ID: 5597856336 Enrollment ID: I20070808000082 |
| Provider Name | Navin Kedia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457319659 PECOS PAC ID: 0749221422 Enrollment ID: I20070910000159 |
| Provider Name | Gina M Jansheski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619931425 PECOS PAC ID: 6002905817 Enrollment ID: I20071201000140 |
| Provider Name | Kristine L Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437327640 PECOS PAC ID: 9032293006 Enrollment ID: I20080228000719 |
| Provider Name | Robert C Kersey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356304190 PECOS PAC ID: 6103832571 Enrollment ID: I20080506000341 |
| Provider Name | Fadi Deeb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497729248 PECOS PAC ID: 5496758062 Enrollment ID: I20080603000221 |
| Provider Name | Sharon M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251343 PECOS PAC ID: 7719049287 Enrollment ID: I20081217000114 |
| Provider Name | Kermit A Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700896719 PECOS PAC ID: 9537068366 Enrollment ID: I20090211000695 |
| Provider Name | Matthew D Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386827244 PECOS PAC ID: 3375697048 Enrollment ID: I20090814000066 |
| Provider Name | Wajeeh Salah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144432444 PECOS PAC ID: 7810035730 Enrollment ID: I20091113000531 |
| Provider Name | Christopher S Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104923184 PECOS PAC ID: 1759436488 Enrollment ID: I20100430000376 |
| Provider Name | Niki M Putzar-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215265426 PECOS PAC ID: 0648308221 Enrollment ID: I20100503000857 |
| Provider Name | Helen E Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215937883 PECOS PAC ID: 1759359532 Enrollment ID: I20100521000385 |
| Provider Name | James L King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356392617 PECOS PAC ID: 3375541352 Enrollment ID: I20100602000952 |
| Provider Name | Craig M Palmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073694220 PECOS PAC ID: 3577694785 Enrollment ID: I20100703000030 |
| Provider Name | Kendra W Drake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780893750 PECOS PAC ID: 3577695410 Enrollment ID: I20100713000340 |
| Provider Name | Catherine K Aspinwall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033106604 PECOS PAC ID: 6204951502 Enrollment ID: I20100909001018 |
| Provider Name | Marvin Cabilangan Depas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306163258 PECOS PAC ID: 2860517182 Enrollment ID: I20100909001241 |
| Provider Name | Diego R Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326058371 PECOS PAC ID: 6507863537 Enrollment ID: I20100915000016 |
| Provider Name | Charles Gregory Blake |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851362792 PECOS PAC ID: 9830157015 Enrollment ID: I20101022000275 |
| Provider Name | Constance Lyne Barner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366435539 PECOS PAC ID: 7810181641 Enrollment ID: I20101104001597 |
| Provider Name | Joseph A Christiano |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609856475 PECOS PAC ID: 5294923199 Enrollment ID: I20101220000229 |
| Provider Name | Douglas E Bischoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821085333 PECOS PAC ID: 3476732769 Enrollment ID: I20110119000205 |
| Provider Name | Carolyn F Kenngott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659333078 PECOS PAC ID: 5294784252 Enrollment ID: I20110513000309 |
| Provider Name | Bechara Mezher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598751794 PECOS PAC ID: 7911184379 Enrollment ID: I20110613000038 |
| Provider Name | Kapildeo Lotun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265510796 PECOS PAC ID: 1456349943 Enrollment ID: I20111114000697 |
| Provider Name | David Andrew Pedersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972569200 PECOS PAC ID: 8325030992 Enrollment ID: I20120119000446 |
| Provider Name | Jess A. Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033178231 PECOS PAC ID: 4981637634 Enrollment ID: I20120223000548 |
| Provider Name | Lacey Rao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336342120 PECOS PAC ID: 4385891415 Enrollment ID: I20120824000576 |
| Provider Name | Ahmad Nizam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427368885 PECOS PAC ID: 0749437754 Enrollment ID: I20120827000706 |
| Provider Name | Ryan Michael Kretzer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861545766 PECOS PAC ID: 1254519655 Enrollment ID: I20120917000325 |
| Provider Name | Rajendrakumar M Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982780995 PECOS PAC ID: 2365457942 Enrollment ID: I20121015000161 |
| Provider Name | Deborah S Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235493297 PECOS PAC ID: 9931359429 Enrollment ID: I20121018000138 |
| Provider Name | Mohammad R Habibzadeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548469273 PECOS PAC ID: 0648422766 Enrollment ID: I20121218000145 |
| Provider Name | Nathaniel S Rial |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510327 PECOS PAC ID: 2769635903 Enrollment ID: I20130121000107 |
| Provider Name | Ravneet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306055173 PECOS PAC ID: 3375720030 Enrollment ID: I20130723000537 |
| Provider Name | Asad Ehtisham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558366856 PECOS PAC ID: 2365412509 Enrollment ID: I20130904000965 |
| Provider Name | Tonya L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578904454 PECOS PAC ID: 3375787724 Enrollment ID: I20130925000158 |
| Provider Name | John Modrzejewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831439413 PECOS PAC ID: 2769617612 Enrollment ID: I20131030000955 |
| Provider Name | Lydia H Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225479868 PECOS PAC ID: 7618102591 Enrollment ID: I20131031000003 |
| Provider Name | Adnan Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699088864 PECOS PAC ID: 2769618172 Enrollment ID: I20131113000882 |
| Provider Name | Chika P Madike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317989 PECOS PAC ID: 4789812777 Enrollment ID: I20140121001312 |
| Provider Name | Sundeep Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730331364 PECOS PAC ID: 9133397342 Enrollment ID: I20140402002488 |
| Provider Name | Palitha V Kalpage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931483 PECOS PAC ID: 9133347271 Enrollment ID: I20140902001556 |
| Provider Name | Mohammed A Al-amoodi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083866149 PECOS PAC ID: 4981825668 Enrollment ID: I20141022000043 |
| Provider Name | Esther H Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568753242 PECOS PAC ID: 0648490300 Enrollment ID: I20141030002625 |
| Provider Name | Arun Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336107994 PECOS PAC ID: 9133172042 Enrollment ID: I20141118002698 |
| Provider Name | Ileana I Ortiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124316856 PECOS PAC ID: 9335461680 Enrollment ID: I20141124001021 |
| Provider Name | Terra Karma Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914907 PECOS PAC ID: 4183940968 Enrollment ID: I20150313002277 |
| Provider Name | Jason Bradley Stanhibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668013 PECOS PAC ID: 0143540088 Enrollment ID: I20150518000775 |
| Provider Name | Billi Jo Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314420 PECOS PAC ID: 6204145923 Enrollment ID: I20151020003083 |
| Provider Name | Carrie Van Curan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760858906 PECOS PAC ID: 5890091797 Enrollment ID: I20160302001256 |
| Provider Name | Kristie W Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669673638 PECOS PAC ID: 4981901865 Enrollment ID: I20160318002218 |
| Provider Name | Cheryl Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326413121 PECOS PAC ID: 3173820966 Enrollment ID: I20160322001141 |
| Provider Name | Guadalupe Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539513 PECOS PAC ID: 7012206253 Enrollment ID: I20160511002174 |
| Provider Name | Loan D Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561519 PECOS PAC ID: 9032404439 Enrollment ID: I20160824002000 |
| Provider Name | Muhammad Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972944544 PECOS PAC ID: 1759504673 Enrollment ID: I20160901001072 |
| Provider Name | Edgar Estaban Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467690701 PECOS PAC ID: 0143509216 Enrollment ID: I20161111001564 |
| Provider Name | Angelica M Lentner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497203350 PECOS PAC ID: 8628358512 Enrollment ID: I20161212001295 |
| Provider Name | Gail L Clifford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750336137 PECOS PAC ID: 1951369784 Enrollment ID: I20170216001981 |
| Provider Name | Carla Sue Rosenblum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376616151 PECOS PAC ID: 3274636477 Enrollment ID: I20170220001786 |
| Provider Name | Heidi L Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207008 PECOS PAC ID: 4486938909 Enrollment ID: I20170301001414 |
| Provider Name | Katherine J Huls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012017 PECOS PAC ID: 5496031775 Enrollment ID: I20170421001113 |
| Provider Name | John A Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528028537 PECOS PAC ID: 7810987138 Enrollment ID: I20170518000744 |
| Provider Name | Brandon Liebelt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477872398 PECOS PAC ID: 4082982954 Enrollment ID: I20170616002273 |
| Provider Name | Lauren Marissa Rittenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013203959 PECOS PAC ID: 7618260597 Enrollment ID: I20170705001517 |
| Provider Name | Kahroba Jahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699063206 PECOS PAC ID: 3173893344 Enrollment ID: I20170720001050 |
| Provider Name | Sukeshi K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679980122 PECOS PAC ID: 4587974415 Enrollment ID: I20170817003477 |
| Provider Name | Katharine Anne Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912435009 PECOS PAC ID: 4981976339 Enrollment ID: I20170818001522 |
| Provider Name | Natalija De Retana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447768130 PECOS PAC ID: 4486916012 Enrollment ID: I20180320001291 |
| Provider Name | Ann B Mccombs |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1407029903 PECOS PAC ID: 5193070423 Enrollment ID: I20180608002297 |
| Provider Name | Virginia B Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20180614001149 |
| Provider Name | Chintan Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558659441 PECOS PAC ID: 0345544755 Enrollment ID: I20180814003952 |
| Provider Name | Brenden M Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043692593 PECOS PAC ID: 2961717723 Enrollment ID: I20180828003532 |
| Provider Name | Winola Rachel Purushotham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294756 PECOS PAC ID: 3274782388 Enrollment ID: I20180919002505 |
| Provider Name | Guillermo Higa Sansone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871763540 PECOS PAC ID: 1557553674 Enrollment ID: I20181009002881 |
| Provider Name | Mylanie C Facelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639433691 PECOS PAC ID: 8325346224 Enrollment ID: I20181107000279 |
| Provider Name | Nicole Elizabeth Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104206895 PECOS PAC ID: 2163738329 Enrollment ID: I20190123001184 |
| Provider Name | Joel Timothy Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781281 PECOS PAC ID: 8224375423 Enrollment ID: I20190125002159 |
| Provider Name | Thomas E Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386753895 PECOS PAC ID: 9133016314 Enrollment ID: I20190222002699 |
| Provider Name | Janell Nicole Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575067 PECOS PAC ID: 3476893561 Enrollment ID: I20190328000372 |
| Provider Name | Alexander Lewis Coon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720124084 PECOS PAC ID: 0244361251 Enrollment ID: I20190612003240 |
| Provider Name | Paria Pourmalek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356759039 PECOS PAC ID: 8426354416 Enrollment ID: I20190620001950 |
| Provider Name | Melissa Dakkak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932543774 PECOS PAC ID: 1557676392 Enrollment ID: I20190717003002 |
| Provider Name | Jason Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669873220 PECOS PAC ID: 2567752488 Enrollment ID: I20190731002190 |
| Provider Name | Chioma A Ogala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528455391 PECOS PAC ID: 9133496987 Enrollment ID: I20190816001674 |
| Provider Name | Dafney Lubin Davare |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861771610 PECOS PAC ID: 8527292952 Enrollment ID: I20190916001472 |
| Provider Name | Amber N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038855 PECOS PAC ID: 7416389754 Enrollment ID: I20191107001442 |
| Provider Name | Cynthia Dawn Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128466 PECOS PAC ID: 6800228990 Enrollment ID: I20191111002021 |
| Provider Name | Kiyan Rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649690769 PECOS PAC ID: 0143592881 Enrollment ID: I20191209000531 |
| Provider Name | Luis Alejandro Asencio Magdaleno |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053541797 PECOS PAC ID: 5193006641 Enrollment ID: I20200316002340 |
| Provider Name | Kristen Nicole Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730712373 PECOS PAC ID: 8123459906 Enrollment ID: I20200511003260 |
| Provider Name | Barbara Alva Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447879267 PECOS PAC ID: 4789015314 Enrollment ID: I20200514000225 |
| Provider Name | Michael L Ruppenthal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437131232 PECOS PAC ID: 7113980764 Enrollment ID: I20200518002591 |
| Provider Name | Li-mei Lin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538296785 PECOS PAC ID: 0345499935 Enrollment ID: I20200619000645 |
| Provider Name | Spencer Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680131 PECOS PAC ID: 9234551839 Enrollment ID: I20200629001619 |
| Provider Name | Rohit Kedia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497014641 PECOS PAC ID: 5597912741 Enrollment ID: I20200702002477 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20200728003931 |
| Provider Name | Hak Jin Ko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154398055 PECOS PAC ID: 2567435753 Enrollment ID: I20200812002005 |
| Provider Name | Jason Todd Smotherman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457315301 PECOS PAC ID: 6608863527 Enrollment ID: I20200915002896 |
| Provider Name | Pedro A Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619349024 PECOS PAC ID: 8123377173 Enrollment ID: I20210105000010 |
| Provider Name | Rita Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154583227 PECOS PAC ID: 0244418432 Enrollment ID: I20210407000760 |
| Provider Name | Jacqueline Debra Kieft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932799152 PECOS PAC ID: 4486063682 Enrollment ID: I20210428003216 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20210506001102 |
| Provider Name | Yousef Mustafa Odeh |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912930629 PECOS PAC ID: 7911185061 Enrollment ID: I20210514000587 |
| Provider Name | Richard Ciezki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669834537 PECOS PAC ID: 5395030050 Enrollment ID: I20210525001744 |
| Provider Name | Rushin Nalin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033531546 PECOS PAC ID: 6406078187 Enrollment ID: I20210623004171 |
| Provider Name | Demetrios K. Mavroidis |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1184602914 PECOS PAC ID: 5092740548 Enrollment ID: I20210701001817 |
| Provider Name | Sarah N Bodine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427511898 PECOS PAC ID: 2062748361 Enrollment ID: I20210820003172 |
| Provider Name | Tiffany G Son |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114373388 PECOS PAC ID: 7810289238 Enrollment ID: I20210827000807 |
| Provider Name | Joseph N Devitis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720460769 PECOS PAC ID: 6800109893 Enrollment ID: I20210903000970 |
| Provider Name | Tisa Lynn Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928270 PECOS PAC ID: 4183021033 Enrollment ID: I20210921000850 |
| Provider Name | Eric Brandon Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730403288 PECOS PAC ID: 8224270137 Enrollment ID: I20211001002283 |
| Provider Name | Amy Chan Matchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637184 PECOS PAC ID: 7719385244 Enrollment ID: I20211013001371 |
| Provider Name | Rachel Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509718 PECOS PAC ID: 7719375062 Enrollment ID: I20211019002994 |
| Provider Name | Misty S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639832553 PECOS PAC ID: 5193115194 Enrollment ID: I20211207000304 |
| Provider Name | Jasmit Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689081812 PECOS PAC ID: 7618233495 Enrollment ID: I20220103000023 |
| Provider Name | M Lorraine Purino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023165750 PECOS PAC ID: 7315990520 Enrollment ID: I20220316001128 |
| Provider Name | Hillary L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790427334 PECOS PAC ID: 1355729419 Enrollment ID: I20220601000962 |
| Provider Name | Paisley Lorice Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295093391 PECOS PAC ID: 0941688998 Enrollment ID: I20220602001606 |
| Provider Name | Kerina Mariana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578294559 PECOS PAC ID: 7517340490 Enrollment ID: I20220810003459 |
| Provider Name | Felicia D Solis-cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245966308 PECOS PAC ID: 6507249158 Enrollment ID: I20220816000362 |
| Provider Name | Donald Hoffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396772059 PECOS PAC ID: 4688689151 Enrollment ID: I20220906002187 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861927386 PECOS PAC ID: 5193076420 Enrollment ID: I20221021001945 |
| Provider Name | Guraman Singh Bhullar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386957579 PECOS PAC ID: 3678762978 Enrollment ID: I20221108003708 |
| Provider Name | Abhineet Chowdhary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932215308 PECOS PAC ID: 9234313784 Enrollment ID: I20221109001289 |
| Provider Name | Angelica Marie Granillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477285880 PECOS PAC ID: 4385013457 Enrollment ID: I20221212002123 |
| Provider Name | Clayton Timothy Pierce |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235691593 PECOS PAC ID: 6406182807 Enrollment ID: I20230119001978 |
| Provider Name | Brian Kevin Madigan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730351644 PECOS PAC ID: 5395117287 Enrollment ID: I20230201002862 |
| Provider Name | Darsham Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235346115 PECOS PAC ID: 1052472701 Enrollment ID: I20230203002735 |
| Provider Name | Brian Jason Brotherton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205133188 PECOS PAC ID: 9234356536 Enrollment ID: I20230322002712 |
| Provider Name | Kenneth Lipow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427083674 PECOS PAC ID: 3678537446 Enrollment ID: I20230411001988 |
| Provider Name | Jonathan Robert Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184335085 PECOS PAC ID: 0547625824 Enrollment ID: I20230421000587 |
| Provider Name | Fahad Laghari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750810404 PECOS PAC ID: 0648549006 Enrollment ID: I20230607001609 |
| Provider Name | Michelle E Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184156531 PECOS PAC ID: 8921353038 Enrollment ID: I20230612001632 |
| Provider Name | Matthew H Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144724154 PECOS PAC ID: 4082967039 Enrollment ID: I20230613002608 |
| Provider Name | Andrew Montoure |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407240641 PECOS PAC ID: 9335579713 Enrollment ID: I20230621002379 |
| Provider Name | Thomas Frank |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477908994 PECOS PAC ID: 6103105358 Enrollment ID: I20230626002373 |
| Provider Name | Marianne Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003206749 PECOS PAC ID: 0749509826 Enrollment ID: I20230711000634 |
| Provider Name | Ahmed Mufeed Abuawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326533431 PECOS PAC ID: 2163882317 Enrollment ID: I20230719001766 |
| Provider Name | Juliya Cress |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821446048 PECOS PAC ID: 1658731781 Enrollment ID: I20230720001438 |
| Provider Name | Kimberlee Van Orden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447742127 PECOS PAC ID: 1658622360 Enrollment ID: I20230724003179 |
| Provider Name | Maria M Dahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104008 PECOS PAC ID: 7315243250 Enrollment ID: I20230731001449 |
| Provider Name | Katherine Tan Lee Chuy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750780391 PECOS PAC ID: 7113223124 Enrollment ID: I20230920003573 |
| Provider Name | Dmitry Familtsev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194161174 PECOS PAC ID: 2466752050 Enrollment ID: I20231117001482 |
| Provider Name | Pooja Shivananjappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619587508 PECOS PAC ID: 9931557048 Enrollment ID: I20231130001276 |
| Provider Name | Dhruv Panchal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417214693 PECOS PAC ID: 3072827930 Enrollment ID: I20231229001945 |
| Provider Name | George Maidaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790093797 PECOS PAC ID: 0244474997 Enrollment ID: I20240404002461 |
| Provider Name | Lourdes Avinaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033551981 PECOS PAC ID: 7214298736 Enrollment ID: I20240430002090 |
| Provider Name | Virgilio R Huerta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275774598 PECOS PAC ID: 5294973533 Enrollment ID: I20240604004378 |
| Provider Name | Conny H Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902365745 PECOS PAC ID: 2860856598 Enrollment ID: I20240610001012 |
| Provider Name | Adewale Bamidele Ogunoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144717422 PECOS PAC ID: 0345599510 Enrollment ID: I20240708001944 |
| Provider Name | Trina Belair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417203753 PECOS PAC ID: 1850523747 Enrollment ID: I20240820003246 |
| Provider Name | Ravitej Goteti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932549631 PECOS PAC ID: 1658677604 Enrollment ID: I20240917004385 |
| Provider Name | Kalyan C Vunnamadala |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609991207 PECOS PAC ID: 0244549806 Enrollment ID: I20240923001080 |
| Provider Name | Olayemi Bolarinwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006460 PECOS PAC ID: 9638569700 Enrollment ID: I20241004001404 |
| Provider Name | Gheyath Albadwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881049500 PECOS PAC ID: 1254661796 Enrollment ID: I20241018003469 |
| Provider Name | George Germanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144858390 PECOS PAC ID: 5991105058 Enrollment ID: I20241122003842 |
| Provider Name | Crystal Anne Coughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225852932 PECOS PAC ID: 9931635497 Enrollment ID: I20241206001404 |
| Provider Name | Maryclare Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124076096 PECOS PAC ID: 7214821552 Enrollment ID: I20241210000761 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 N Silverbell Rd Ste 265, Tucson, AZ 85745 Phone: 520-724-0559 Fax: 520-220-5115 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |