Centerwell Senior Primary Care-maryvale | |
6544 W Thomas Rd Ste 11 Phoenix AZ 85033-5740 | |
(602) 834-5515 | |
(877) 536-8279 |
Full Name | Centerwell Senior Primary Care-maryvale |
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Speciality | Internal Medicine |
Location | 6544 W Thomas Rd Ste 11, Phoenix, Arizona |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centerwell Senior Primary Care-maryvale 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-maryvale 6544 W Thomas Rd Ste 11 Phoenix AZ 85033-5740 Ph: (602) 834-5515 |
NPI Number | 1073260352 |
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Provider Enumeration Date | 03/07/2022 |
Last Update Date | 08/19/2024 |
Medicare PECOS PAC ID | 9830576354 |
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Medicare Enrollment ID | O20220521000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073260352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Satpreet Singh Gill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750487344 PECOS PAC ID: 3779503339 Enrollment ID: I20051129000384 |
Provider Name | Richard Wolfson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497712475 PECOS PAC ID: 9537189873 Enrollment ID: I20051130000950 |
Provider Name | Ravinder R Dawke |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275730780 PECOS PAC ID: 0042302028 Enrollment ID: I20070822000820 |
Provider Name | Maria J Hoertz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104871607 PECOS PAC ID: 7315830601 Enrollment ID: I20080304000376 |
Provider Name | Christine L Armenta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972752509 PECOS PAC ID: 3173674496 Enrollment ID: I20090626000467 |
Provider Name | Antonio V Yu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770564171 PECOS PAC ID: 1951306703 Enrollment ID: I20100831000656 |
Provider Name | Dorin T Popa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568621795 PECOS PAC ID: 8426228123 Enrollment ID: I20110908001633 |
Provider Name | Prabhdeep Sandhu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831543883 PECOS PAC ID: 4385913482 Enrollment ID: I20170705003025 |
Provider Name | Sahar S Zuberi |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1407291750 PECOS PAC ID: 2163748286 Enrollment ID: I20171013001026 |
Provider Name | Leslee Hamadeh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144728130 PECOS PAC ID: 3678835782 Enrollment ID: I20180328003071 |
Provider Name | Neal Patrick Patalinghug |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588697544 PECOS PAC ID: 6507996766 Enrollment ID: I20190417002849 |
Provider Name | Sabrina C Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578031506 PECOS PAC ID: 0749515328 Enrollment ID: I20190718002725 |
Provider Name | Aaron T Saunders |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902148208 PECOS PAC ID: 7113288895 Enrollment ID: I20201014001050 |
Provider Name | Daniel E Isaac |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528564564 PECOS PAC ID: 7012313232 Enrollment ID: I20210913002952 |
Provider Name | Thihalolipavan Sayalolipavan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053309039 PECOS PAC ID: 6709843600 Enrollment ID: I20220701000557 |
Provider Name | Kathy Derrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689082174 PECOS PAC ID: 2264651256 Enrollment ID: I20220816003849 |
Provider Name | John C Stanton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952806267 PECOS PAC ID: 9638577752 Enrollment ID: I20221026001537 |
Provider Name | Ashley Noel Olson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003486085 PECOS PAC ID: 9234501230 Enrollment ID: I20230220001476 |
Provider Name | Diana I Elizalde |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922661032 PECOS PAC ID: 8022342773 Enrollment ID: I20230614002803 |
Provider Name | Jayshree Arun Kumar Bhaskara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790771228 PECOS PAC ID: 9638265622 Enrollment ID: I20230703002554 |
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