| Children's Clinics | |
|
2600 N Wyatt Dr Tucson AZ 85712-6106 | |
| (520) 324-5437 | |
| (520) 324-3128 |
| Full Name | Children's Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 N Wyatt Dr, Tucson, Arizona |
| Authorized Official Name and Position | Chris Farley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5203243217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Clinics 2600 N Wyatt Dr Tucson AZ 85712-6106 Ph: (520) 324-5437 | Children's Clinics 2600 N Wyatt Dr Tucson AZ 85712-6106 Ph: (520) 324-5437 |
| NPI Number | 1063454346 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 2264503408 |
|---|---|
| Medicare Enrollment ID | O20080617000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063454346 | NPI | - | NPPES |
| 170359 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | OTC0498 (Arizona) | Primary |
| Provider Name | Debra A Walter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144257999 PECOS PAC ID: 5193628642 Enrollment ID: I20040130000836 |
| Provider Name | David M Labiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235236795 PECOS PAC ID: 7719976133 Enrollment ID: I20040511000542 |
| Provider Name | Robert L Dean |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255389532 PECOS PAC ID: 1759365992 Enrollment ID: I20040616000027 |
| Provider Name | Debra L Lerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447356043 PECOS PAC ID: 1951387059 Enrollment ID: I20040629000314 |
| Provider Name | Brent J Barber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487626222 PECOS PAC ID: 1557349586 Enrollment ID: I20040707001452 |
| Provider Name | Francisco G Valencia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689752727 PECOS PAC ID: 2163401688 Enrollment ID: I20040719000272 |
| Provider Name | Mark D Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468328 PECOS PAC ID: 4587639786 Enrollment ID: I20040831001183 |
| Provider Name | Daniel J Klemmedson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235134503 PECOS PAC ID: 1456247097 Enrollment ID: I20041026000843 |
| Provider Name | Brian J Cammarata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158579 PECOS PAC ID: 0345205761 Enrollment ID: I20041124000926 |
| Provider Name | Sydney A Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154403111 PECOS PAC ID: 6002874815 Enrollment ID: I20041227000723 |
| Provider Name | Martin E Weinand |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538234182 PECOS PAC ID: 8224074158 Enrollment ID: I20050630000957 |
| Provider Name | Katalin Scherer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063465508 PECOS PAC ID: 8921032426 Enrollment ID: I20050923000671 |
| Provider Name | John C Gray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801865134 PECOS PAC ID: 2961422217 Enrollment ID: I20051201000051 |
| Provider Name | Dinesh Talwar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831168566 PECOS PAC ID: 6901826262 Enrollment ID: I20051201000107 |
| Provider Name | Elias D Stratigouleas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043268741 PECOS PAC ID: 3072526623 Enrollment ID: I20060726000222 |
| Provider Name | David A Parry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114990892 PECOS PAC ID: 5395777403 Enrollment ID: I20060906000494 |
| Provider Name | Michael O Daines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891744348 PECOS PAC ID: 5092715706 Enrollment ID: I20070103000196 |
| Provider Name | Cori L Daines |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285715417 PECOS PAC ID: 9133129844 Enrollment ID: I20070103000242 |
| Provider Name | Fayez K Ghishan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144293960 PECOS PAC ID: 8921910001 Enrollment ID: I20070329000466 |
| Provider Name | Chetanbabu Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568684629 PECOS PAC ID: 0446358378 Enrollment ID: I20070531000139 |
| Provider Name | Robert B Cravens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497703276 PECOS PAC ID: 8527952449 Enrollment ID: I20070625000633 |
| Provider Name | Scott E Klewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992804280 PECOS PAC ID: 7810081528 Enrollment ID: I20070925000412 |
| Provider Name | Craig A Hurst |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053575563 PECOS PAC ID: 8820161839 Enrollment ID: I20080724000483 |
| Provider Name | Emmanuel L Apostol |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1619085776 PECOS PAC ID: 2567536717 Enrollment ID: I20080806000104 |
| Provider Name | Rebecca M Egbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790841641 PECOS PAC ID: 1355372780 Enrollment ID: I20080924000546 |
| Provider Name | Guy A Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093799413 PECOS PAC ID: 2860569381 Enrollment ID: I20081028000456 |
| Provider Name | Kent A Vincent |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538171475 PECOS PAC ID: 5698834034 Enrollment ID: I20081030000354 |
| Provider Name | Brian B Nielsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316948060 PECOS PAC ID: 2567521917 Enrollment ID: I20081030000410 |
| Provider Name | Catherine M Cosentino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427037753 PECOS PAC ID: 6406951862 Enrollment ID: I20081031000096 |
| Provider Name | Sudeshna C Bose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962414839 PECOS PAC ID: 1153480454 Enrollment ID: I20081031000120 |
| Provider Name | Richard D Jennen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487803342 PECOS PAC ID: 3072672674 Enrollment ID: I20081112000139 |
| Provider Name | John Day |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447255120 PECOS PAC ID: 4082774468 Enrollment ID: I20081114000264 |
| Provider Name | Barnett R Rothstein |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518983410 PECOS PAC ID: 8820158207 Enrollment ID: I20081114000331 |
| Provider Name | Linda J Graziano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114019106 PECOS PAC ID: 3577623966 Enrollment ID: I20081114000387 |
| Provider Name | Monica M Winters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457445389 PECOS PAC ID: 0446310700 Enrollment ID: I20081118000064 |
| Provider Name | Kristen D Revis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114011004 PECOS PAC ID: 0143380303 Enrollment ID: I20081118000085 |
| Provider Name | Patrick C Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760507933 PECOS PAC ID: 1759447600 Enrollment ID: I20090302000609 |
| Provider Name | Rachel E Cramton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932326758 PECOS PAC ID: 6709930639 Enrollment ID: I20090812000325 |
| Provider Name | Mary E Boll |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487799557 PECOS PAC ID: 4385777655 Enrollment ID: I20100806000547 |
| Provider Name | Richard A Ashley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003896465 PECOS PAC ID: 4486847787 Enrollment ID: I20101019001071 |
| Provider Name | Jane M Pylman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588955710 PECOS PAC ID: 7214114446 Enrollment ID: I20110615000511 |
| Provider Name | David Hu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467646984 PECOS PAC ID: 5092985630 Enrollment ID: I20110908002215 |
| Provider Name | Tolga Turker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1417104977 PECOS PAC ID: 0547436586 Enrollment ID: I20111222000206 |
| Provider Name | Patrick Sola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700977840 PECOS PAC ID: 2769647106 Enrollment ID: I20120710000126 |
| Provider Name | Jordana M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740484112 PECOS PAC ID: 4789834920 Enrollment ID: I20121023000818 |
| Provider Name | Cindy N Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326257411 PECOS PAC ID: 8729230388 Enrollment ID: I20121205000119 |
| Provider Name | Michael D Seckeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568506186 PECOS PAC ID: 0143307645 Enrollment ID: I20130801000056 |
| Provider Name | Erik D Kuhlman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619202678 PECOS PAC ID: 3870729486 Enrollment ID: I20131203001466 |
| Provider Name | Amanda M Pinder Hynes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568703098 PECOS PAC ID: 4284862442 Enrollment ID: I20140114001770 |
| Provider Name | Coleen M Gilchrist |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144660788 PECOS PAC ID: 0547480253 Enrollment ID: I20141001000745 |
| Provider Name | Michael L Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265825988 PECOS PAC ID: 2163743162 Enrollment ID: I20150602002829 |
| Provider Name | Kevin S Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386849156 PECOS PAC ID: 3870627946 Enrollment ID: I20150624003122 |
| Provider Name | Megan B Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659796621 PECOS PAC ID: 7517271406 Enrollment ID: I20150805009676 |
| Provider Name | Clare Joan Lindner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386932853 PECOS PAC ID: 8426364480 Enrollment ID: I20150904002301 |
| Provider Name | David B Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669766499 PECOS PAC ID: 2264749555 Enrollment ID: I20150918001750 |
| Provider Name | Peter L Klinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730384116 PECOS PAC ID: 4587850151 Enrollment ID: I20151222000217 |
| Provider Name | Janette D Cardwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275930901 PECOS PAC ID: 6709181860 Enrollment ID: I20160226001706 |
| Provider Name | John B Chastain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801915715 PECOS PAC ID: 3779682125 Enrollment ID: I20160308000757 |
| Provider Name | Allison N Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912320110 PECOS PAC ID: 2769788082 Enrollment ID: I20160314001061 |
| Provider Name | Harold E Hoyme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518077908 PECOS PAC ID: 3577558840 Enrollment ID: I20160324001293 |
| Provider Name | Catherine S Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598772501 PECOS PAC ID: 2860496718 Enrollment ID: I20160412001303 |
| Provider Name | Lindsay L Don |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851557045 PECOS PAC ID: 9133419112 Enrollment ID: I20160602002614 |
| Provider Name | Andrew S Zale |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568775591 PECOS PAC ID: 4587953252 Enrollment ID: I20160609001603 |
| Provider Name | Andrea K Hesson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447541057 PECOS PAC ID: 6204129737 Enrollment ID: I20160721001014 |
| Provider Name | Christine E Francart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861842395 PECOS PAC ID: 2163717257 Enrollment ID: I20160829002123 |
| Provider Name | Monica C Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659416386 PECOS PAC ID: 9537455415 Enrollment ID: I20160831002224 |
| Provider Name | Derrick L Johnston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184852709 PECOS PAC ID: 9133369739 Enrollment ID: I20161021001160 |
| Provider Name | Michelina C De La Maza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255779385 PECOS PAC ID: 7012280852 Enrollment ID: I20170830001672 |
| Provider Name | Asmaa Soliman Abu Maziad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922394139 PECOS PAC ID: 5991062598 Enrollment ID: I20171207001420 |
| Provider Name | Tiffany L Torok |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306387451 PECOS PAC ID: 0840558599 Enrollment ID: I20171229001178 |
| Provider Name | Denali A Jepsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477020733 PECOS PAC ID: 4587909429 Enrollment ID: I20181220001224 |
| Provider Name | Lauren E Hobeich |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750768651 PECOS PAC ID: 3072800796 Enrollment ID: I20190613002778 |
| Provider Name | Chi Wai Dai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932514478 PECOS PAC ID: 9931434370 Enrollment ID: I20190708002493 |
| Provider Name | Katrina M Escalada-westland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225120116 PECOS PAC ID: 4587990213 Enrollment ID: I20190801002201 |
| Provider Name | Kelly C Farrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760834154 PECOS PAC ID: 2365772274 Enrollment ID: I20190919000377 |
| Provider Name | Lauren M Imbornoni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396163069 PECOS PAC ID: 5890050025 Enrollment ID: I20191007001095 |
| Provider Name | Amelia C Lanning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962044818 PECOS PAC ID: 4981039567 Enrollment ID: I20200109001178 |
| Provider Name | Claudia Elizabeth Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386289148 PECOS PAC ID: 4082049705 Enrollment ID: I20200127000590 |
| Provider Name | Ivan Misael Gutierrez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346416864 PECOS PAC ID: 1052547551 Enrollment ID: I20200213002251 |
| Provider Name | Lucille H Cooke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831629021 PECOS PAC ID: 1355778887 Enrollment ID: I20200224001126 |
| Provider Name | Cristina A Metildi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801092085 PECOS PAC ID: 1254633795 Enrollment ID: I20200303001896 |
| Provider Name | Jonnae Y Ostrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972915403 PECOS PAC ID: 7012132996 Enrollment ID: I20200604001557 |
| Provider Name | Rachel K Fisher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144841149 PECOS PAC ID: 9830511799 Enrollment ID: I20200623000268 |
| Provider Name | Caroline U Madsen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598284176 PECOS PAC ID: 5698198521 Enrollment ID: I20200709003157 |
| Provider Name | Jonathan R Skirko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306032347 PECOS PAC ID: 2769794650 Enrollment ID: I20200803003481 |
| Provider Name | Valerie Benson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912289034 PECOS PAC ID: 3577980291 Enrollment ID: I20200831002588 |
| Provider Name | Andrew Hoyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720002082 PECOS PAC ID: 6901801042 Enrollment ID: I20200909001367 |
| Provider Name | John Twelker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255405940 PECOS PAC ID: 3072642321 Enrollment ID: I20210203002871 |
| Provider Name | Susan Pamela Goode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255354593 PECOS PAC ID: 6305816612 Enrollment ID: I20210226000533 |
| Provider Name | Jonathan Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174935019 PECOS PAC ID: 4587880265 Enrollment ID: I20210601002075 |
| Provider Name | Rachel Robin Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699185280 PECOS PAC ID: 6204123102 Enrollment ID: I20210708003641 |
| Provider Name | Cindy Gai-ling Ong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457714651 PECOS PAC ID: 3476886698 Enrollment ID: I20210720001460 |
| Provider Name | Kasey T Atkinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659941052 PECOS PAC ID: 0446653810 Enrollment ID: I20210722000905 |
| Provider Name | Disha Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851742282 PECOS PAC ID: 8325383128 Enrollment ID: I20210727002032 |
| Provider Name | Juhi Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447644430 PECOS PAC ID: 8820497803 Enrollment ID: I20210827002230 |
| Provider Name | Mireille Jabroun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942780267 PECOS PAC ID: 5193121838 Enrollment ID: I20210907000468 |
| Provider Name | Che Carrie Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760973937 PECOS PAC ID: 6800139007 Enrollment ID: I20210909000633 |
| Provider Name | Rees L Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659345510 PECOS PAC ID: 7911146485 Enrollment ID: I20210915001582 |
| Provider Name | Kendall M Wyllie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922486984 PECOS PAC ID: 6709201361 Enrollment ID: I20210917002801 |
| Provider Name | Samara Soslowsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265102610 PECOS PAC ID: 3870990625 Enrollment ID: I20210922000918 |
| Provider Name | Aaron C Mason |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497775852 PECOS PAC ID: 7810995057 Enrollment ID: I20211109002899 |
| Provider Name | Chelsea E Carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477134666 PECOS PAC ID: 6901296532 Enrollment ID: I20211216001501 |
| Provider Name | Jane M Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265186282 PECOS PAC ID: 8123412236 Enrollment ID: I20220304001728 |
| Provider Name | Olivia Vinikoor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003325259 PECOS PAC ID: 8426445479 Enrollment ID: I20220421002762 |
| Provider Name | Esteban Astiazaran Symonds |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1346625357 PECOS PAC ID: 9830576164 Enrollment ID: I20220506000745 |
| Provider Name | Jonathan C Papic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790912525 PECOS PAC ID: 7315254737 Enrollment ID: I20220519002267 |
| Provider Name | Omar Ziad Meziab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154715241 PECOS PAC ID: 0749660199 Enrollment ID: I20220701002438 |
| Provider Name | Jordan D Hennessee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710626361 PECOS PAC ID: 9133500424 Enrollment ID: I20220718002936 |
| Provider Name | Arthi Hannallah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679969802 PECOS PAC ID: 3577944537 Enrollment ID: I20220721002672 |
| Provider Name | Anthony M Avellino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730279621 PECOS PAC ID: 2365435237 Enrollment ID: I20220814000067 |
| Provider Name | Lauren Nicole Simpson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497199681 PECOS PAC ID: 4587891064 Enrollment ID: I20220817001306 |
| Provider Name | Padmavati Eksambe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063828788 PECOS PAC ID: 6800135062 Enrollment ID: I20220817001862 |
| Provider Name | Kenneth W Liechty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588752836 PECOS PAC ID: 4284635061 Enrollment ID: I20220822003173 |
| Provider Name | Rebecca L Grier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437756632 PECOS PAC ID: 7618350794 Enrollment ID: I20220823001780 |
| Provider Name | Amy E Schleicher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710645890 PECOS PAC ID: 3577947381 Enrollment ID: I20220829000474 |
| Provider Name | Hannah L Chandler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205564747 PECOS PAC ID: 6305221268 Enrollment ID: I20220914001166 |
| Provider Name | Meghan S Johansson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487374427 PECOS PAC ID: 8022484948 Enrollment ID: I20221018002529 |
| Provider Name | David J Cavano |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518964840 PECOS PAC ID: 5890167076 Enrollment ID: I20230216001793 |
| Provider Name | Leah N Stetzel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962019984 PECOS PAC ID: 2365809902 Enrollment ID: I20230613001284 |
| Provider Name | Caroline P Stafford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386421873 PECOS PAC ID: 8527414416 Enrollment ID: I20231030000981 |
| Provider Name | Alyssa M Zuccaro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013416908 PECOS PAC ID: 4981050697 Enrollment ID: I20231031002726 |
| Provider Name | Kylie E Shafer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609465095 PECOS PAC ID: 6608226725 Enrollment ID: I20240102000817 |
| Provider Name | Sierah L Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114536380 PECOS PAC ID: 4385084110 Enrollment ID: I20240426002649 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd Ste 265, Tucson, AZ 85745 Phone: 520-724-0559 Fax: 520-220-5115 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
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 | |
Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
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 |