Dba La Paz Helathcare Parker Clinic | |
601 W Riverside Dr Ste 3 Parker AZ 85344-5119 | |
(928) 669-5550 | |
(928) 669-0061 |
Full Name | Dba La Paz Helathcare Parker Clinic |
---|---|
Speciality | Clinic/Center |
Location | 601 W Riverside Dr Ste 3, Parker, Arizona |
Authorized Official Name and Position | Kevin Brown (CEO) |
Authorized Official Contact | 9286697300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dba La Paz Helathcare Parker Clinic 1200 W Mohave Rd Parker AZ 85344-6349 Ph: (928) 669-9201 | Dba La Paz Helathcare Parker Clinic 601 W Riverside Dr Ste 3 Parker AZ 85344-5119 Ph: (928) 669-5550 |
NPI Number | 1083639983 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 06/06/2017 |
Medicare PECOS PAC ID | 1557273356 |
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Medicare Enrollment ID | O20031219000694 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083639983 | NPI | - | NPPES |
CG7880 | Other | AZ | MEDICAR RR |
480046 | Medicaid | AZ | |
944148 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OTC5490 (Arizona) | Primary |
Provider Name | Tahir Alkhairy |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023026234 PECOS PAC ID: 8527960434 Enrollment ID: I20040122000201 |
Provider Name | James Collins |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20040323001168 |
Provider Name | Mahdieh Haji Amou Assar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518953926 PECOS PAC ID: 5799675781 Enrollment ID: I20040330000627 |
Provider Name | J Rubin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720036312 PECOS PAC ID: 9436056215 Enrollment ID: I20040614001324 |
Provider Name | Daniel N Lucas |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417905522 PECOS PAC ID: 8527040195 Enrollment ID: I20040614001392 |
Provider Name | Keith W Shillito |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417954850 PECOS PAC ID: 0749266617 Enrollment ID: I20040630000749 |
Provider Name | Riyaz A Sumar |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1144212721 PECOS PAC ID: 9830160399 Enrollment ID: I20040805001464 |
Provider Name | Anthony Bullard |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376590927 PECOS PAC ID: 8921077132 Enrollment ID: I20040924000855 |
Provider Name | Benvinda Pereira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053421776 PECOS PAC ID: 6406813138 Enrollment ID: I20041214001216 |
Provider Name | Ari D Plosker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20050811000545 |
Provider Name | Edwin M Wilkinson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1396700472 PECOS PAC ID: 7810989878 Enrollment ID: I20050915000412 |
Provider Name | George Lee Franklin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417967951 PECOS PAC ID: 9537144159 Enrollment ID: I20051010000941 |
Provider Name | Jack D Dunn |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1598750820 PECOS PAC ID: 2163314592 Enrollment ID: I20051219000139 |
Provider Name | Christian J Ingui |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20060825000203 |
Provider Name | Bonifasiyo K Ssennyamantono |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1902813678 PECOS PAC ID: 4082611280 Enrollment ID: I20061101000157 |
Provider Name | Hiva Vakil |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1356480172 PECOS PAC ID: 4587760665 Enrollment ID: I20070507000258 |
Provider Name | Norman Mendoza |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164637187 PECOS PAC ID: 8325149099 Enrollment ID: I20070725000086 |
Provider Name | Charles M Davis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447240171 PECOS PAC ID: 9335230291 Enrollment ID: I20070807000173 |
Provider Name | Adhar Seth |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1164539755 PECOS PAC ID: 2062462666 Enrollment ID: I20070807000582 |
Provider Name | Gail L Pielack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972538973 PECOS PAC ID: 2163503020 Enrollment ID: I20080116000656 |
Provider Name | Huma S Qureshi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568447357 PECOS PAC ID: 9335167733 Enrollment ID: I20081003000151 |
Provider Name | Aaron Jun |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033194253 PECOS PAC ID: 5496773061 Enrollment ID: I20081009000498 |
Provider Name | Atul Patel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528045374 PECOS PAC ID: 6103844774 Enrollment ID: I20081021000198 |
Provider Name | Lorne W Murray |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1609857705 PECOS PAC ID: 1153476155 Enrollment ID: I20090826000897 |
Provider Name | Fayz Yar Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043476096 PECOS PAC ID: 1456405810 Enrollment ID: I20090917000346 |
Provider Name | Hursh S Naik |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1124139423 PECOS PAC ID: 9436295524 Enrollment ID: I20091002000325 |
Provider Name | Kamiar Massrour |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376791343 PECOS PAC ID: 4587704119 Enrollment ID: I20091211000672 |
Provider Name | Patricia L Stanton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679575781 PECOS PAC ID: 9133261506 Enrollment ID: I20100122000544 |
Provider Name | Afroze Ahmad |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1164484440 PECOS PAC ID: 7113819848 Enrollment ID: I20101022000541 |
Provider Name | Thomas C Ly |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891007787 PECOS PAC ID: 8224204110 Enrollment ID: I20111227000084 |
Provider Name | Arun S Patil |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1093955908 PECOS PAC ID: 3971653130 Enrollment ID: I20120628000052 |
Provider Name | Tricia M Buchholz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1932446093 PECOS PAC ID: 7416194758 Enrollment ID: I20130607000114 |
Provider Name | Elliott Jay Wagner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558312579 PECOS PAC ID: 7416856745 Enrollment ID: I20140718001530 |
Provider Name | David Zarkou |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659659001 PECOS PAC ID: 8729205018 Enrollment ID: I20140811000533 |
Provider Name | Adam Joseph Caton |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1467732271 PECOS PAC ID: 0749408706 Enrollment ID: I20140904001402 |
Provider Name | Eric E Sisam |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518251503 PECOS PAC ID: 9739358490 Enrollment ID: I20150805009665 |
Provider Name | Linda Sue Wadsworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861441115 PECOS PAC ID: 6800857038 Enrollment ID: I20151223001774 |
Provider Name | Maureen Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194084616 PECOS PAC ID: 3274830005 Enrollment ID: I20160322002659 |
Provider Name | Kirby R Farnsworth |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124464839 PECOS PAC ID: 4385948355 Enrollment ID: I20160829000906 |
Provider Name | Upamanyu Rampal |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1790195741 PECOS PAC ID: 9830459981 Enrollment ID: I20180209000710 |
Provider Name | Rhonda Leett Teeple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902349681 PECOS PAC ID: 7315220803 Enrollment ID: I20180403000197 |
Provider Name | Shawn Robert O'haver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922450493 PECOS PAC ID: 6103173778 Enrollment ID: I20180727002345 |
Provider Name | Toni K Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497232714 PECOS PAC ID: 0143574152 Enrollment ID: I20181109002311 |
Provider Name | Robert Martin Reuter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528279783 PECOS PAC ID: 8022199165 Enrollment ID: I20190131003373 |
Provider Name | Jeffrey Caverly |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20190131003403 |
Provider Name | Peilin Reed |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265484794 PECOS PAC ID: 5991783227 Enrollment ID: I20190201002573 |
Provider Name | David Wells |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659447118 PECOS PAC ID: 0143128082 Enrollment ID: I20190214002276 |
Provider Name | Pierre Lanthiez |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801864970 PECOS PAC ID: 2769570860 Enrollment ID: I20190214003202 |
Provider Name | Nghi Lu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235467143 PECOS PAC ID: 9436472990 Enrollment ID: I20190214003209 |
Provider Name | Jason Lue |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619141223 PECOS PAC ID: 2466525563 Enrollment ID: I20190214003216 |
Provider Name | Jose A Ospina |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033373287 PECOS PAC ID: 7618147653 Enrollment ID: I20190214003228 |
Provider Name | Alix Vincent |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003802265 PECOS PAC ID: 4789602194 Enrollment ID: I20190321001207 |
Provider Name | Barton William Butterbaugh |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1881732899 PECOS PAC ID: 4981680337 Enrollment ID: I20190403000238 |
Provider Name | Pedro P Ortiz |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1659463362 PECOS PAC ID: 0749240877 Enrollment ID: I20190524001468 |
Provider Name | Sheldon L. Jensen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831395482 PECOS PAC ID: 6204125453 Enrollment ID: I20190628002802 |
Provider Name | Mary Storts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952958472 PECOS PAC ID: 8921339508 Enrollment ID: I20191011002336 |
Provider Name | Cassandra Kay Kyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740815901 PECOS PAC ID: 2062842701 Enrollment ID: I20200421002765 |
Provider Name | William Michalides |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265054688 PECOS PAC ID: 8426471434 Enrollment ID: I20200709002247 |
Provider Name | Clint B Pitchforth |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1053603993 PECOS PAC ID: 7214100627 Enrollment ID: I20201020000372 |
Provider Name | Charles Kim |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1225564818 PECOS PAC ID: 8921374232 Enrollment ID: I20201207002894 |
Provider Name | David P. Reiner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1174572572 PECOS PAC ID: 4981616661 Enrollment ID: I20210720004032 |
Provider Name | Traci Burks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528171899 PECOS PAC ID: 7012310063 Enrollment ID: I20220120002473 |
Provider Name | Angela Braaten |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669683322 PECOS PAC ID: 6709974884 Enrollment ID: I20220128001878 |
Provider Name | Balaji Natarajan |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1366822801 PECOS PAC ID: 5991060063 Enrollment ID: I20220708001256 |
Provider Name | Jacob A Kalliath |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134569395 PECOS PAC ID: 4486947421 Enrollment ID: I20220721003387 |
Provider Name | Lisa M Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568039386 PECOS PAC ID: 2567865967 Enrollment ID: I20220726000783 |
Provider Name | Muhammad Z Khakwani |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1710353123 PECOS PAC ID: 5294077244 Enrollment ID: I20220726001526 |
Provider Name | Denise Roemen-kramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275981110 PECOS PAC ID: 8921386715 Enrollment ID: I20220819002307 |
Provider Name | Patrick L Mccarthy |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821098906 PECOS PAC ID: 3577469337 Enrollment ID: I20220901001470 |
Provider Name | Jessica Batterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093327744 PECOS PAC ID: 3375957251 Enrollment ID: I20220906002395 |
Provider Name | Winifred Besong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639792484 PECOS PAC ID: 7214312479 Enrollment ID: I20220923002272 |
Provider Name | Samuel Salen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629073804 PECOS PAC ID: 1254231814 Enrollment ID: I20221011002896 |
Provider Name | Eugene F Barasch |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033299177 PECOS PAC ID: 8224081625 Enrollment ID: I20221011002936 |
Provider Name | Supriya Gupta |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20221012001513 |
Provider Name | Jordan Isaac Ziegler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710923412 PECOS PAC ID: 7315975125 Enrollment ID: I20221026001178 |
Provider Name | David T Zamos |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710166731 PECOS PAC ID: 6608948443 Enrollment ID: I20221026002554 |
Provider Name | Nancy R Sagona |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679574461 PECOS PAC ID: 9537148762 Enrollment ID: I20221027000181 |
Provider Name | Gregory Orth |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205875788 PECOS PAC ID: 2860573722 Enrollment ID: I20221111000397 |
Provider Name | Faranak Sadri-tafazoli |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790717221 PECOS PAC ID: 7214005750 Enrollment ID: I20221114000685 |
Provider Name | David N Ishimitsu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497919641 PECOS PAC ID: 3173783057 Enrollment ID: I20221115000982 |
Provider Name | Rebecca Lynn Beecroft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124483235 PECOS PAC ID: 1557666575 Enrollment ID: I20221130000165 |
Provider Name | Lindsay Michelle Franks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831815893 PECOS PAC ID: 1951770841 Enrollment ID: I20221215002798 |
Provider Name | Silvia Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801513072 PECOS PAC ID: 8426422361 Enrollment ID: I20230316001353 |
Provider Name | William Zinn |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20230523001835 |
Provider Name | Steven C White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1174529507 PECOS PAC ID: 3375595846 Enrollment ID: I20230719003441 |
Provider Name | Sierra Shanel Ellis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790158467 PECOS PAC ID: 0749668077 Enrollment ID: I20230915002414 |
Provider Name | Karl Magsamen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20240228003531 |
Provider Name | Ann M Farrar |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1821306333 PECOS PAC ID: 7113364977 Enrollment ID: I20240328001762 |
Kevin S. Klopfenstein M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S California Ave, Parker, AZ 85344 Phone: 928-669-6151 Fax: 928-669-8403 | |
Melinda Astran, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Riverside Dr, Ste. 3 & 4, Parker, AZ 85344 Phone: 928-669-6700 Fax: 928-669-6709 | |
Parker Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Riverside Dr Ste 6, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 | |
La Paz County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Joshua Ave, Suite 206, Parker, AZ 85344 Phone: 928-669-1100 | |
Parker Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr Ste 2, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 | |
Parker Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-7104 |