Evolution Healthcare Management Llc | |
7615 E Baseline Rd Suite 101 Mesa AZ 85209-8520 | |
(480) 354-7878 | |
Not Available |
Full Name | Evolution Healthcare Management Llc |
---|---|
Speciality | Clinic/Center |
Location | 7615 E Baseline Rd, Mesa, Arizona |
Authorized Official Name and Position | Fawn Michelle Boonstra (PRESIDENT, MANAGER) |
Authorized Official Contact | 4802867907 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Evolution Healthcare Management Llc 99 S Gold Dr Ste 6 Apache Junction AZ 85120-5036 Ph: (480) 354-7878 | Evolution Healthcare Management Llc 7615 E Baseline Rd Suite 101 Mesa AZ 85209-8520 Ph: (480) 354-7878 |
NPI Number | 1770951980 |
---|---|
Provider Enumeration Date | 09/03/2015 |
Last Update Date | 04/12/2024 |
Medicare PECOS PAC ID | 0042571580 |
---|---|
Medicare Enrollment ID | O20180226002341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770951980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Arizona) | Primary |
Provider Name | Shantha S Kumar |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1396768958 PECOS PAC ID: 1557259082 Enrollment ID: I20040426001534 |
Provider Name | Rachael L Buckley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215479829 PECOS PAC ID: 0042591455 Enrollment ID: I20161223000333 |
Provider Name | Shiny Susan Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558916247 PECOS PAC ID: 2163752163 Enrollment ID: I20190917003738 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |