| Greater Phoenix Collaborative Care Pc | |
|
8041 N Black Canyon Hwy Phoenix AZ 85021-4876 | |
| (602) 249-0115 | |
| Not Available |
| Full Name | Greater Phoenix Collaborative Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8041 N Black Canyon Hwy, Phoenix, Arizona |
| Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Phoenix Collaborative Care Pc Po Box 35380 Medical Staff- Credentialing Dept. Las Vegas NV 89133-5380 Ph: (702) 579-3253 | Greater Phoenix Collaborative Care Pc 8041 N Black Canyon Hwy Phoenix AZ 85021-4876 Ph: (602) 249-0115 |
| NPI Number | 1750686614 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 0941503304 |
|---|---|
| Medicare Enrollment ID | O20160120000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750686614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC 4998 (Arizona) | Primary |
| Provider Name | Christopher N Bressler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659303360 PECOS PAC ID: 5597650671 Enrollment ID: I20040218000112 |
| Provider Name | Steven T Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255305835 PECOS PAC ID: 9133019375 Enrollment ID: I20040319000348 |
| Provider Name | Andrea B Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710961909 PECOS PAC ID: 7315939378 Enrollment ID: I20040331000474 |
| Provider Name | Barbara J Runquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043288327 PECOS PAC ID: 3476546698 Enrollment ID: I20040405001050 |
| Provider Name | Paul A Babey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679509301 PECOS PAC ID: 7416941406 Enrollment ID: I20040413000388 |
| Provider Name | Michael Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426074 PECOS PAC ID: 3678464187 Enrollment ID: I20040522000346 |
| Provider Name | Jalal M Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205895034 PECOS PAC ID: 2769463009 Enrollment ID: I20040525000204 |
| Provider Name | Rajesh U Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023077872 PECOS PAC ID: 3870574130 Enrollment ID: I20040528000643 |
| Provider Name | Michael F Kleven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447323423 PECOS PAC ID: 4486638749 Enrollment ID: I20040615000573 |
| Provider Name | Brian C Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326127473 PECOS PAC ID: 2567449374 Enrollment ID: I20040630000466 |
| Provider Name | Heidi E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962577403 PECOS PAC ID: 5294709325 Enrollment ID: I20040824000521 |
| Provider Name | Marsha M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245208172 PECOS PAC ID: 3577532654 Enrollment ID: I20040927000180 |
| Provider Name | Milissa Ann Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598752164 PECOS PAC ID: 4981666419 Enrollment ID: I20041027001235 |
| Provider Name | Shilpa Gujrathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528056967 PECOS PAC ID: 1153388566 Enrollment ID: I20041217000158 |
| Provider Name | Meena Venugopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588674832 PECOS PAC ID: 9931154721 Enrollment ID: I20050315000247 |
| Provider Name | Arthur J Bacon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982688172 PECOS PAC ID: 0840231510 Enrollment ID: I20050512001025 |
| Provider Name | Dilip C Dhadvai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497861181 PECOS PAC ID: 6406881200 Enrollment ID: I20050929001254 |
| Provider Name | James E Tooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467531756 PECOS PAC ID: 6406872639 Enrollment ID: I20051018000302 |
| Provider Name | Rama Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871606673 PECOS PAC ID: 6305864760 Enrollment ID: I20051104000258 |
| Provider Name | Martha S Lizarraga De Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366420648 PECOS PAC ID: 1759300890 Enrollment ID: I20051117000340 |
| Provider Name | John M Wadleigh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922086206 PECOS PAC ID: 6901709484 Enrollment ID: I20051117000350 |
| Provider Name | Gerald L Muncy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376506246 PECOS PAC ID: 4981624368 Enrollment ID: I20051130000374 |
| Provider Name | Alok R Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790719367 PECOS PAC ID: 5496778409 Enrollment ID: I20060105000197 |
| Provider Name | Diana C Rauckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902885262 PECOS PAC ID: 5890752232 Enrollment ID: I20060206000525 |
| Provider Name | Jodi K Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659371425 PECOS PAC ID: 9436152345 Enrollment ID: I20060815000302 |
| Provider Name | Kyle J Stoeckmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154322907 PECOS PAC ID: 6507827458 Enrollment ID: I20070109000561 |
| Provider Name | Steven C Macko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639155070 PECOS PAC ID: 8022093434 Enrollment ID: I20070109000568 |
| Provider Name | Rachael A Kimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982780474 PECOS PAC ID: 1951301043 Enrollment ID: I20070115000314 |
| Provider Name | Leo Odle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073601415 PECOS PAC ID: 5597759340 Enrollment ID: I20070515000298 |
| Provider Name | Mehrnoosh Zarkoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649343815 PECOS PAC ID: 8022116912 Enrollment ID: I20070530000414 |
| Provider Name | Patricia K Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710949805 PECOS PAC ID: 9638266836 Enrollment ID: I20071106000019 |
| Provider Name | Pina P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336110584 PECOS PAC ID: 5193814184 Enrollment ID: I20071128000508 |
| Provider Name | Anupama Nutakki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386605657 PECOS PAC ID: 9739262338 Enrollment ID: I20080205000595 |
| Provider Name | Troy D Comstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447357892 PECOS PAC ID: 7416843800 Enrollment ID: I20080407000728 |
| Provider Name | Julia A France |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629230529 PECOS PAC ID: 5496828451 Enrollment ID: I20080724000036 |
| Provider Name | Linda R Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063623262 PECOS PAC ID: 1254405285 Enrollment ID: I20080808000261 |
| Provider Name | David R Schoenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124088927 PECOS PAC ID: 9436100054 Enrollment ID: I20080820000347 |
| Provider Name | Gerald R Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811087653 PECOS PAC ID: 3779561428 Enrollment ID: I20080825000578 |
| Provider Name | Amar P Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245415710 PECOS PAC ID: 9739256991 Enrollment ID: I20080930000445 |
| Provider Name | George L Sibley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043397276 PECOS PAC ID: 1951201789 Enrollment ID: I20090107000170 |
| Provider Name | Michele F Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144395476 PECOS PAC ID: 1658436514 Enrollment ID: I20090210000599 |
| Provider Name | Dorothy A Trimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891756045 PECOS PAC ID: 5698813384 Enrollment ID: I20091118000203 |
| Provider Name | Philip C Kaczar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235189077 PECOS PAC ID: 1153462601 Enrollment ID: I20100106000680 |
| Provider Name | Jason H Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548257116 PECOS PAC ID: 4486796190 Enrollment ID: I20100119000328 |
| Provider Name | Scott A Steingard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770570129 PECOS PAC ID: 9537201249 Enrollment ID: I20100119000348 |
| Provider Name | Kelly M Sezate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942523667 PECOS PAC ID: 0345377321 Enrollment ID: I20100422000898 |
| Provider Name | Mark A Zaetta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114901394 PECOS PAC ID: 7315075819 Enrollment ID: I20100504000294 |
| Provider Name | Rodolfo B Penaflor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821072018 PECOS PAC ID: 6002944493 Enrollment ID: I20100505000504 |
| Provider Name | David L Musicant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831177112 PECOS PAC ID: 5092839951 Enrollment ID: I20100828000207 |
| Provider Name | Ernie Riffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134284268 PECOS PAC ID: 0042308215 Enrollment ID: I20100902000902 |
| Provider Name | Lorraine H Manciet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952592370 PECOS PAC ID: 7618093006 Enrollment ID: I20100922000964 |
| Provider Name | Danielle R Sink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952390833 PECOS PAC ID: 4183767114 Enrollment ID: I20100929000888 |
| Provider Name | Tara M Ostrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124017009 PECOS PAC ID: 7911023783 Enrollment ID: I20100929000928 |
| Provider Name | Marie S Rink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316936297 PECOS PAC ID: 5991720757 Enrollment ID: I20100929000955 |
| Provider Name | Susan A Orsich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467766899 PECOS PAC ID: 2668664756 Enrollment ID: I20101007000695 |
| Provider Name | Tequa A Salehi-rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922143106 PECOS PAC ID: 6204975022 Enrollment ID: I20101203000297 |
| Provider Name | Parminder Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629379904 PECOS PAC ID: 4880882794 Enrollment ID: I20101220000450 |
| Provider Name | John Michael Holder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245368794 PECOS PAC ID: 9739368457 Enrollment ID: I20110127000589 |
| Provider Name | Joseph M Brewster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871544122 PECOS PAC ID: 2769486240 Enrollment ID: I20110712000385 |
| Provider Name | Matthew D Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396070819 PECOS PAC ID: 0749437994 Enrollment ID: I20120823000592 |
| Provider Name | Dulce Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235475732 PECOS PAC ID: 8123272309 Enrollment ID: I20130218000316 |
| Provider Name | John S. Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336137538 PECOS PAC ID: 3274432869 Enrollment ID: I20130514000579 |
| Provider Name | John Stuart Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598853939 PECOS PAC ID: 0143353029 Enrollment ID: I20130702000858 |
| Provider Name | Patrick Noonan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346561040 PECOS PAC ID: 8224283197 Enrollment ID: I20130801000030 |
| Provider Name | Tam Thi Mai Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881905420 PECOS PAC ID: 3274776414 Enrollment ID: I20130906000780 |
| Provider Name | Kris A Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275970055 PECOS PAC ID: 8921242371 Enrollment ID: I20130925000142 |
| Provider Name | Kevin T Ralls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386076958 PECOS PAC ID: 1951535442 Enrollment ID: I20131016001998 |
| Provider Name | Jeffrey L Courville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801123948 PECOS PAC ID: 2466686852 Enrollment ID: I20131018001267 |
| Provider Name | Umesh Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457426082 PECOS PAC ID: 3173753290 Enrollment ID: I20140311000101 |
| Provider Name | Jennifer Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609289743 PECOS PAC ID: 7113142241 Enrollment ID: I20140704000007 |
| Provider Name | James R Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215043062 PECOS PAC ID: 2961658810 Enrollment ID: I20150109001989 |
| Provider Name | Cherie P Lhungay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194046649 PECOS PAC ID: 2466626585 Enrollment ID: I20150116001085 |
| Provider Name | Kara B Koelbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295125946 PECOS PAC ID: 2264753532 Enrollment ID: I20150611002665 |
| Provider Name | Christopher M Serrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366830945 PECOS PAC ID: 5597077487 Enrollment ID: I20150707001243 |
| Provider Name | Jamie L Crede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353026 PECOS PAC ID: 7012223068 Enrollment ID: I20150904001799 |
| Provider Name | Valerie Matthew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770894842 PECOS PAC ID: 6709018401 Enrollment ID: I20151009001160 |
| Provider Name | Marni Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083082127 PECOS PAC ID: 5496050148 Enrollment ID: I20160218000601 |
| Provider Name | Chad R Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871937417 PECOS PAC ID: 1658660212 Enrollment ID: I20160520000884 |
| Provider Name | Natalie J Kollasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740644020 PECOS PAC ID: 8921399122 Enrollment ID: I20160617001946 |
| Provider Name | Sarah Palestrant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811156367 PECOS PAC ID: 1456591973 Enrollment ID: I20160818000696 |
| Provider Name | Mary C Porvaznik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871582635 PECOS PAC ID: 9335310242 Enrollment ID: I20160901001417 |
| Provider Name | Susan E Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750603049 PECOS PAC ID: 9931497179 Enrollment ID: I20161004001375 |
| Provider Name | Angie Coil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700247509 PECOS PAC ID: 3476849522 Enrollment ID: I20161025001522 |
| Provider Name | Elia Lemos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942740048 PECOS PAC ID: 2163708074 Enrollment ID: I20170407000516 |
| Provider Name | Kaitlyn Spradling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827077 PECOS PAC ID: 0547538472 Enrollment ID: I20170619002227 |
| Provider Name | Eric Jacob Hendrik Van Der Lelij |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265972715 PECOS PAC ID: 5193095206 Enrollment ID: I20170724000676 |
| Provider Name | Amy Priftakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508212960 PECOS PAC ID: 4385915008 Enrollment ID: I20170728002897 |
| Provider Name | Serge Sicular |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326276866 PECOS PAC ID: 0941442958 Enrollment ID: I20170802001822 |
| Provider Name | Fida Sawalha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750545422 PECOS PAC ID: 5395813828 Enrollment ID: I20170804003125 |
| Provider Name | Satyadevi R Sista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275632044 PECOS PAC ID: 0840250064 Enrollment ID: I20170816002651 |
| Provider Name | Christine Querimit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295174522 PECOS PAC ID: 7012289549 Enrollment ID: I20170818000285 |
| Provider Name | Lisa Marie Mccusker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588032783 PECOS PAC ID: 7911298534 Enrollment ID: I20171009002787 |
| Provider Name | Alicia Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053626648 PECOS PAC ID: 6002004736 Enrollment ID: I20180102002582 |
| Provider Name | Curtiss D Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588639827 PECOS PAC ID: 2860473469 Enrollment ID: I20180109000877 |
| Provider Name | Nicole Marie Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912418 PECOS PAC ID: 6305108549 Enrollment ID: I20180327002979 |
| Provider Name | Joseph M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326552910 PECOS PAC ID: 2365798758 Enrollment ID: I20180627000649 |
| Provider Name | Gustavo Riffel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588068415 PECOS PAC ID: 7618268921 Enrollment ID: I20180827003204 |
| Provider Name | Erica Renee Bazua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801381058 PECOS PAC ID: 4587913371 Enrollment ID: I20180828002795 |
| Provider Name | Danielle Emory Brower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306233564 PECOS PAC ID: 6103160312 Enrollment ID: I20181128003176 |
| Provider Name | Dorothy Kay Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275611675 PECOS PAC ID: 2365435906 Enrollment ID: I20181218002337 |
| Provider Name | Bari Jill Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427263094 PECOS PAC ID: 3678669728 Enrollment ID: I20190205002070 |
| Provider Name | Michael K Mayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803300 PECOS PAC ID: 3577803857 Enrollment ID: I20190323000050 |
| Provider Name | Naomi Nicole Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083189112 PECOS PAC ID: 2961743638 Enrollment ID: I20190405000820 |
| Provider Name | Maria Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144652959 PECOS PAC ID: 4183858293 Enrollment ID: I20190410000255 |
| Provider Name | Crisanto Esguerra Melchor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427535582 PECOS PAC ID: 0547503351 Enrollment ID: I20190520000390 |
| Provider Name | Viviane N. Che |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013455518 PECOS PAC ID: 5991089955 Enrollment ID: I20190716001831 |
| Provider Name | Andrew John Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740635721 PECOS PAC ID: 0345519286 Enrollment ID: I20190909001679 |
| Provider Name | Ana Maria Burger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356985774 PECOS PAC ID: 5092148007 Enrollment ID: I20191205001446 |
| Provider Name | Hajera Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417353509 PECOS PAC ID: 9638487945 Enrollment ID: I20200114001327 |
| Provider Name | Marsha S Mccary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389532 PECOS PAC ID: 4789010414 Enrollment ID: I20200128003122 |
| Provider Name | Casandra M Crowson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104464270 PECOS PAC ID: 1557797107 Enrollment ID: I20200130001838 |
| Provider Name | Bruce C Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801894951 PECOS PAC ID: 4981593787 Enrollment ID: I20200319002914 |
| Provider Name | Victoria E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558996066 PECOS PAC ID: 2860820842 Enrollment ID: I20200325003014 |
| Provider Name | Elena Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649791450 PECOS PAC ID: 1153751367 Enrollment ID: I20200430000170 |
| Provider Name | Roger Albert Conant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487219317 PECOS PAC ID: 8224457874 Enrollment ID: I20200930002665 |
| Provider Name | Saraswati Hamal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831711670 PECOS PAC ID: 4385055920 Enrollment ID: I20201202002713 |
| Provider Name | Polina Barboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877267 PECOS PAC ID: 9436564861 Enrollment ID: I20210217002884 |
| Provider Name | Nicole Angeli Garcia Calma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043894512 PECOS PAC ID: 2668871328 Enrollment ID: I20210528001890 |
| Provider Name | Kristal L. Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821690157 PECOS PAC ID: 3870992225 Enrollment ID: I20210604001465 |
| Provider Name | Kristen Tyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942806021 PECOS PAC ID: 3678973856 Enrollment ID: I20210609001558 |
| Provider Name | Anna-karina Marco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992316566 PECOS PAC ID: 6103246160 Enrollment ID: I20210709002424 |
| Provider Name | Maty Yakoby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780065250 PECOS PAC ID: 3375833767 Enrollment ID: I20210730001461 |
| Provider Name | Patrick Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649876889 PECOS PAC ID: 0749686194 Enrollment ID: I20210909002580 |
| Provider Name | Erica Marie Grabinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780176404 PECOS PAC ID: 7416353875 Enrollment ID: I20210909002862 |
| Provider Name | Beena Achuthan Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841951852 PECOS PAC ID: 6608269659 Enrollment ID: I20220215001882 |
| Provider Name | Brett Allen Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992452411 PECOS PAC ID: 5395131445 Enrollment ID: I20220330000324 |
| Provider Name | Rimpi Saini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588027122 PECOS PAC ID: 8729371307 Enrollment ID: I20220520001657 |
| Provider Name | Crystal Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982915237 PECOS PAC ID: 7810376621 Enrollment ID: I20220624002721 |
| Provider Name | Kimberly Klatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144887134 PECOS PAC ID: 3678956414 Enrollment ID: I20220811002451 |
| Provider Name | Tina Marie Menghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235343120 PECOS PAC ID: 5597149369 Enrollment ID: I20220826003080 |
| Provider Name | Haleigh Sanfilippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720725682 PECOS PAC ID: 8325422983 Enrollment ID: I20220830004593 |
| Provider Name | Neda Azizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225591068 PECOS PAC ID: 4385014133 Enrollment ID: I20230112000677 |
| Provider Name | Richelle Ann Tuazon Radzykewycz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583341 PECOS PAC ID: 0749645216 Enrollment ID: I20230505001277 |
| Provider Name | Shawn Dunmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083359962 PECOS PAC ID: 0941684369 Enrollment ID: I20230519000578 |
| Provider Name | Daniel Abelev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417573163 PECOS PAC ID: 6901228535 Enrollment ID: I20230526001314 |
| Provider Name | Melinda Ann Dovie Wildman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174205041 PECOS PAC ID: 3072977370 Enrollment ID: I20230919002362 |
| Provider Name | Aimee Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083385942 PECOS PAC ID: 0042601494 Enrollment ID: I20230927002984 |
| Provider Name | Kaitlin Leigh Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689458739 PECOS PAC ID: 5799130845 Enrollment ID: I20231010003783 |
| Provider Name | Jill Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558542761 PECOS PAC ID: 2365527421 Enrollment ID: I20231018002404 |
| Provider Name | Sara L Santilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255480828 PECOS PAC ID: 2365608502 Enrollment ID: I20231129000866 |
| Provider Name | Kari Roe-laframboise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770907800 PECOS PAC ID: 6800027392 Enrollment ID: I20231219000976 |
| Provider Name | Jyothi Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861597734 PECOS PAC ID: 9436253150 Enrollment ID: I20240201003493 |
| Provider Name | Teresita A Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588369003 PECOS PAC ID: 4082058946 Enrollment ID: I20240219002490 |
| Provider Name | Rosa Marie Tschetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417733700 PECOS PAC ID: 8921442724 Enrollment ID: I20240220004131 |
| Provider Name | Laura Jean Burrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518579135 PECOS PAC ID: 7719323104 Enrollment ID: I20240307002266 |
| Provider Name | Amy Reinhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609658376 PECOS PAC ID: 3375981921 Enrollment ID: I20240402003391 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |