| Hospitalist Medicine Physicians Of Arizona - Goodyear, Inc. | |
|
13677 W Mcdowell Rd Goodyear AZ 85395-2635 | |
| (623) 882-1500 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Arizona - Goodyear, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Arizona - Goodyear, Inc. 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Arizona - Goodyear, Inc. 13677 W Mcdowell Rd Goodyear AZ 85395-2635 Ph: (623) 882-1500 |
| NPI Number | 1790264802 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/09/2018 |
| Medicare PECOS PAC ID | 1951653187 |
|---|---|
| Medicare Enrollment ID | O20181016002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790264802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manoj Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972520708 PECOS PAC ID: 3274439013 Enrollment ID: I20031211000274 |
| Provider Name | Joseph Harcourt Acton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861452765 PECOS PAC ID: 8123924867 Enrollment ID: I20031211000872 |
| Provider Name | Veronica Pimienta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952482663 PECOS PAC ID: 6901793843 Enrollment ID: I20040303001263 |
| Provider Name | David Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760555882 PECOS PAC ID: 3072506922 Enrollment ID: I20040412001516 |
| Provider Name | Stephanie M Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871583062 PECOS PAC ID: 7810982295 Enrollment ID: I20040415001030 |
| Provider Name | Vicente Diaz-gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790745776 PECOS PAC ID: 1557353356 Enrollment ID: I20040513001258 |
| Provider Name | Timothy E Kratzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659368231 PECOS PAC ID: 3274441969 Enrollment ID: I20040518000517 |
| Provider Name | Michael Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639170293 PECOS PAC ID: 5092705004 Enrollment ID: I20040618001331 |
| Provider Name | Saba W Tesfamariam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952347957 PECOS PAC ID: 8224017983 Enrollment ID: I20040715001340 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20050131000739 |
| Provider Name | Christopher R Pruitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659394286 PECOS PAC ID: 3072569508 Enrollment ID: I20050328000484 |
| Provider Name | Mark C Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760456032 PECOS PAC ID: 1557317898 Enrollment ID: I20050329001327 |
| Provider Name | Li S Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588681464 PECOS PAC ID: 4486693264 Enrollment ID: I20050502000140 |
| Provider Name | Adam J Boyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760440317 PECOS PAC ID: 1557391695 Enrollment ID: I20050817001105 |
| Provider Name | Saeed Bidar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629041678 PECOS PAC ID: 2567482714 Enrollment ID: I20051201001045 |
| Provider Name | Lissa M Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770555476 PECOS PAC ID: 1759303860 Enrollment ID: I20060103000454 |
| Provider Name | Anthony Perry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326008095 PECOS PAC ID: 5092760413 Enrollment ID: I20060202000862 |
| Provider Name | Oyesiji A Arojojoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790873222 PECOS PAC ID: 6608876636 Enrollment ID: I20061222000001 |
| Provider Name | Sarmad P Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801960802 PECOS PAC ID: 7214939065 Enrollment ID: I20070207000119 |
| Provider Name | Hemang M Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467560565 PECOS PAC ID: 0345242814 Enrollment ID: I20070213000262 |
| Provider Name | Asjad Sardar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568500924 PECOS PAC ID: 3072611680 Enrollment ID: I20070605000658 |
| Provider Name | Abram A Aguilar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700080900 PECOS PAC ID: 5496848012 Enrollment ID: I20070912000317 |
| Provider Name | Jason Buchwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285675439 PECOS PAC ID: 1951215599 Enrollment ID: I20071023000616 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372585 PECOS PAC ID: 1052482338 Enrollment ID: I20080613000084 |
| Provider Name | Leta A Hice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205006186 PECOS PAC ID: 8123199353 Enrollment ID: I20080616000768 |
| Provider Name | Scott S Weiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861440232 PECOS PAC ID: 5193899284 Enrollment ID: I20080807000469 |
| Provider Name | Agnes O Ovienmhada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902028871 PECOS PAC ID: 7012084007 Enrollment ID: I20080917000082 |
| Provider Name | Sharon M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251343 PECOS PAC ID: 7719049287 Enrollment ID: I20081217000114 |
| Provider Name | Francene A Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932373693 PECOS PAC ID: 5294882593 Enrollment ID: I20090402000120 |
| Provider Name | Chiedozie C Obioha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750311577 PECOS PAC ID: 3779635024 Enrollment ID: I20090716000547 |
| Provider Name | Abboud Hanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922237072 PECOS PAC ID: 8123172533 Enrollment ID: I20090819000929 |
| Provider Name | Jatinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386977742 PECOS PAC ID: 1355487513 Enrollment ID: I20091001000753 |
| Provider Name | Kashif Nasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144467135 PECOS PAC ID: 8224174313 Enrollment ID: I20091002000355 |
| Provider Name | Niki M Putzar-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215265426 PECOS PAC ID: 0648308221 Enrollment ID: I20100503000857 |
| Provider Name | Dilipkumar R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184698623 PECOS PAC ID: 7315920154 Enrollment ID: I20100507000317 |
| Provider Name | Mirela E Ponduchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902059652 PECOS PAC ID: 1254485600 Enrollment ID: I20100728000706 |
| Provider Name | Sydney J Lazarus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837060 PECOS PAC ID: 1850424821 Enrollment ID: I20100728000935 |
| Provider Name | Catherine K Aspinwall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033106604 PECOS PAC ID: 6204951502 Enrollment ID: I20100909001018 |
| Provider Name | John Reagan D Mendoza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346403680 PECOS PAC ID: 5597959502 Enrollment ID: I20101103001357 |
| Provider Name | Leslie E Easley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265639637 PECOS PAC ID: 6002002268 Enrollment ID: I20101130000627 |
| Provider Name | Paden C Hendrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154434637 PECOS PAC ID: 0547337800 Enrollment ID: I20110318000852 |
| Provider Name | Jeffrey Rein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460323 PECOS PAC ID: 0941483580 Enrollment ID: I20110321000140 |
| Provider Name | Manish Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558477984 PECOS PAC ID: 9436128584 Enrollment ID: I20110324000398 |
| Provider Name | Fadi Domit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263938 PECOS PAC ID: 1355513979 Enrollment ID: I20111004000252 |
| Provider Name | Moses Imohi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437438041 PECOS PAC ID: 2163694639 Enrollment ID: I20111005000008 |
| Provider Name | Hassan Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142518 PECOS PAC ID: 0042488165 Enrollment ID: I20111219000622 |
| Provider Name | Ali M Eskandar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902095094 PECOS PAC ID: 1153588652 Enrollment ID: I20120213000111 |
| Provider Name | Rebecca L Zaner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306072905 PECOS PAC ID: 9537327846 Enrollment ID: I20120215000918 |
| Provider Name | Paul Mchenry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962422923 PECOS PAC ID: 3072590348 Enrollment ID: I20130103000476 |
| Provider Name | Nathaniel S Rial |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510327 PECOS PAC ID: 2769635903 Enrollment ID: I20130121000107 |
| Provider Name | Kranthi Andhavarapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396040655 PECOS PAC ID: 5698928877 Enrollment ID: I20130122000259 |
| Provider Name | Muzna Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558691493 PECOS PAC ID: 0244476562 Enrollment ID: I20130411000200 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20130604000629 |
| Provider Name | Pierrette Tantchou Dsamou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066049 PECOS PAC ID: 0446493563 Enrollment ID: I20130821000301 |
| Provider Name | Judy Y Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801122957 PECOS PAC ID: 4183806656 Enrollment ID: I20130826000012 |
| Provider Name | David J Byron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831400597 PECOS PAC ID: 8921241241 Enrollment ID: I20130905000198 |
| Provider Name | Mridula Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193885 PECOS PAC ID: 5890972640 Enrollment ID: I20130917000392 |
| Provider Name | Dinraj B Hegde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184612178 PECOS PAC ID: 0941240964 Enrollment ID: I20131022002343 |
| Provider Name | Zaid Fadul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740593797 PECOS PAC ID: 4385885276 Enrollment ID: I20131031001131 |
| Provider Name | William Nassour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104131820 PECOS PAC ID: 2264668615 Enrollment ID: I20131113002100 |
| Provider Name | Chika P Madike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317989 PECOS PAC ID: 4789812777 Enrollment ID: I20140121001312 |
| Provider Name | Ghassan Fraij |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225253800 PECOS PAC ID: 3274684394 Enrollment ID: I20140227000684 |
| Provider Name | Omair Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740420041 PECOS PAC ID: 8628242229 Enrollment ID: I20140730002791 |
| Provider Name | Monique M Moona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568781771 PECOS PAC ID: 7113160631 Enrollment ID: I20140805002539 |
| Provider Name | Jacqueline E Corcoran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659401834 PECOS PAC ID: 1658455100 Enrollment ID: I20140821000040 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20140909002842 |
| Provider Name | Dereje F Moti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792499 PECOS PAC ID: 7416177217 Enrollment ID: I20140929002796 |
| Provider Name | Neeja N. Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780998237 PECOS PAC ID: 3678796026 Enrollment ID: I20141027001411 |
| Provider Name | Samer Muala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790943900 PECOS PAC ID: 9234292384 Enrollment ID: I20141030000134 |
| Provider Name | Joel B Freedman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235413378 PECOS PAC ID: 8628290004 Enrollment ID: I20141119002752 |
| Provider Name | Ileana I Ortiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124316856 PECOS PAC ID: 9335461680 Enrollment ID: I20141124001021 |
| Provider Name | Preethi Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731863 PECOS PAC ID: 5294057220 Enrollment ID: I20141202002512 |
| Provider Name | Joshua S Garber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891060612 PECOS PAC ID: 8123251923 Enrollment ID: I20150413002290 |
| Provider Name | Dana Caforio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942695622 PECOS PAC ID: 3173843695 Enrollment ID: I20150526000934 |
| Provider Name | Nathan R Duffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497016190 PECOS PAC ID: 8921329814 Enrollment ID: I20150603002592 |
| Provider Name | Fadi K Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609131499 PECOS PAC ID: 6507171105 Enrollment ID: I20150811005276 |
| Provider Name | John R Kercheval |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659458842 PECOS PAC ID: 7618069410 Enrollment ID: I20150903001580 |
| Provider Name | Tonya I Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740544253 PECOS PAC ID: 9931415866 Enrollment ID: I20150908002509 |
| Provider Name | Madhubindu Kanneganti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205194438 PECOS PAC ID: 9931416971 Enrollment ID: I20150923001770 |
| Provider Name | Shawn Fazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861444986 PECOS PAC ID: 4082659149 Enrollment ID: I20150929000850 |
| Provider Name | Nagachandra K Dharmavaram-harirao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447506712 PECOS PAC ID: 5597073825 Enrollment ID: I20151006000976 |
| Provider Name | Ahmad A Kadhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083971014 PECOS PAC ID: 0547561342 Enrollment ID: I20151221002249 |
| Provider Name | Farah Al-saffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972846285 PECOS PAC ID: 2163649294 Enrollment ID: I20160825000719 |
| Provider Name | Hui Gao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093158933 PECOS PAC ID: 3779879770 Enrollment ID: I20160830002863 |
| Provider Name | Saranya Wongchai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346583275 PECOS PAC ID: 7012205487 Enrollment ID: I20161018001651 |
| Provider Name | Mohammad Afzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396181905 PECOS PAC ID: 7315241288 Enrollment ID: I20161122001209 |
| Provider Name | Arooj S Kayani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851653521 PECOS PAC ID: 8820370216 Enrollment ID: I20170119001326 |
| Provider Name | David Michael Boyd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700042827 PECOS PAC ID: 1557421971 Enrollment ID: I20170308002605 |
| Provider Name | Katherine J Huls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012017 PECOS PAC ID: 5496031775 Enrollment ID: I20170421001113 |
| Provider Name | Heather Harasty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790941490 PECOS PAC ID: 7618145301 Enrollment ID: I20170505000438 |
| Provider Name | Sarah M Richards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144630831 PECOS PAC ID: 9234409574 Enrollment ID: I20170719003753 |
| Provider Name | Amy Priftakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508212960 PECOS PAC ID: 4385915008 Enrollment ID: I20170728002897 |
| Provider Name | Ilyas Vahora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801109111 PECOS PAC ID: 5092931170 Enrollment ID: I20170809002369 |
| Provider Name | Christine Oxley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902219322 PECOS PAC ID: 5092088393 Enrollment ID: I20170908000810 |
| Provider Name | Omar B Waheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063832889 PECOS PAC ID: 9133492440 Enrollment ID: I20170908001071 |
| Provider Name | Mohammad A Abdulrasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053738096 PECOS PAC ID: 4284909581 Enrollment ID: I20171012003289 |
| Provider Name | Simon C Tong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174938757 PECOS PAC ID: 2769757913 Enrollment ID: I20171013001976 |
| Provider Name | Doris Ngemasong Menekeng Chafac |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881008803 PECOS PAC ID: 5799001145 Enrollment ID: I20171117002723 |
| Provider Name | Natalija De Retana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447768130 PECOS PAC ID: 4486916012 Enrollment ID: I20180320001291 |
| Provider Name | Thu Ngoc Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780942037 PECOS PAC ID: 9931461969 Enrollment ID: I20180402002169 |
| Provider Name | Shujera Bhutta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316357957 PECOS PAC ID: 3971819756 Enrollment ID: I20180522002465 |
| Provider Name | Joseph T Bergerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558658369 PECOS PAC ID: 6406073659 Enrollment ID: I20180719001158 |
| Provider Name | Luke Hise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629481080 PECOS PAC ID: 3173872132 Enrollment ID: I20180823003306 |
| Provider Name | Brenden M Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043692593 PECOS PAC ID: 2961717723 Enrollment ID: I20180828003532 |
| Provider Name | George Salfity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588563 PECOS PAC ID: 6507187499 Enrollment ID: I20180907001075 |
| Provider Name | Winola Rachel Purushotham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294756 PECOS PAC ID: 3274782388 Enrollment ID: I20180919002505 |
| Provider Name | Rebecca Anne Franzi-osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801806294 PECOS PAC ID: 6507866100 Enrollment ID: I20181003001691 |
| Provider Name | David Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487947180 PECOS PAC ID: 3375767312 Enrollment ID: I20181025001381 |
| Provider Name | Suhaireirene Suady Barake |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407127160 PECOS PAC ID: 2668698994 Enrollment ID: I20181030003177 |
| Provider Name | Edward Distler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891180352 PECOS PAC ID: 8224381421 Enrollment ID: I20181105000709 |
| Provider Name | Rayna Elise Sloane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810909 PECOS PAC ID: 8820342108 Enrollment ID: I20181127000611 |
| Provider Name | Emily A Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154768075 PECOS PAC ID: 9436452992 Enrollment ID: I20181213000691 |
| Provider Name | John P Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330691 PECOS PAC ID: 9638415979 Enrollment ID: I20190108002319 |
| Provider Name | Melissa Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366455 PECOS PAC ID: 0446590681 Enrollment ID: I20190325002658 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Ceon Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843682 PECOS PAC ID: 2961738141 Enrollment ID: I20190725001735 |
| Provider Name | Daniel Steven Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851749055 PECOS PAC ID: 2769776244 Enrollment ID: I20190806000766 |
| Provider Name | David Nathaniel Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538557210 PECOS PAC ID: 3274860515 Enrollment ID: I20190809001298 |
| Provider Name | Ahmed K Agha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063413524 PECOS PAC ID: 0547471799 Enrollment ID: I20190809001704 |
| Provider Name | Phuoc Nam Van Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962853135 PECOS PAC ID: 2466718168 Enrollment ID: I20190823002824 |
| Provider Name | Mansi D Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508211673 PECOS PAC ID: 6204165772 Enrollment ID: I20190909001993 |
| Provider Name | Yuzhou Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386096535 PECOS PAC ID: 4789920067 Enrollment ID: I20190925003739 |
| Provider Name | Jonathan Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164075545 PECOS PAC ID: 3476883638 Enrollment ID: I20191001002505 |
| Provider Name | John Sungwon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497041883 PECOS PAC ID: 5698995421 Enrollment ID: I20191017002793 |
| Provider Name | Kareem Naji Raad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629423926 PECOS PAC ID: 1759613763 Enrollment ID: I20191024000437 |
| Provider Name | Debra Lynn Jackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104475482 PECOS PAC ID: 9133451081 Enrollment ID: I20191028000603 |
| Provider Name | Jawad Bilal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174939623 PECOS PAC ID: 2163773706 Enrollment ID: I20191028001554 |
| Provider Name | Saba Najeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902252281 PECOS PAC ID: 8123450319 Enrollment ID: I20191108000678 |
| Provider Name | Daise C Vieira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598155749 PECOS PAC ID: 7113359365 Enrollment ID: I20191109000032 |
| Provider Name | Kiyan Rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649690769 PECOS PAC ID: 0143592881 Enrollment ID: I20191209000531 |
| Provider Name | Sung-wook Jesse Bang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992159305 PECOS PAC ID: 4688965510 Enrollment ID: I20191209000736 |
| Provider Name | Elizabeth N Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770133282 PECOS PAC ID: 2860613478 Enrollment ID: I20191210001798 |
| Provider Name | Rodolphe Taby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710271697 PECOS PAC ID: 8022233634 Enrollment ID: I20191227002155 |
| Provider Name | Lylla Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754673 PECOS PAC ID: 9436445103 Enrollment ID: I20200102002492 |
| Provider Name | Mark Talmage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114038403 PECOS PAC ID: 7810989365 Enrollment ID: I20200311001008 |
| Provider Name | Shehran Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942688023 PECOS PAC ID: 0042509705 Enrollment ID: I20200401002048 |
| Provider Name | Andrew L Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629506811 PECOS PAC ID: 1153745443 Enrollment ID: I20200720002194 |
| Provider Name | Jennifer H Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669404810 PECOS PAC ID: 0042234007 Enrollment ID: I20201002002590 |
| Provider Name | Jason Snarr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164959136 PECOS PAC ID: 0840610648 Enrollment ID: I20201016000612 |
| Provider Name | Bruce Camilleri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912938333 PECOS PAC ID: 1951325786 Enrollment ID: I20201016002012 |
| Provider Name | Omar Tareq Mahfouz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184158222 PECOS PAC ID: 7911327614 Enrollment ID: I20201019002620 |
| Provider Name | Lakshmi Kocherlakota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386171320 PECOS PAC ID: 2062752165 Enrollment ID: I20201026000825 |
| Provider Name | Kasandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454655 PECOS PAC ID: 5092123356 Enrollment ID: I20210426002812 |
| Provider Name | Richard Ciezki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669834537 PECOS PAC ID: 5395030050 Enrollment ID: I20210525001744 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20210526003311 |
| Provider Name | Ali Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679951461 PECOS PAC ID: 1850679937 Enrollment ID: I20210713002789 |
| Provider Name | Varnitha Baddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306013875 PECOS PAC ID: 6002953981 Enrollment ID: I20210803001165 |
| Provider Name | Prabath Madusanka Herath Mudiyanselage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619463130 PECOS PAC ID: 2668876095 Enrollment ID: I20210809000002 |
| Provider Name | Travis Richard Cole Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972572535 PECOS PAC ID: 2860415338 Enrollment ID: I20210826001240 |
Rabadi Physicians Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13575 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-536-9911 | |
My Dr Now Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 831 S Cotton Ln Ste F7-8, Goodyear, AZ 85338 Phone: 480-677-8282 | |
Super Cool Kids Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14175 W Indian School Rd, Suite B4-521, Goodyear, AZ 85395 Phone: 623-262-1199 | |
Valley Direct Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13970 W Woodbridge Ave, Goodyear, AZ 85395 Phone: 646-352-2619 | |
Midc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395 Phone: 623-328-7794 Fax: 623-328-7932 | |
Estrella Gastroenterology Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13657 W Mcdowell Rd Ste 204, Goodyear, AZ 85338 Phone: 623-935-4056 Fax: 623-935-2018 | |
Nexx Level Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15664 W Devonshire Ave, Goodyear, AZ 85395 Phone: 623-204-4093 |