| One Medical | |
|
3137 W Indian School Rd Phoenix AZ 85017-4069 | |
| (602) 325-5575 | |
| Not Available |
| Full Name | One Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 3137 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Suzanne Hansen (CHIEF MEDICARE PROGRAM OFFICER) |
| Authorized Official Contact | 4158140927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical 1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: () - | One Medical 3137 W Indian School Rd Phoenix AZ 85017-4069 Ph: (602) 325-5575 |
| NPI Number | 1619376456 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 0143520189 |
|---|---|
| Medicare Enrollment ID | O20151124001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619376456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melanie Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720062953 PECOS PAC ID: 0446159958 Enrollment ID: I20040105000225 |
| Provider Name | Sara R Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578673976 PECOS PAC ID: 8325031677 Enrollment ID: I20040405000545 |
| Provider Name | Karen S Connally Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952355042 PECOS PAC ID: 0749274066 Enrollment ID: I20040412000089 |
| Provider Name | Kimberly R Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780644138 PECOS PAC ID: 2769464197 Enrollment ID: I20040601001075 |
| Provider Name | Rakeshkumar C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568436673 PECOS PAC ID: 1052389285 Enrollment ID: I20040924000109 |
| Provider Name | Landon S Hoecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740260561 PECOS PAC ID: 3870523814 Enrollment ID: I20050818000741 |
| Provider Name | Carlton A Richie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699770925 PECOS PAC ID: 2668407313 Enrollment ID: I20050930000370 |
| Provider Name | Hollis Jc Underwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770640369 PECOS PAC ID: 5496770141 Enrollment ID: I20051011001098 |
| Provider Name | John C Schlabach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407837362 PECOS PAC ID: 9234140179 Enrollment ID: I20060508000306 |
| Provider Name | Thomas Y Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912010992 PECOS PAC ID: 7416954060 Enrollment ID: I20061025000092 |
| Provider Name | Mary Louise Froehlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023222551 PECOS PAC ID: 0648222166 Enrollment ID: I20070822000445 |
| Provider Name | Colleen A Gumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568485951 PECOS PAC ID: 1951499698 Enrollment ID: I20071114000279 |
| Provider Name | John Leander Zapanta Po |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366638561 PECOS PAC ID: 9830269323 Enrollment ID: I20080610000760 |
| Provider Name | Laila I Sajwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629196225 PECOS PAC ID: 7517032535 Enrollment ID: I20080826000301 |
| Provider Name | Yvonne Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497900450 PECOS PAC ID: 9830250562 Enrollment ID: I20081212000316 |
| Provider Name | Giovani I Michieli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508042334 PECOS PAC ID: 0840345856 Enrollment ID: I20090827000094 |
| Provider Name | Aneta Wiejski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376729111 PECOS PAC ID: 5294880126 Enrollment ID: I20090828000387 |
| Provider Name | Chi Q Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285642108 PECOS PAC ID: 4587658307 Enrollment ID: I20091021000534 |
| Provider Name | Usha Tatini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376526376 PECOS PAC ID: 0749322428 Enrollment ID: I20100119000142 |
| Provider Name | Teresa M Ayela-uwangue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578686754 PECOS PAC ID: 4880719053 Enrollment ID: I20100910000618 |
| Provider Name | Fatima Tagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033201405 PECOS PAC ID: 0143277392 Enrollment ID: I20110302000796 |
| Provider Name | Kimberly Kay Kelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639343742 PECOS PAC ID: 7214007590 Enrollment ID: I20110615000434 |
| Provider Name | Sarah E Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487944799 PECOS PAC ID: 8224204508 Enrollment ID: I20120109000526 |
| Provider Name | Seth J Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659651172 PECOS PAC ID: 4789855610 Enrollment ID: I20121107000656 |
| Provider Name | Darenie Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992527 PECOS PAC ID: 3173679826 Enrollment ID: I20140812000253 |
| Provider Name | Shilpa Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669751848 PECOS PAC ID: 1456575984 Enrollment ID: I20140909001853 |
| Provider Name | Joy N Kiviat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063814176 PECOS PAC ID: 4587988027 Enrollment ID: I20150109002244 |
| Provider Name | Jody L Druhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417284985 PECOS PAC ID: 3375685522 Enrollment ID: I20150206000009 |
| Provider Name | Anne B Bojorquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184911547 PECOS PAC ID: 0143546853 Enrollment ID: I20150223001783 |
| Provider Name | Nili Azhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609988641 PECOS PAC ID: 2365693066 Enrollment ID: I20150526000196 |
| Provider Name | Kara B Koelbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295125946 PECOS PAC ID: 2264753532 Enrollment ID: I20150611002665 |
| Provider Name | Tara Helm Debardeleben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265828230 PECOS PAC ID: 6305157900 Enrollment ID: I20150624000275 |
| Provider Name | Natasha Bhuyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154682664 PECOS PAC ID: 7315252111 Enrollment ID: I20150821013580 |
| Provider Name | Zachary David Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942561451 PECOS PAC ID: 8022323823 Enrollment ID: I20150821013641 |
| Provider Name | Christina U Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20150918001455 |
| Provider Name | Kelly Woodrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447632195 PECOS PAC ID: 3072821990 Enrollment ID: I20150925002333 |
| Provider Name | Lyn Ashley Gildar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053646364 PECOS PAC ID: 0042510133 Enrollment ID: I20151120002033 |
| Provider Name | Leah Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902219967 PECOS PAC ID: 2062712458 Enrollment ID: I20151208002052 |
| Provider Name | Sarah Elizabeth Stookey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659337558 PECOS PAC ID: 6305749938 Enrollment ID: I20160118000199 |
| Provider Name | Christina Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043684012 PECOS PAC ID: 8224331525 Enrollment ID: I20160120001818 |
| Provider Name | Donald R Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861867301 PECOS PAC ID: 5092019232 Enrollment ID: I20160208001856 |
| Provider Name | Lisa Marie Warren-heft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326429143 PECOS PAC ID: 2769781020 Enrollment ID: I20160509001228 |
| Provider Name | Miki M Crane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326037094 PECOS PAC ID: 0345402715 Enrollment ID: I20160726002428 |
| Provider Name | Sarah Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164873907 PECOS PAC ID: 5395039416 Enrollment ID: I20160811001304 |
| Provider Name | Elle Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976706 PECOS PAC ID: 4587958426 Enrollment ID: I20160816000415 |
| Provider Name | Rebecca M Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801248596 PECOS PAC ID: 0941583736 Enrollment ID: I20170201000749 |
| Provider Name | Susan M Sarabia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606439 PECOS PAC ID: 5395028211 Enrollment ID: I20170220000458 |
| Provider Name | Giao Quach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114364361 PECOS PAC ID: 4082901707 Enrollment ID: I20170315001874 |
| Provider Name | Maria Antonieta Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801196175 PECOS PAC ID: 0941587786 Enrollment ID: I20170504002064 |
| Provider Name | Morgan Lobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093125593 PECOS PAC ID: 0244504157 Enrollment ID: I20170915001602 |
| Provider Name | Neil Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700085271 PECOS PAC ID: 6406915545 Enrollment ID: I20171019002391 |
| Provider Name | John Lee Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760826796 PECOS PAC ID: 6406172857 Enrollment ID: I20171109000886 |
| Provider Name | Amber Marie Robers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770021735 PECOS PAC ID: 0941567861 Enrollment ID: I20171201001034 |
| Provider Name | David Gellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548580368 PECOS PAC ID: 2163795287 Enrollment ID: I20180111000661 |
| Provider Name | Christal Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922523547 PECOS PAC ID: 8224394770 Enrollment ID: I20180116000964 |
| Provider Name | Mohammad K Dardari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405357 PECOS PAC ID: 9436106572 Enrollment ID: I20180420000699 |
| Provider Name | Kendra L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063898674 PECOS PAC ID: 1759691637 Enrollment ID: I20180423001111 |
| Provider Name | Margena Yvette Staten-branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639423916 PECOS PAC ID: 5092027433 Enrollment ID: I20180517000342 |
| Provider Name | Stacie Michelle Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167132 PECOS PAC ID: 0547517336 Enrollment ID: I20180725001821 |
| Provider Name | Marcia Castro-gideon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710356183 PECOS PAC ID: 8123067394 Enrollment ID: I20180802002149 |
| Provider Name | Rupa Krishna Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487915294 PECOS PAC ID: 6002112752 Enrollment ID: I20180815001605 |
| Provider Name | Mila Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225471527 PECOS PAC ID: 3375821960 Enrollment ID: I20181127001428 |
| Provider Name | Monika A Downey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508127523 PECOS PAC ID: 8628346715 Enrollment ID: I20181213000591 |
| Provider Name | Casandra Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962823 PECOS PAC ID: 5991040495 Enrollment ID: I20190102000818 |
| Provider Name | Maria Angelica Mendoza Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144735937 PECOS PAC ID: 3779822655 Enrollment ID: I20190312001145 |
| Provider Name | Tricia Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477033900 PECOS PAC ID: 3072853258 Enrollment ID: I20190326001683 |
| Provider Name | Kalan A Kelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764124 PECOS PAC ID: 3971819517 Enrollment ID: I20190507001837 |
| Provider Name | Ayin Daleth Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619433489 PECOS PAC ID: 3476886888 Enrollment ID: I20190617002309 |
| Provider Name | David M Smock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780850214 PECOS PAC ID: 2466624028 Enrollment ID: I20190909001170 |
| Provider Name | Lauren Kimberly Poling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336501170 PECOS PAC ID: 4688904451 Enrollment ID: I20190920000137 |
| Provider Name | Joshua Daniel Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285288456 PECOS PAC ID: 2668702150 Enrollment ID: I20190926000214 |
| Provider Name | Jorge Omar Flores Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437507654 PECOS PAC ID: 8325379332 Enrollment ID: I20191004002785 |
| Provider Name | Jennifer H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902118086 PECOS PAC ID: 7810138286 Enrollment ID: I20191014001829 |
| Provider Name | Angelia Marie Corley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871089318 PECOS PAC ID: 3476985037 Enrollment ID: I20191120000345 |
| Provider Name | Modupeola Abiodun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225326853 PECOS PAC ID: 5597983551 Enrollment ID: I20191204001309 |
| Provider Name | Sharon L Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053508838 PECOS PAC ID: 0941482111 Enrollment ID: I20191216001163 |
| Provider Name | Patricia Nwakaego Ayemoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689218042 PECOS PAC ID: 3971938366 Enrollment ID: I20200113001188 |
| Provider Name | Ernesto Reza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891239257 PECOS PAC ID: 0143658245 Enrollment ID: I20200324002702 |
| Provider Name | Chekena Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558651869 PECOS PAC ID: 5799949160 Enrollment ID: I20200416000449 |
| Provider Name | Allison Marie Held |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790824738 PECOS PAC ID: 1153475157 Enrollment ID: I20200616001372 |
| Provider Name | Aryela Janine Swope Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841470226 PECOS PAC ID: 4284917881 Enrollment ID: I20200715001336 |
| Provider Name | Sheila Antony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083989339 PECOS PAC ID: 7810281003 Enrollment ID: I20200728004059 |
| Provider Name | Justin Scott Welsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861933871 PECOS PAC ID: 1557786563 Enrollment ID: I20200807002845 |
| Provider Name | Rima Shah Leclere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619330982 PECOS PAC ID: 9931457058 Enrollment ID: I20200910003513 |
| Provider Name | Rebecca Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952000 PECOS PAC ID: 2769896067 Enrollment ID: I20210127003582 |
| Provider Name | Matthew Coldagelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962090910 PECOS PAC ID: 1052726759 Enrollment ID: I20210210001165 |
| Provider Name | Nicole M Cota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902491061 PECOS PAC ID: 9234546193 Enrollment ID: I20210322001590 |
| Provider Name | Oluwakemi Osholake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174044796 PECOS PAC ID: 9335411586 Enrollment ID: I20210421002364 |
| Provider Name | Stephanie Joy Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508439449 PECOS PAC ID: 6800291485 Enrollment ID: I20210819001662 |
| Provider Name | Austin Thomas Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083678650 PECOS PAC ID: 9032175146 Enrollment ID: I20210826002577 |
| Provider Name | Kimberly Chipetine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922590629 PECOS PAC ID: 6608121249 Enrollment ID: I20210908002053 |
| Provider Name | Jeffrey Wessler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891053625 PECOS PAC ID: 6406169382 Enrollment ID: I20210922002115 |
| Provider Name | George Welch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144258336 PECOS PAC ID: 0941245211 Enrollment ID: I20210928002319 |
| Provider Name | Donald Craig Mantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639175003 PECOS PAC ID: 8527067479 Enrollment ID: I20211004002712 |
| Provider Name | Satinder Dhillon-dougher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124532577 PECOS PAC ID: 1658630926 Enrollment ID: I20211116000743 |
| Provider Name | Britney Nichol Ferrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962096610 PECOS PAC ID: 7810386539 Enrollment ID: I20211117002569 |
| Provider Name | Michelle Hae-min Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851895965 PECOS PAC ID: 1153711064 Enrollment ID: I20211208003062 |
| Provider Name | Yakima Young-shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437279064 PECOS PAC ID: 9638267586 Enrollment ID: I20211210001945 |
| Provider Name | Cheri E Cabeza Debaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316512569 PECOS PAC ID: 6507257144 Enrollment ID: I20211215002297 |
| Provider Name | Thomas Rebori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649317835 PECOS PAC ID: 2668405143 Enrollment ID: I20220318000109 |
| Provider Name | Christen Marissa Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700540697 PECOS PAC ID: 4082001698 Enrollment ID: I20220429001356 |
| Provider Name | Edward Gibbons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144294232 PECOS PAC ID: 5799736013 Enrollment ID: I20220531002238 |
| Provider Name | Sarah Holz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043575137 PECOS PAC ID: 0345499851 Enrollment ID: I20220608000368 |
| Provider Name | Morgan Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891430237 PECOS PAC ID: 5092194423 Enrollment ID: I20220615001699 |
| Provider Name | Antenor Xavier Aviles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528668720 PECOS PAC ID: 9032508569 Enrollment ID: I20220713002296 |
| Provider Name | Michael Reyes Medrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386382372 PECOS PAC ID: 7214318823 Enrollment ID: I20220713003566 |
| Provider Name | Imren Ozturk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982066528 PECOS PAC ID: 2961753116 Enrollment ID: I20220719000572 |
| Provider Name | Jana Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477873768 PECOS PAC ID: 5799075933 Enrollment ID: I20220719003450 |
| Provider Name | Esther Lynn Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609508126 PECOS PAC ID: 8527440585 Enrollment ID: I20220808001507 |
| Provider Name | Amanda Jones Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467185900 PECOS PAC ID: 3274915244 Enrollment ID: I20220808001972 |
| Provider Name | Bijan Mossadeghi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1518313881 PECOS PAC ID: 5991060857 Enrollment ID: I20220817001532 |
| Provider Name | Elena Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497486518 PECOS PAC ID: 9931576378 Enrollment ID: I20221027002591 |
| Provider Name | Lawanda Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346699188 PECOS PAC ID: 3072809623 Enrollment ID: I20221110001814 |
| Provider Name | Marian Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386179414 PECOS PAC ID: 0446514707 Enrollment ID: I20221208001618 |
| Provider Name | Ashley Lautar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558771352 PECOS PAC ID: 5395069694 Enrollment ID: I20230113000554 |
| Provider Name | Jonathan Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922186402 PECOS PAC ID: 4284734518 Enrollment ID: I20230221003157 |
| Provider Name | Pei-chun Mcgregor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20230302002686 |
| Provider Name | Cinthia Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760141196 PECOS PAC ID: 0749647683 Enrollment ID: I20230607002736 |
| Provider Name | Shalena Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245928563 PECOS PAC ID: 1153789672 Enrollment ID: I20230615001112 |
| Provider Name | Rebecca Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043900491 PECOS PAC ID: 9234598871 Enrollment ID: I20230629003514 |
| Provider Name | Saori Schmal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20230721002636 |
| Provider Name | Gabriel Alarcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336194695 PECOS PAC ID: 2860485612 Enrollment ID: I20230731002944 |
| Provider Name | Erin Krening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679256473 PECOS PAC ID: 0143670497 Enrollment ID: I20231228001734 |
| Provider Name | Alexa Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063276970 PECOS PAC ID: 0042657470 Enrollment ID: I20240321001176 |
| Provider Name | Kariessa Taylor Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669234589 PECOS PAC ID: 1456799261 Enrollment ID: I20240328004010 |
| Provider Name | David Sly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255387148 PECOS PAC ID: 9032358379 Enrollment ID: I20240404000888 |
| Provider Name | Jason Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386870376 PECOS PAC ID: 3577728740 Enrollment ID: I20240513003272 |
| Provider Name | Mary Grace Nuega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20240517000091 |
| Provider Name | Lori Barbula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076412 PECOS PAC ID: 9436591484 Enrollment ID: I20240522003989 |
| Provider Name | Joy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942552807 PECOS PAC ID: 4385929538 Enrollment ID: I20240604002290 |
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 |