| Kelly H. Roy, Md, Pc | |
|
1008 E Mcdowell Rd Phoenix AZ 85006 | |
| (602) 358-8588 | |
| (602) 688-6991 |
| Full Name | Kelly H. Roy, Md, Pc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1008 E Mcdowell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Tracey Vega (CREDENTIALING) |
| Authorized Official Contact | 6023588588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly H. Roy, Md, Pc 1008 E Mcdowell Rd Ste A Phoenix AZ 85006-2603 Ph: (602) 358-8588 | Kelly H. Roy, Md, Pc 1008 E Mcdowell Rd Phoenix AZ 85006 Ph: (602) 358-8588 |
| NPI Number | 1003099367 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 3476526724 |
|---|---|
| Medicare Enrollment ID | O20040816000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003099367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
| Provider Name | Kelly H Roy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891787693 PECOS PAC ID: 8527031772 Enrollment ID: I20040817000398 |
| Provider Name | Thomas J Waliser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639190572 PECOS PAC ID: 1355444712 Enrollment ID: I20080911000137 |
| Provider Name | Steven J Laband |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780672493 PECOS PAC ID: 2163556952 Enrollment ID: I20100816000661 |
| Provider Name | Kristina R Calligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730444373 PECOS PAC ID: 1254579279 Enrollment ID: I20130604000279 |
| Provider Name | Heather M Zechman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649245762 PECOS PAC ID: 7315047529 Enrollment ID: I20170722000298 |
| Provider Name | Ashley M Seei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841716834 PECOS PAC ID: 1153689898 Enrollment ID: I20171229000931 |
| Provider Name | Julia Anne Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710486352 PECOS PAC ID: 9931463411 Enrollment ID: I20180509001214 |
| Provider Name | Nikkeya Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831662469 PECOS PAC ID: 7618216375 Enrollment ID: I20190225003036 |
| Provider Name | Diana Olivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841782265 PECOS PAC ID: 1759624380 Enrollment ID: I20190522000443 |
| Provider Name | John Mather Davitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730576927 PECOS PAC ID: 1052645660 Enrollment ID: I20190701001489 |
| Provider Name | Dana Mckee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699138248 PECOS PAC ID: 3173816535 Enrollment ID: I20200713003554 |
| Provider Name | Jennifer L Tempest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866963 PECOS PAC ID: 9335566520 Enrollment ID: I20200902002475 |
| Provider Name | Edie M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093327470 PECOS PAC ID: 4880012905 Enrollment ID: I20200922000374 |
| Provider Name | Maria A Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700386299 PECOS PAC ID: 8224442397 Enrollment ID: I20210201001954 |
| Provider Name | Tessa L Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689243487 PECOS PAC ID: 2264822634 Enrollment ID: I20211130001080 |
| Provider Name | Jordan Nicole Wehling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700556883 PECOS PAC ID: 8921499849 Enrollment ID: I20220103000211 |
| Provider Name | Amy Binegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968954 PECOS PAC ID: 1658750401 Enrollment ID: I20220624000553 |
| Provider Name | Nisha Garg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164876256 PECOS PAC ID: 4981955846 Enrollment ID: I20220906002139 |
| Provider Name | Mikayla D Andrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346971629 PECOS PAC ID: 7214312719 Enrollment ID: I20220920001836 |
| Provider Name | Esosa J Nwambuonwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760147755 PECOS PAC ID: 0941686695 Enrollment ID: I20221003002718 |
| Provider Name | Shabnam Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326401696 PECOS PAC ID: 0648675199 Enrollment ID: I20221025000559 |
| Provider Name | Joncy J Pulickal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801597810 PECOS PAC ID: 3173971132 Enrollment ID: I20231130003807 |
| Provider Name | Lesley N Myrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134868193 PECOS PAC ID: 7315386430 Enrollment ID: I20240422001771 |
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