| Clearpath Family Health Ltd | |
|
7725 N 43rd Ave Ste 720 Phoenix AZ 85051-5772 | |
| (623) 207-5465 | |
| (623) 207-5405 |
| Full Name | Clearpath Family Health Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 7725 N 43rd Ave Ste 720, Phoenix, Arizona |
| Authorized Official Name and Position | Shaun C A Romero (PRESIDENT) |
| Authorized Official Contact | 6028199608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearpath Family Health Ltd 7725 N 43rd Ave Ste 720 Phoenix AZ 85051-5772 Ph: (623) 207-5465 | Clearpath Family Health Ltd 7725 N 43rd Ave Ste 720 Phoenix AZ 85051-5772 Ph: (623) 207-5465 |
| NPI Number | 1225356157 |
|---|---|
| Provider Enumeration Date | 05/17/2010 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 5395875850 |
|---|---|
| Medicare Enrollment ID | O20100609000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225356157 | NPI | - | NPPES |
| 24102601 | Medicaid | AZ | |
| Z137678 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1647 (Arizona) | Primary |
| Provider Name | Kevin W Cleary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174573000 PECOS PAC ID: 5991722951 Enrollment ID: I20100609000579 |
| Provider Name | April Glenda David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972083566 PECOS PAC ID: 0648513309 Enrollment ID: I20190520002970 |
| Provider Name | Kenneth Steil |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487186144 PECOS PAC ID: 9537408257 Enrollment ID: I20190802003006 |
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