| Phoenix | |
|
3540 E Baseline Rd Ste 130 Phoenix AZ 85042-9629 | |
| (623) 257-7559 | |
| Not Available |
| Full Name | Phoenix |
|---|---|
| Speciality | Family Medicine |
| Location | 3540 E Baseline Rd Ste 130, Phoenix, Arizona |
| Authorized Official Name and Position | April King (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4692215944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix 2460 Paseo Verde Pkwy Ste 145 Henderson NV 89074-7142 Ph: (702) 820-5713 | Phoenix 3540 E Baseline Rd Ste 130 Phoenix AZ 85042-9629 Ph: (623) 257-7559 |
| NPI Number | 1518672278 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 8527412659 |
|---|---|
| Medicare Enrollment ID | O20230923000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518672278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Muhammad Vikas Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104921048 PECOS PAC ID: 5991702763 Enrollment ID: I20061109000130 |
| Provider Name | Sultan Mohammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760699888 PECOS PAC ID: 3779675749 Enrollment ID: I20080312000479 |
| Provider Name | Harris Khakwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134322498 PECOS PAC ID: 2769537588 Enrollment ID: I20090831000579 |
| Provider Name | Audra Corona Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700432622 PECOS PAC ID: 8022340066 Enrollment ID: I20191024001868 |
| Provider Name | Diana Phuong Thai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952863862 PECOS PAC ID: 1850771841 Enrollment ID: I20220708000271 |
| Provider Name | Catherine Elizabeth Zotovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685393 PECOS PAC ID: 0143664714 Enrollment ID: I20240222001527 |
| Provider Name | Maria Luisa Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346016102 PECOS PAC ID: 2264878222 Enrollment ID: I20240312004053 |
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 |