| Lifeline Hospitalist Associates Llc | |
|
255 W Brown Rd Mesa AZ 85201-3404 | |
| (480) 985-1093 | |
| (480) 296-7665 |
| Full Name | Lifeline Hospitalist Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 W Brown Rd, Mesa, Arizona |
| Authorized Official Name and Position | Shaiza Mulla (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Hospitalist Associates Llc Po Box 20610 Mesa AZ 85277-0610 Ph: (480) 985-1093 | Lifeline Hospitalist Associates Llc 255 W Brown Rd Mesa AZ 85201-3404 Ph: (480) 985-1093 |
| NPI Number | 1265107478 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 06/14/2023 |
| Medicare PECOS PAC ID | 3577961606 |
|---|---|
| Medicare Enrollment ID | O20211004003129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265107478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shahzad Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417996067 PECOS PAC ID: 0042205999 Enrollment ID: I20050728001145 |
| Provider Name | Angela U Chukwudolue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588624027 PECOS PAC ID: 9032138656 Enrollment ID: I20051114000373 |
| Provider Name | Sen T Jou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609981000 PECOS PAC ID: 4587660717 Enrollment ID: I20061011000685 |
| Provider Name | Mehran Darzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370695 PECOS PAC ID: 1759528763 Enrollment ID: I20130511000065 |
| Provider Name | Neychelle Rocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063645778 PECOS PAC ID: 6305095811 Enrollment ID: I20140116001702 |
| Provider Name | Chaim G Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396168787 PECOS PAC ID: 6103040449 Enrollment ID: I20140606001483 |
| Provider Name | Danny H Byun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811286925 PECOS PAC ID: 9931427598 Enrollment ID: I20150410000007 |
| Provider Name | Matthew J Brownell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614561 PECOS PAC ID: 4385957281 Enrollment ID: I20150721003021 |
| Provider Name | Veenu Gill |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336497189 PECOS PAC ID: 0446565659 Enrollment ID: I20150818003970 |
| Provider Name | Basha I Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942693098 PECOS PAC ID: 7911214341 Enrollment ID: I20150917002334 |
| Provider Name | Waqas A Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447517503 PECOS PAC ID: 2860700812 Enrollment ID: I20150924002539 |
| Provider Name | Tandra Arlene Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140259 PECOS PAC ID: 7214217181 Enrollment ID: I20161212000602 |
| Provider Name | Liviu Vladoianu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649797218 PECOS PAC ID: 1355615493 Enrollment ID: I20170927004445 |
| Provider Name | Spencer James Claussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854246 PECOS PAC ID: 5092081521 Enrollment ID: I20171026003548 |
| Provider Name | Kunjan S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730574658 PECOS PAC ID: 9436409927 Enrollment ID: I20180904002090 |
| Provider Name | David Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487947180 PECOS PAC ID: 3375767312 Enrollment ID: I20181025001381 |
| Provider Name | Sarah B Claussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255983334 PECOS PAC ID: 6800220294 Enrollment ID: I20191217002501 |
| Provider Name | Angie Tu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427585843 PECOS PAC ID: 7012331317 Enrollment ID: I20200720000085 |
| Provider Name | Amy Alvis White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112106 PECOS PAC ID: 3779995667 Enrollment ID: I20201217001941 |
| Provider Name | Marie Ekren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417415183 PECOS PAC ID: 7214336841 Enrollment ID: I20210601001940 |
| Provider Name | Ekinadase Ayiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710565361 PECOS PAC ID: 9931508330 Enrollment ID: I20210603002963 |
| Provider Name | Kristin V Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477155018 PECOS PAC ID: 5395147417 Enrollment ID: I20210713000849 |
| Provider Name | Mazen Beydoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009686 PECOS PAC ID: 3375941982 Enrollment ID: I20211013000413 |
| Provider Name | Sana M Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215425947 PECOS PAC ID: 1153719299 Enrollment ID: I20211022001392 |
| Provider Name | Edim Musa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558907311 PECOS PAC ID: 7517356694 Enrollment ID: I20211110002703 |
| Provider Name | Steven Louis Epperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053074138 PECOS PAC ID: 2365838943 Enrollment ID: I20220407000904 |
| Provider Name | Hussein Alasady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003473901 PECOS PAC ID: 5294118139 Enrollment ID: I20220810001905 |
| Provider Name | Samer Saeed Hasson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275195950 PECOS PAC ID: 7810370871 Enrollment ID: I20220824001286 |
| Provider Name | Katie Pon Rambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447917877 PECOS PAC ID: 5597134361 Enrollment ID: I20221218000022 |
| Provider Name | Paul Steven Sokolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750955225 PECOS PAC ID: 3072907690 Enrollment ID: I20230626000084 |
| Provider Name | Miranda Rose Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144849993 PECOS PAC ID: 6608236054 Enrollment ID: I20230717001438 |
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Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |