| Midwestern University Multispecialty Clinic | |
|
19389 N 59th Ave Glendale AZ 85308-6500 | |
| (623) 537-6000 | |
| (623) 537-6000 |
| Full Name | Midwestern University Multispecialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 19389 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Matthew J Sweeney (VP & CFO) |
| Authorized Official Contact | 6305157307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern University Multispecialty Clinic 19389 N 59th Ave Glendale AZ 85308-6500 Ph: (623) 537-6000 | Midwestern University Multispecialty Clinic 19389 N 59th Ave Glendale AZ 85308-6500 Ph: (623) 537-6000 |
| NPI Number | 1932206414 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 03/02/2023 |
| Medicare PECOS PAC ID | 6305734773 |
|---|---|
| Medicare Enrollment ID | O20040308000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932206414 | NPI | - | NPPES |
| 306545 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Anthony M Will |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629175104 PECOS PAC ID: 7113814351 Enrollment ID: I20040302000719 |
| Provider Name | Linda M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396709192 PECOS PAC ID: 8426960709 Enrollment ID: I20040701000236 |
| Provider Name | Michelle D Mifflin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598875387 PECOS PAC ID: 4688629009 Enrollment ID: I20050318000466 |
| Provider Name | Paul L Woolf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609868868 PECOS PAC ID: 3779530886 Enrollment ID: I20050331000997 |
| Provider Name | Kevin L Helmuth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699971739 PECOS PAC ID: 8729018403 Enrollment ID: I20050813000092 |
| Provider Name | Sean C Reeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437115599 PECOS PAC ID: 8325068604 Enrollment ID: I20051201000316 |
| Provider Name | Gwen A Wodiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467433839 PECOS PAC ID: 9830119809 Enrollment ID: I20051206000267 |
| Provider Name | Erik S Ornstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699764704 PECOS PAC ID: 2567483431 Enrollment ID: I20051207001043 |
| Provider Name | Richard S Dobrusin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578533170 PECOS PAC ID: 8022900653 Enrollment ID: I20060316000344 |
| Provider Name | Danthuy N Dao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215942818 PECOS PAC ID: 8123024379 Enrollment ID: I20061011000074 |
| Provider Name | Jeffrey T Dare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679538839 PECOS PAC ID: 5395742027 Enrollment ID: I20061023000139 |
| Provider Name | Donald R Curtis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902847577 PECOS PAC ID: 3678553351 Enrollment ID: I20070810000035 |
| Provider Name | Scott P Markham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972688836 PECOS PAC ID: 3274626767 Enrollment ID: I20070829000327 |
| Provider Name | Shannon C Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972702199 PECOS PAC ID: 6103911276 Enrollment ID: I20071004000116 |
| Provider Name | Lisa B Chiles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922077189 PECOS PAC ID: 7810975356 Enrollment ID: I20071210000418 |
| Provider Name | John Tassone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427043165 PECOS PAC ID: 2365434651 Enrollment ID: I20080708000327 |
| Provider Name | Kylie S Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093822827 PECOS PAC ID: 8426122631 Enrollment ID: I20080806000578 |
| Provider Name | Lori A Kemper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659378651 PECOS PAC ID: 8022118330 Enrollment ID: I20080814000488 |
| Provider Name | Tina Renae Porzukowiak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952347080 PECOS PAC ID: 3870506603 Enrollment ID: I20080827000603 |
| Provider Name | Camille E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164611000 PECOS PAC ID: 9032285895 Enrollment ID: I20080903000231 |
| Provider Name | Celeste M Delap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114171329 PECOS PAC ID: 1759442239 Enrollment ID: I20081202000554 |
| Provider Name | Megan C Eikenberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396987442 PECOS PAC ID: 7416004973 Enrollment ID: I20090421000085 |
| Provider Name | David C Patchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972718724 PECOS PAC ID: 2163572132 Enrollment ID: I20090612000285 |
| Provider Name | Corinne E Jedynak-bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326287285 PECOS PAC ID: 2163573098 Enrollment ID: I20090831000443 |
| Provider Name | David J Hume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912009291 PECOS PAC ID: 6204981616 Enrollment ID: I20090909000412 |
| Provider Name | Adam B Blacker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235361197 PECOS PAC ID: 9830237817 Enrollment ID: I20091111000612 |
| Provider Name | Jennifer L Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275731424 PECOS PAC ID: 5193864221 Enrollment ID: I20091203000393 |
| Provider Name | Robert E Fintelmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497971535 PECOS PAC ID: 9032269931 Enrollment ID: I20100219000509 |
| Provider Name | Janna L Kroleski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023282100 PECOS PAC ID: 5597958652 Enrollment ID: I20101021000211 |
| Provider Name | Vladimir V Yevseyenkov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881822898 PECOS PAC ID: 9830241397 Enrollment ID: I20110105000121 |
| Provider Name | Kelly C Meehan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477886083 PECOS PAC ID: 6406995398 Enrollment ID: I20110105000221 |
| Provider Name | Sara N Gaib |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891925475 PECOS PAC ID: 0042409138 Enrollment ID: I20110105000244 |
| Provider Name | Lilien A Vogl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265562995 PECOS PAC ID: 2466437611 Enrollment ID: I20110117000071 |
| Provider Name | Jesse V Dominguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669789814 PECOS PAC ID: 8022293547 Enrollment ID: I20110427000588 |
| Provider Name | Kaila M. Osmotherly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316252455 PECOS PAC ID: 5092830414 Enrollment ID: I20110727000346 |
| Provider Name | Michael R Kozlowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407142375 PECOS PAC ID: 4981873122 Enrollment ID: I20110804000644 |
| Provider Name | Brianne N Hobbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871806463 PECOS PAC ID: 8123297371 Enrollment ID: I20110804000686 |
| Provider Name | Alicia E Feis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346403094 PECOS PAC ID: 7810061140 Enrollment ID: I20111024000099 |
| Provider Name | Gary C Gailius |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992087506 PECOS PAC ID: 6002072790 Enrollment ID: I20120725000019 |
| Provider Name | Allissun J Hoppert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841579299 PECOS PAC ID: 9234300187 Enrollment ID: I20120806000309 |
| Provider Name | Aletheia R Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851646780 PECOS PAC ID: 8628228624 Enrollment ID: I20121029000714 |
| Provider Name | Christina M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730318387 PECOS PAC ID: 1052563574 Enrollment ID: I20121210000050 |
| Provider Name | Megan G Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699765792 PECOS PAC ID: 6002909983 Enrollment ID: I20130826000043 |
| Provider Name | Renee M Gazda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558591644 PECOS PAC ID: 9335382167 Enrollment ID: I20130827000530 |
| Provider Name | Margaret R Klausing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366874141 PECOS PAC ID: 5193969624 Enrollment ID: I20130923000608 |
| Provider Name | Jamie N Kuhn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073869319 PECOS PAC ID: 4284882184 Enrollment ID: I20131113001452 |
| Provider Name | Robert D Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699056101 PECOS PAC ID: 7911135892 Enrollment ID: I20140724000549 |
| Provider Name | Anna L Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013330745 PECOS PAC ID: 0042436255 Enrollment ID: I20140724000977 |
| Provider Name | Christina A Esposito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467887786 PECOS PAC ID: 9234365073 Enrollment ID: I20140730001294 |
| Provider Name | Christopher Brown Lowe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659680734 PECOS PAC ID: 3274759030 Enrollment ID: I20140731000494 |
| Provider Name | Florencia J Yeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053751701 PECOS PAC ID: 4385878008 Enrollment ID: I20140821001352 |
| Provider Name | Khushali D Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356773337 PECOS PAC ID: 2062634876 Enrollment ID: I20141111002567 |
| Provider Name | Danielle L Barnett-trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043507718 PECOS PAC ID: 1153643895 Enrollment ID: I20141208000466 |
| Provider Name | Mary E Hardy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417363698 PECOS PAC ID: 7517280738 Enrollment ID: I20150309000961 |
| Provider Name | Mark A Kargela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992991848 PECOS PAC ID: 0244328201 Enrollment ID: I20150617000104 |
| Provider Name | Sabrina K Rocke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086611 PECOS PAC ID: 3870806029 Enrollment ID: I20150717000863 |
| Provider Name | Justin B Macklin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669864641 PECOS PAC ID: 1153635685 Enrollment ID: I20150728006183 |
| Provider Name | Len V Koh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710997440 PECOS PAC ID: 6507865318 Enrollment ID: I20150818003285 |
| Provider Name | Laura K Addy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477969947 PECOS PAC ID: 0143536474 Enrollment ID: I20150902000150 |
| Provider Name | Brianna H Ryff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356759195 PECOS PAC ID: 6406076322 Enrollment ID: I20150921003010 |
| Provider Name | Amanda Christie Rapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104192525 PECOS PAC ID: 2163739137 Enrollment ID: I20150923003182 |
| Provider Name | Caitlin C Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144637844 PECOS PAC ID: 0941428536 Enrollment ID: I20151026000659 |
| Provider Name | Stephanie A Herrick Kays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806372 PECOS PAC ID: 4284944703 Enrollment ID: I20151112000551 |
| Provider Name | Sharon P Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992141899 PECOS PAC ID: 5294036281 Enrollment ID: I20151216001532 |
| Provider Name | Ileana Ratiu |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326271453 PECOS PAC ID: 5991001117 Enrollment ID: I20160314001215 |
| Provider Name | Eileen M Tokarz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194868711 PECOS PAC ID: 7416192885 Enrollment ID: I20160328000924 |
| Provider Name | Colin A Macpherson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093174120 PECOS PAC ID: 9931406469 Enrollment ID: I20160329002041 |
| Provider Name | Sarah Y Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962888578 PECOS PAC ID: 4385953983 Enrollment ID: I20160822002067 |
| Provider Name | Stephanie C Christensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417401217 PECOS PAC ID: 4981990306 Enrollment ID: I20160912001788 |
| Provider Name | Jenna Sangkam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043659998 PECOS PAC ID: 5395032411 Enrollment ID: I20160916002107 |
| Provider Name | Ekaphol Wooden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437386752 PECOS PAC ID: 1355650482 Enrollment ID: I20160921001259 |
| Provider Name | Michael B Lundquist |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013390285 PECOS PAC ID: 1850605171 Enrollment ID: I20161115002296 |
| Provider Name | Patricia R Bogaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255378279 PECOS PAC ID: 7911891254 Enrollment ID: I20170213002373 |
| Provider Name | Pierce Eliason Kenworthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447668553 PECOS PAC ID: 3274755467 Enrollment ID: I20170310000405 |
| Provider Name | Ethan Wash |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588192033 PECOS PAC ID: 1052689726 Enrollment ID: I20170621002111 |
| Provider Name | Suzanne K O'neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609082205 PECOS PAC ID: 5698043396 Enrollment ID: I20170621002901 |
| Provider Name | Carly Anne Ernst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891112900 PECOS PAC ID: 5294030474 Enrollment ID: I20170725001581 |
| Provider Name | Byron E Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114350576 PECOS PAC ID: 2365712247 Enrollment ID: I20170726000578 |
| Provider Name | Emily R Shortridge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447514450 PECOS PAC ID: 0244524668 Enrollment ID: I20170815003288 |
| Provider Name | David E Virgil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598175747 PECOS PAC ID: 8820360449 Enrollment ID: I20170816004229 |
| Provider Name | Melissa S Molyneux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053722686 PECOS PAC ID: 7012281637 Enrollment ID: I20170920003880 |
| Provider Name | Inga Lilliana Fors |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720503808 PECOS PAC ID: 6709152788 Enrollment ID: I20171018002007 |
| Provider Name | Sabrina Nicole Wade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053824490 PECOS PAC ID: 8921364456 Enrollment ID: I20171115003385 |
| Provider Name | Kelly D Varney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982056750 PECOS PAC ID: 9032402011 Enrollment ID: I20171116001589 |
| Provider Name | Matthew K Roe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659722957 PECOS PAC ID: 7113214321 Enrollment ID: I20171116002554 |
| Provider Name | Sarah E Huff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275054470 PECOS PAC ID: 9537426952 Enrollment ID: I20171120001778 |
| Provider Name | Stephanie P Sanchez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780194670 PECOS PAC ID: 9739446402 Enrollment ID: I20171205002171 |
| Provider Name | Grace Liao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699127225 PECOS PAC ID: 6800182700 Enrollment ID: I20171206000123 |
| Provider Name | Wendy W Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952564114 PECOS PAC ID: 8820244437 Enrollment ID: I20171208001505 |
| Provider Name | Merima Bucaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417245267 PECOS PAC ID: 4385896000 Enrollment ID: I20180417000728 |
| Provider Name | Gary N Nakken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871904797 PECOS PAC ID: 3971826876 Enrollment ID: I20180531001758 |
| Provider Name | Evelyn G Heigh-rosen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073933826 PECOS PAC ID: 6901171792 Enrollment ID: I20180629002580 |
| Provider Name | Curtis E Finch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538654470 PECOS PAC ID: 7416207519 Enrollment ID: I20180911003341 |
| Provider Name | Tina Zhu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568957884 PECOS PAC ID: 7911257019 Enrollment ID: I20180911003591 |
| Provider Name | Elizabeth Escobedo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235652553 PECOS PAC ID: 2860766391 Enrollment ID: I20180911003712 |
| Provider Name | Misty Lynn Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184119844 PECOS PAC ID: 4385996321 Enrollment ID: I20181002003611 |
| Provider Name | Eric A Woo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548524143 PECOS PAC ID: 9436307014 Enrollment ID: I20181213000025 |
| Provider Name | Jasandeep Uppal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952780223 PECOS PAC ID: 6608189980 Enrollment ID: I20181218000294 |
| Provider Name | Johanna Marie M Richey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043579162 PECOS PAC ID: 3779732763 Enrollment ID: I20181227001597 |
| Provider Name | Jason S Blair |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679754261 PECOS PAC ID: 0244570117 Enrollment ID: I20190823003245 |
| Provider Name | Kathleen Prendergast |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750940961 PECOS PAC ID: 5991036170 Enrollment ID: I20191021000837 |
| Provider Name | Paige S Reasor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881256980 PECOS PAC ID: 1759613532 Enrollment ID: I20191028002739 |
| Provider Name | Elaine Ramos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780035584 PECOS PAC ID: 9133416340 Enrollment ID: I20200326002972 |
| Provider Name | Carl B Bryce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619315074 PECOS PAC ID: 4183867633 Enrollment ID: I20200408000345 |
| Provider Name | Marissa K Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821522632 PECOS PAC ID: 2567885650 Enrollment ID: I20200708001084 |
| Provider Name | Hadass Fuerst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306370176 PECOS PAC ID: 6305262023 Enrollment ID: I20200812001931 |
| Provider Name | Adriana M Ferreira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487147799 PECOS PAC ID: 1557619525 Enrollment ID: I20200903001437 |
| Provider Name | Cindy L Hum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679199434 PECOS PAC ID: 4486072204 Enrollment ID: I20200910002536 |
| Provider Name | Sydni K Davis Farhat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114554045 PECOS PAC ID: 8123446457 Enrollment ID: I20200911001231 |
| Provider Name | Theron M Liddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528515939 PECOS PAC ID: 2668744673 Enrollment ID: I20200921001545 |
| Provider Name | Mikaela L Lyding |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306237565 PECOS PAC ID: 8729407275 Enrollment ID: I20201001002276 |
| Provider Name | Joshua A Subialka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700294204 PECOS PAC ID: 3375765415 Enrollment ID: I20210107002292 |
| Provider Name | Alison M Kotowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588266894 PECOS PAC ID: 6305253535 Enrollment ID: I20210405002423 |
| Provider Name | Kylie B Prehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982100756 PECOS PAC ID: 6002210382 Enrollment ID: I20210810001825 |
| Provider Name | Lisa Ann Naylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891003695 PECOS PAC ID: 8325444805 Enrollment ID: I20210908003523 |
| Provider Name | Lyle J Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215238688 PECOS PAC ID: 6406008408 Enrollment ID: I20220309002684 |
| Provider Name | Jamie L Ybarra |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073820601 PECOS PAC ID: 7911392329 Enrollment ID: I20220322002371 |
| Provider Name | Shanyn C Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790858462 PECOS PAC ID: 1557363827 Enrollment ID: I20220329001920 |
| Provider Name | Pamela Y Clarke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205380623 PECOS PAC ID: 5496132599 Enrollment ID: I20220511000672 |
| Provider Name | Angela D Reed |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407199516 PECOS PAC ID: 4486030079 Enrollment ID: I20221005001791 |
| Provider Name | Laura J Weinrich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306192711 PECOS PAC ID: 0840676441 Enrollment ID: I20221005002344 |
| Provider Name | Stephanie J Yu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558090514 PECOS PAC ID: 1456737915 Enrollment ID: I20221006001280 |
| Provider Name | Melissa A Pierce |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124258389 PECOS PAC ID: 7618353186 Enrollment ID: I20221006001772 |
| Provider Name | Stephanie Z Brown |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1992363816 PECOS PAC ID: 6608246004 Enrollment ID: I20221229001336 |
| Provider Name | Aubrey T Dunlap |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124749247 PECOS PAC ID: 2264897347 Enrollment ID: I20230424002856 |
| Provider Name | Charles W Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811602865 PECOS PAC ID: 2163887209 Enrollment ID: I20230425002433 |
| Provider Name | Rachel L Stephan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215283668 PECOS PAC ID: 2860640620 Enrollment ID: I20230713002503 |
| Provider Name | Eren R Ural |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1376992693 PECOS PAC ID: 9537594460 Enrollment ID: I20230804001950 |
| Provider Name | Jody Stratton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346800281 PECOS PAC ID: 0143681296 Enrollment ID: I20230804002671 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730863192 PECOS PAC ID: 9335598531 Enrollment ID: I20231213002982 |
| Provider Name | Lisa Dawn Bunker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831567197 PECOS PAC ID: 8224487210 Enrollment ID: I20231215002861 |
| Provider Name | Ashley Olson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326739012 PECOS PAC ID: 9638529217 Enrollment ID: I20231221003573 |
| Provider Name | Michael S Bogaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083607535 PECOS PAC ID: 5294170775 Enrollment ID: I20240225000102 |
| Provider Name | Kathryn R Neuer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1558717082 PECOS PAC ID: 0749629988 Enrollment ID: I20240419002619 |
| Provider Name | Melissa N Sacchetta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437670197 PECOS PAC ID: 5698114841 Enrollment ID: I20240419002881 |
Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308 Phone: 623-266-7858 Fax: 623-444-9810 | |
Harbor Pointe Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306 Phone: 602-548-7800 Fax: 602-548-0006 | |
William E. Zachow D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7802 N 43rd Ave, Suite # 5, Glendale, AZ 85301 Phone: 602-790-4221 | |
Arrowhead Health Center & Spa, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17100 W 67th Ave, 300, Glendale, AZ 85308 Phone: 818-458-2587 | |
Safety One Medical Transportation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8528 N 43rd Dr, Glendale, AZ 85302 Phone: 623-217-1559 | |
Sun Valley Geriatric Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6740 W Deer Valley Rd, Suite D 107, Glendale, AZ 85310 Phone: 623-734-7414 | |
Woods Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20652 N 53rd Ave, Glendale, AZ 85308 Phone: 262-383-5517 Fax: 920-268-4285 |