| Carefirst Wellness Associates Of Arizona | |
|
12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 | |
| (623) 227-1000 | |
| (623) 227-2000 |
| Full Name | Carefirst Wellness Associates Of Arizona |
|---|---|
| Speciality | Clinic/Center |
| Location | 12361 W Bola Dr, Surprise, Arizona |
| Authorized Official Name and Position | Haresh Boghara (OWNER) |
| Authorized Official Contact | 2142502140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carefirst Wellness Associates Of Arizona 12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 Ph: (623) 227-1000 | Carefirst Wellness Associates Of Arizona 12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 Ph: (623) 227-1000 |
| NPI Number | 1598125791 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 2466709274 |
|---|---|
| Medicare Enrollment ID | O20180725002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598125791 | NPI | - | NPPES |
| Provider Name | Pankaj Jain |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730152422 PECOS PAC ID: 4385610070 Enrollment ID: I20040903000420 |
| Provider Name | Heather A Killam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114914967 PECOS PAC ID: 3375507411 Enrollment ID: I20041117000971 |
| Provider Name | Robert S Bear |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275534364 PECOS PAC ID: 3779523121 Enrollment ID: I20050505000418 |
| Provider Name | Daniel B Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932173127 PECOS PAC ID: 8820026396 Enrollment ID: I20050727000571 |
| Provider Name | Andy T Tran |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295781029 PECOS PAC ID: 6305815622 Enrollment ID: I20060626000130 |
| Provider Name | Todd W Turley |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1437123775 PECOS PAC ID: 1658283700 Enrollment ID: I20070413000210 |
| Provider Name | Rohit Dwivedi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255398194 PECOS PAC ID: 5193800175 Enrollment ID: I20080314000533 |
| Provider Name | Nirav J Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801865415 PECOS PAC ID: 2062408842 Enrollment ID: I20080819000264 |
| Provider Name | Keiko S Fakhraie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891991642 PECOS PAC ID: 9537212410 Enrollment ID: I20090727000196 |
| Provider Name | Kishlay Anand |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104984491 PECOS PAC ID: 0840292066 Enrollment ID: I20100617000476 |
| Provider Name | Prabhakar Pandey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861491870 PECOS PAC ID: 4486742103 Enrollment ID: I20101220000717 |
| Provider Name | Angel M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144508466 PECOS PAC ID: 8729252184 Enrollment ID: I20111121000409 |
| Provider Name | Nezar Dahdal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194977405 PECOS PAC ID: 7214093236 Enrollment ID: I20130121000063 |
| Provider Name | Gregory C Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770760589 PECOS PAC ID: 5698929594 Enrollment ID: I20130130000302 |
| Provider Name | Jamie Lynn Tumbleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851722342 PECOS PAC ID: 9133442817 Enrollment ID: I20150105001040 |
| Provider Name | Mary Joy D Balbarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396148508 PECOS PAC ID: 4789908492 Enrollment ID: I20150128000495 |
| Provider Name | Mary L Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629327010 PECOS PAC ID: 3375789704 Enrollment ID: I20150304001788 |
| Provider Name | Stephen Marcus Larsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215165584 PECOS PAC ID: 3870803059 Enrollment ID: I20151030002303 |
| Provider Name | Sarah Joan Grohmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437511896 PECOS PAC ID: 7618135062 Enrollment ID: I20160531001953 |
| Provider Name | Jesse Hatgis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154666139 PECOS PAC ID: 2163792995 Enrollment ID: I20170726003049 |
| Provider Name | Patricia Gwen Folden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356870695 PECOS PAC ID: 5698046134 Enrollment ID: I20170802001586 |
| Provider Name | Kathryn Leigh Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023535580 PECOS PAC ID: 6608140454 Enrollment ID: I20170918003725 |
| Provider Name | Lisa Marie Demidowich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235545278 PECOS PAC ID: 9739453960 Enrollment ID: I20170926003506 |
| Provider Name | Nicole Barth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497066 PECOS PAC ID: 0042576175 Enrollment ID: I20171106003166 |
| Provider Name | Laurel Sockrider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881132314 PECOS PAC ID: 0547547861 Enrollment ID: I20171218001400 |
| Provider Name | Tess Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457705154 PECOS PAC ID: 3577824184 Enrollment ID: I20180222001235 |
| Provider Name | Lesley Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558519231 PECOS PAC ID: 5193952059 Enrollment ID: I20180820001005 |
| Provider Name | Malar Kuppan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295216190 PECOS PAC ID: 1456695998 Enrollment ID: I20181210002790 |
| Provider Name | David K Caropreso |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306885249 PECOS PAC ID: 2769570282 Enrollment ID: I20190430001664 |
| Provider Name | William Paul Hennon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295149896 PECOS PAC ID: 8729200530 Enrollment ID: I20190805002424 |
| Provider Name | Alexus A Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861000564 PECOS PAC ID: 7416375811 Enrollment ID: I20200917000254 |
| Provider Name | Derek Gene Dicamillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972105542 PECOS PAC ID: 4183035900 Enrollment ID: I20201201000660 |
| Provider Name | Steven Glenn Clemenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174541874 PECOS PAC ID: 2860301249 Enrollment ID: I20201223002637 |
| Provider Name | Neil Ghodadra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811144561 PECOS PAC ID: 3476732751 Enrollment ID: I20210303002839 |
| Provider Name | Vivek Narasimhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013302884 PECOS PAC ID: 7618279068 Enrollment ID: I20210405000808 |
| Provider Name | Rachel Margaret Greatwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912431800 PECOS PAC ID: 9739512534 Enrollment ID: I20210713000462 |
| Provider Name | Brittany A Trevino-gombar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558670117 PECOS PAC ID: 2466844568 Enrollment ID: I20220124000762 |
| Provider Name | Eric Clayton Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577810 PECOS PAC ID: 6800228396 Enrollment ID: I20220201000749 |
| Provider Name | Mary B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445575 PECOS PAC ID: 9830561828 Enrollment ID: I20230221003052 |
| Provider Name | Joseph A Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760639892 PECOS PAC ID: 8921167289 Enrollment ID: I20231009003161 |
| Provider Name | Rhonda M Mcgaughran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142075 PECOS PAC ID: 7911272711 Enrollment ID: I20231220002688 |
| Provider Name | Caralee Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082034 PECOS PAC ID: 4688936453 Enrollment ID: I20240104004669 |
Oxford Integrated Health Solutions, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14674 W Mountain View Blvd Ste 100, Surprise, AZ 85374 Phone: 602-510-7142 | |
Adelante Care Today - Surprise Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15317 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 480-964-2273 Fax: 623-544-5119 | |
Cigna Medical Group - Sun City West, Sun City West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13991 W Grand Ave, Suite 105, Surprise, AZ 85374 Phone: 623-455-7800 Fax: 623-455-7810 | |
Good Health Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16324 W Pat Tillman Blvd #101, Surprise, AZ 85387 Phone: 480-677-8282 Fax: 888-316-1686 | |
Surprise Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14800 W Mountain View Blvd, Suite 190, Surprise, AZ 85374 Phone: 623-889-7199 Fax: 623-889-7198 | |
Nha T Lien Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14674 W Mountain View Blvd, Ste 200, Surprise, AZ 85374 Phone: 909-239-4700 | |
Carefirst Wellness Associates Of Az Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12361 W Bola Dr Ste 109, Surprise, AZ 85378 Phone: 623-227-1000 |