| Mountain Park Health Center | |
|
635 E. Baseline Rd. Phoenix AZ 85042-6551 | |
| (602) 243-7277 | |
| (602) 243-1235 |
| Full Name | Mountain Park Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 635 E. Baseline Rd., Phoenix, Arizona |
| Authorized Official Name and Position | John R Swagert (CEO) |
| Authorized Official Contact | 6023233242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Park Health Center 3003 N Central Ave Ste 1600 Phoenix AZ 85012-2908 Ph: (602) 323-3242 | Mountain Park Health Center 635 E. Baseline Rd. Phoenix AZ 85042-6551 Ph: (602) 243-7277 |
| NPI Number | 1558308825 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 03/13/2018 |
| Medicare PECOS PAC ID | 8325949647 |
|---|---|
| Medicare Enrollment ID | O20040119000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558308825 | NPI | - | NPPES |
| FQ31810 | Medicaid | AZ |
| Provider Name | Maureen L Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457311292 PECOS PAC ID: 5193716157 Enrollment ID: I20040519001321 |
| Provider Name | Faiz M Naioom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629035852 PECOS PAC ID: 2062494651 Enrollment ID: I20040607000621 |
| Provider Name | Kim M Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816777 PECOS PAC ID: 0042284846 Enrollment ID: I20040830000229 |
| Provider Name | Lydia G Ehlenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700846631 PECOS PAC ID: 0446210629 Enrollment ID: I20041012001326 |
| Provider Name | Janine M Sutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932106192 PECOS PAC ID: 3375585409 Enrollment ID: I20050527000678 |
| Provider Name | Judith A Mead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942273156 PECOS PAC ID: 1951347376 Enrollment ID: I20050707000131 |
| Provider Name | Donald Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104887082 PECOS PAC ID: 6204865801 Enrollment ID: I20050804000226 |
| Provider Name | Marjorie S Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992766158 PECOS PAC ID: 0143251132 Enrollment ID: I20050830000316 |
| Provider Name | Tiffany M Simpson-vassall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700846599 PECOS PAC ID: 6103857198 Enrollment ID: I20050830000340 |
| Provider Name | Susan F Sandmann Uy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528035508 PECOS PAC ID: 3274558218 Enrollment ID: I20051010000539 |
| Provider Name | Gregory R Curvan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407826985 PECOS PAC ID: 5395760151 Enrollment ID: I20051011000354 |
| Provider Name | Nancy Catherine Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841251725 PECOS PAC ID: 6507870177 Enrollment ID: I20060202000801 |
| Provider Name | Roxanne Lorans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871577627 PECOS PAC ID: 7113981895 Enrollment ID: I20061017000513 |
| Provider Name | Monique G Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720018195 PECOS PAC ID: 9335117548 Enrollment ID: I20070416000508 |
| Provider Name | Ugonna K Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649294760 PECOS PAC ID: 1850498353 Enrollment ID: I20070517000491 |
| Provider Name | Thomas E Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477663698 PECOS PAC ID: 0143328369 Enrollment ID: I20070611000670 |
| Provider Name | Rachel K Sy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932268752 PECOS PAC ID: 8022116169 Enrollment ID: I20070613000294 |
| Provider Name | Victor J Pizzitola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194754259 PECOS PAC ID: 5890799803 Enrollment ID: I20070910000766 |
| Provider Name | Dalisa Barquero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790867349 PECOS PAC ID: 5496641524 Enrollment ID: I20071120000098 |
| Provider Name | Fernando Vazquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710049150 PECOS PAC ID: 4486738143 Enrollment ID: I20080220000242 |
| Provider Name | Davinder P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497716898 PECOS PAC ID: 4082798418 Enrollment ID: I20080225000412 |
| Provider Name | Janet J Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922294982 PECOS PAC ID: 0941379697 Enrollment ID: I20080521000030 |
| Provider Name | Shashikala Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568422905 PECOS PAC ID: 2860560067 Enrollment ID: I20081001000087 |
| Provider Name | Marina E Giurescu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104809789 PECOS PAC ID: 6204978646 Enrollment ID: I20100122000251 |
| Provider Name | Debra F Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629302229 PECOS PAC ID: 3375686389 Enrollment ID: I20100129000391 |
| Provider Name | William G Eversman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689657405 PECOS PAC ID: 0244374403 Enrollment ID: I20100225000766 |
| Provider Name | Wayne A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063610293 PECOS PAC ID: 9830225499 Enrollment ID: I20100407000514 |
| Provider Name | Elmira R Pashayeva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598950404 PECOS PAC ID: 8921137951 Enrollment ID: I20100528000636 |
| Provider Name | Tamara Sumler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699096115 PECOS PAC ID: 1153446455 Enrollment ID: I20100909000952 |
| Provider Name | Michella Janel Switzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376707638 PECOS PAC ID: 4587730841 Enrollment ID: I20101104001201 |
| Provider Name | Shirley Kiyoko Sawai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952360356 PECOS PAC ID: 1557556644 Enrollment ID: I20101115001084 |
| Provider Name | Annette Y Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215263983 PECOS PAC ID: 2668666181 Enrollment ID: I20110920000339 |
| Provider Name | John Kariuki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932364445 PECOS PAC ID: 2163699273 Enrollment ID: I20120112000530 |
| Provider Name | Sean T Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831421767 PECOS PAC ID: 2062445216 Enrollment ID: I20120126000722 |
| Provider Name | Kathleen E Horowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205866993 PECOS PAC ID: 5193614501 Enrollment ID: I20120605000627 |
| Provider Name | Anitha Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932363876 PECOS PAC ID: 9638329253 Enrollment ID: I20121017000183 |
| Provider Name | Priya Vannarath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760645667 PECOS PAC ID: 6002069911 Enrollment ID: I20121228000400 |
| Provider Name | Richa Duggal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922236231 PECOS PAC ID: 3274787809 Enrollment ID: I20130207000529 |
| Provider Name | Nancy Hagener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164866570 PECOS PAC ID: 5294973004 Enrollment ID: I20130605000633 |
| Provider Name | Rachel Np Prell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265596753 PECOS PAC ID: 6204075666 Enrollment ID: I20130614000175 |
| Provider Name | Kelli L Lesage-bank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578808994 PECOS PAC ID: 3173764693 Enrollment ID: I20130725000993 |
| Provider Name | Erin C Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265761035 PECOS PAC ID: 3072754191 Enrollment ID: I20130731000791 |
| Provider Name | Elizabeth O Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831150713 PECOS PAC ID: 5799927497 Enrollment ID: I20130808000705 |
| Provider Name | Michelle L Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831539410 PECOS PAC ID: 1355585597 Enrollment ID: I20130910000388 |
| Provider Name | Heidi M Dillenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275966426 PECOS PAC ID: 3072546225 Enrollment ID: I20130910000923 |
| Provider Name | Emma Louise Edwards-keltgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013340264 PECOS PAC ID: 6305080490 Enrollment ID: I20130911000144 |
| Provider Name | Jennifer Santerre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306278759 PECOS PAC ID: 1951545524 Enrollment ID: I20131031000176 |
| Provider Name | Celine R Upton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528347812 PECOS PAC ID: 6507097029 Enrollment ID: I20140326002220 |
| Provider Name | Alice Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568890309 PECOS PAC ID: 7012140791 Enrollment ID: I20140502001854 |
| Provider Name | Denise K Gentles-ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063745941 PECOS PAC ID: 6709925845 Enrollment ID: I20140505002228 |
| Provider Name | Abraham Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396929063 PECOS PAC ID: 7517180599 Enrollment ID: I20140520000965 |
| Provider Name | Laura T Mercer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083841969 PECOS PAC ID: 6608099296 Enrollment ID: I20140529001552 |
| Provider Name | Marneece Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285949412 PECOS PAC ID: 5092935015 Enrollment ID: I20140925000882 |
| Provider Name | Tritia Maria Pusateri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568783314 PECOS PAC ID: 1557684164 Enrollment ID: I20150106000583 |
| Provider Name | Clarissa D Markham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578969598 PECOS PAC ID: 1557685989 Enrollment ID: I20150113001620 |
| Provider Name | Jamie L Solomon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730586975 PECOS PAC ID: 0648595728 Enrollment ID: I20150212000568 |
| Provider Name | James S Baik |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982967311 PECOS PAC ID: 1052638673 Enrollment ID: I20150319001593 |
| Provider Name | Joleen Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629460092 PECOS PAC ID: 5395056543 Enrollment ID: I20150615002605 |
| Provider Name | Priyanka Sherchan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821226457 PECOS PAC ID: 1355653551 Enrollment ID: I20150630002877 |
| Provider Name | Bhavika K Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720260896 PECOS PAC ID: 0244495737 Enrollment ID: I20150819009077 |
| Provider Name | Liliana Garcia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518050145 PECOS PAC ID: 6103132451 Enrollment ID: I20150901001147 |
| Provider Name | Maria Victoria De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254802 PECOS PAC ID: 2163731548 Enrollment ID: I20151026002450 |
| Provider Name | Krystal Romney Spilsbury |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588031066 PECOS PAC ID: 7416267133 Enrollment ID: I20151110000799 |
| Provider Name | Chyi J Wei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124342720 PECOS PAC ID: 6002116977 Enrollment ID: I20151125000262 |
| Provider Name | Julie A Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942679188 PECOS PAC ID: 3476854498 Enrollment ID: I20151216002832 |
| Provider Name | Mary Hunt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881050003 PECOS PAC ID: 8325341803 Enrollment ID: I20160115000712 |
| Provider Name | Shiva Sobhanian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215275375 PECOS PAC ID: 2264735109 Enrollment ID: I20160126002511 |
| Provider Name | Clifford Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992844930 PECOS PAC ID: 5092018952 Enrollment ID: I20160127000372 |
| Provider Name | Kirsten Adamson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952701013 PECOS PAC ID: 7618271370 Enrollment ID: I20160201002441 |
| Provider Name | Amanda L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780023499 PECOS PAC ID: 5799002747 Enrollment ID: I20160914002971 |
| Provider Name | Sonja M Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1104916824 PECOS PAC ID: 8527346295 Enrollment ID: I20161031002535 |
| Provider Name | Joanna Andujar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245470293 PECOS PAC ID: 0840579280 Enrollment ID: I20161108000738 |
| Provider Name | Stephen James Glaze |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760840300 PECOS PAC ID: 5193005213 Enrollment ID: I20161207001804 |
| Provider Name | Mandy S Oliden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538472766 PECOS PAC ID: 1254612294 Enrollment ID: I20170105000268 |
| Provider Name | Marissa L Dugan-bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669904074 PECOS PAC ID: 1951688811 Enrollment ID: I20170501002393 |
| Provider Name | Jake Barnard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134413180 PECOS PAC ID: 6305166083 Enrollment ID: I20170627002026 |
| Provider Name | Kyra Artise |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609304641 PECOS PAC ID: 3577832385 Enrollment ID: I20170711002429 |
| Provider Name | Jessica H Younger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295135416 PECOS PAC ID: 9739458449 Enrollment ID: I20170711002878 |
| Provider Name | Monica Guerrero |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932639820 PECOS PAC ID: 5092084772 Enrollment ID: I20170712001693 |
| Provider Name | Evelyn N Coronado |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295259075 PECOS PAC ID: 4385919299 Enrollment ID: I20171003005639 |
| Provider Name | Starla Schmidt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184142465 PECOS PAC ID: 0547526535 Enrollment ID: I20171107002952 |
| Provider Name | Agnes I Bartha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831373562 PECOS PAC ID: 2567720121 Enrollment ID: I20180103002038 |
| Provider Name | Delia Avelar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073065900 PECOS PAC ID: 4183984040 Enrollment ID: I20180214001558 |
| Provider Name | Xenia M Cabey Molinar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710954839 PECOS PAC ID: 9638430473 Enrollment ID: I20180219001925 |
| Provider Name | Stephanie L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114437084 PECOS PAC ID: 9436413895 Enrollment ID: I20180510002328 |
| Provider Name | Kendra M Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477965218 PECOS PAC ID: 0941573877 Enrollment ID: I20180615001956 |
| Provider Name | Christine Le Chavez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114277381 PECOS PAC ID: 8527316090 Enrollment ID: I20180731004120 |
| Provider Name | Chelsea Aubree Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444801 PECOS PAC ID: 8820347081 Enrollment ID: I20180821001967 |
| Provider Name | Jessica L Leslie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164902011 PECOS PAC ID: 5395099535 Enrollment ID: I20181107000579 |
| Provider Name | Cherriee M Deshong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093298283 PECOS PAC ID: 2961746706 Enrollment ID: I20181204003579 |
| Provider Name | Whitney L Downs |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902334378 PECOS PAC ID: 5799058475 Enrollment ID: I20181207000931 |
| Provider Name | Melissa A Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578981551 PECOS PAC ID: 5597065573 Enrollment ID: I20181211003243 |
| Provider Name | Sarah J Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801362892 PECOS PAC ID: 8325383961 Enrollment ID: I20181230000040 |
| Provider Name | Kristina Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325913 PECOS PAC ID: 6103162847 Enrollment ID: I20190116002988 |
| Provider Name | Laura B Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467917377 PECOS PAC ID: 3971842154 Enrollment ID: I20190306000562 |
| Provider Name | Rebecca L Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164995643 PECOS PAC ID: 4082955323 Enrollment ID: I20190415000093 |
| Provider Name | Dinna Rosenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093811952 PECOS PAC ID: 6103169743 Enrollment ID: I20190522000972 |
| Provider Name | Kathleen A Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255380770 PECOS PAC ID: 0345318705 Enrollment ID: I20190815001319 |
| Provider Name | Jeffrey David Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366734998 PECOS PAC ID: 5294044285 Enrollment ID: I20190820003481 |
| Provider Name | Maria M Mendoza-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558609727 PECOS PAC ID: 8921238007 Enrollment ID: I20191213001689 |
| Provider Name | Destinee A Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134774185 PECOS PAC ID: 4981038643 Enrollment ID: I20200106001329 |
| Provider Name | Melissa A Byram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740249945 PECOS PAC ID: 6709063613 Enrollment ID: I20200204002546 |
| Provider Name | Rosa L Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730244765 PECOS PAC ID: 0547422560 Enrollment ID: I20200205002958 |
| Provider Name | Terri L Joliet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225148406 PECOS PAC ID: 5395171292 Enrollment ID: I20200213001314 |
| Provider Name | Manyil Dashe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841821642 PECOS PAC ID: 6406283365 Enrollment ID: I20200320001663 |
| Provider Name | Jennifer L Spaude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366072399 PECOS PAC ID: 2668801697 Enrollment ID: I20200326001778 |
| Provider Name | Alison P Shepherd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669779716 PECOS PAC ID: 4082899455 Enrollment ID: I20200331000673 |
| Provider Name | Jessica L Giles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003275546 PECOS PAC ID: 4385983394 Enrollment ID: I20200408004241 |
| Provider Name | Maria P Anzures |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792205 PECOS PAC ID: 0547699670 Enrollment ID: I20200410000797 |
| Provider Name | Melanie Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700329729 PECOS PAC ID: 5799114856 Enrollment ID: I20200411000803 |
| Provider Name | Anna K Lazzaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083247316 PECOS PAC ID: 0244660652 Enrollment ID: I20200427002624 |
| Provider Name | Dawn C Bridges-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891107322 PECOS PAC ID: 8527480243 Enrollment ID: I20200624003249 |
| Provider Name | Amy M Mandile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437778933 PECOS PAC ID: 8426470170 Enrollment ID: I20200702000919 |
| Provider Name | Jose Leon F Godinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093330532 PECOS PAC ID: 4082037858 Enrollment ID: I20200713001354 |
| Provider Name | Aryela Janine Swope Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841470226 PECOS PAC ID: 4284917881 Enrollment ID: I20200715001336 |
| Provider Name | Anthony J Canestraro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811346968 PECOS PAC ID: 1153694096 Enrollment ID: I20200728003615 |
| Provider Name | Tiffany A Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720305840 PECOS PAC ID: 0648699678 Enrollment ID: I20200924002023 |
| Provider Name | Kara J Larter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982216156 PECOS PAC ID: 1254750912 Enrollment ID: I20200929002535 |
| Provider Name | Jozzette E Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649895574 PECOS PAC ID: 0345669651 Enrollment ID: I20201005002643 |
| Provider Name | Karen H Martinot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699381566 PECOS PAC ID: 1254751431 Enrollment ID: I20201009001650 |
| Provider Name | Cinthia G Arredondo Paramo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073124525 PECOS PAC ID: 4688094121 Enrollment ID: I20201021002578 |
| Provider Name | Blessy Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043819733 PECOS PAC ID: 8224449384 Enrollment ID: I20201120000176 |
| Provider Name | Jody L Di Cosola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548856537 PECOS PAC ID: 4587078191 Enrollment ID: I20210121003205 |
| Provider Name | Rebecca Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952000 PECOS PAC ID: 2769896067 Enrollment ID: I20210127003582 |
| Provider Name | Cristen S Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881252369 PECOS PAC ID: 4385059427 Enrollment ID: I20210223001015 |
| Provider Name | Amanda L Bennetch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134710197 PECOS PAC ID: 7113332263 Enrollment ID: I20210223001381 |
| Provider Name | Keith A Noback |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154437317 PECOS PAC ID: 5799943601 Enrollment ID: I20210323002633 |
| Provider Name | Emily C Pope |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629674023 PECOS PAC ID: 2668880907 Enrollment ID: I20210426002046 |
| Provider Name | Marcus C Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487234522 PECOS PAC ID: 9931517281 Enrollment ID: I20210505001730 |
| Provider Name | Magdalena Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144812983 PECOS PAC ID: 4789093550 Enrollment ID: I20210506002403 |
| Provider Name | Kristin N Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689140386 PECOS PAC ID: 8628315249 Enrollment ID: I20210604002685 |
| Provider Name | Andrea Y Andersen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801384474 PECOS PAC ID: 0042610446 Enrollment ID: I20210607000826 |
| Provider Name | Hinal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410042 PECOS PAC ID: 8729487970 Enrollment ID: I20210614002116 |
| Provider Name | Duncan Tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174583553 PECOS PAC ID: 7214338391 Enrollment ID: I20210628000166 |
| Provider Name | Kimberli M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118919 PECOS PAC ID: 9032514831 Enrollment ID: I20210817002019 |
| Provider Name | Yoftahe Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396156881 PECOS PAC ID: 6800172040 Enrollment ID: I20210826002387 |
| Provider Name | Supriya Pradhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740702984 PECOS PAC ID: 0143626507 Enrollment ID: I20210909002872 |
| Provider Name | Natasha M Makarova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083143473 PECOS PAC ID: 4587060967 Enrollment ID: I20210909003509 |
| Provider Name | Alexander S Renpenning Carrasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487141818 PECOS PAC ID: 1254737653 Enrollment ID: I20210910000644 |
| Provider Name | Supriya Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033643655 PECOS PAC ID: 8628466752 Enrollment ID: I20211022000925 |
| Provider Name | Tanisha M Kindred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255003174 PECOS PAC ID: 9638568934 Enrollment ID: I20211108000527 |
| Provider Name | Marcus A Mather |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073275749 PECOS PAC ID: 2264822170 Enrollment ID: I20211208003337 |
| Provider Name | Karissa E Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235800319 PECOS PAC ID: 0840686051 Enrollment ID: I20220414001820 |
| Provider Name | Darren W Housel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023031507 PECOS PAC ID: 4385675644 Enrollment ID: I20220427002525 |
| Provider Name | Alexandra K Stovicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679215388 PECOS PAC ID: 8224416250 Enrollment ID: I20220603001398 |
| Provider Name | Jill Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895105 PECOS PAC ID: 0941680789 Enrollment ID: I20220711001187 |
| Provider Name | Lauren Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437890936 PECOS PAC ID: 3577944438 Enrollment ID: I20220722002995 |
| Provider Name | Seth H Covert |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982068771 PECOS PAC ID: 5294028494 Enrollment ID: I20220818003198 |
| Provider Name | Tara Nofziger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184355216 PECOS PAC ID: 6002290962 Enrollment ID: I20220826002214 |
| Provider Name | Mary Elizabeth Baum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225766975 PECOS PAC ID: 9638553316 Enrollment ID: I20220830000098 |
| Provider Name | Jaela Cabrera Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952049801 PECOS PAC ID: 3173990504 Enrollment ID: I20221027002314 |
| Provider Name | Pamela Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730192246 PECOS PAC ID: 8224405055 Enrollment ID: I20221107002878 |
| Provider Name | Holly Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134848526 PECOS PAC ID: 2961879457 Enrollment ID: I20221114001872 |
| Provider Name | Kelly Peper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104540491 PECOS PAC ID: 4880062074 Enrollment ID: I20221118001817 |
| Provider Name | Christa Desrosiers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154885101 PECOS PAC ID: 2264771096 Enrollment ID: I20221121001496 |
| Provider Name | Emily Steger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346961265 PECOS PAC ID: 0749658813 Enrollment ID: I20221121001942 |
| Provider Name | Guanlan Liu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710608930 PECOS PAC ID: 0244608321 Enrollment ID: I20221121002172 |
| Provider Name | Dyanna Luevano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194448191 PECOS PAC ID: 0446628531 Enrollment ID: I20221121002606 |
| Provider Name | Alicia L Brooks-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932454832 PECOS PAC ID: 8527201136 Enrollment ID: I20221130003518 |
| Provider Name | Christopher M Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972822591 PECOS PAC ID: 2062645237 Enrollment ID: I20221213002404 |
| Provider Name | Madison R Huot |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013622810 PECOS PAC ID: 0244601334 Enrollment ID: I20230127002840 |
| Provider Name | Kaitlin Elizabeth Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206803 PECOS PAC ID: 1355775768 Enrollment ID: I20230313001565 |
| Provider Name | Sydney Hilton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124736392 PECOS PAC ID: 0042684193 Enrollment ID: I20230313002317 |
| Provider Name | Shukairo Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659666444 PECOS PAC ID: 8921241522 Enrollment ID: I20230316000392 |
| Provider Name | Karina N Juarez Estrada |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023720588 PECOS PAC ID: 8022482975 Enrollment ID: I20230316001655 |
| Provider Name | Gloria Gonzalez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922725910 PECOS PAC ID: 3072987874 Enrollment ID: I20230317001412 |
| Provider Name | Pooja Dhananjayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497982789 PECOS PAC ID: 9931525623 Enrollment ID: I20230322002886 |
| Provider Name | Jennifer C Savageau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902521321 PECOS PAC ID: 1254706484 Enrollment ID: I20230331000851 |
| Provider Name | Mayra A Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538173208 PECOS PAC ID: 4688779416 Enrollment ID: I20230503000656 |
| Provider Name | Craig A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609140557 PECOS PAC ID: 6002271723 Enrollment ID: I20230503000842 |
| Provider Name | Morgan K Euzarraga |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790498178 PECOS PAC ID: 7416312046 Enrollment ID: I20230503001577 |
| Provider Name | Shelley Ma Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063122356 PECOS PAC ID: 1456717008 Enrollment ID: I20230524000443 |
| Provider Name | Annabella L Ankeney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083300859 PECOS PAC ID: 6103283635 Enrollment ID: I20230526002322 |
| Provider Name | Anthony W Reese |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508354937 PECOS PAC ID: 7517324163 Enrollment ID: I20230613001810 |
| Provider Name | Karen S Burkhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992924070 PECOS PAC ID: 1557729787 Enrollment ID: I20230621001417 |
| Provider Name | John P Gossett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578880720 PECOS PAC ID: 9638361942 Enrollment ID: I20230621002091 |
| Provider Name | Amanda Rae Nelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952022725 PECOS PAC ID: 1557729639 Enrollment ID: I20230621003592 |
| Provider Name | Melinda A Rusanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689399446 PECOS PAC ID: 1658739628 Enrollment ID: I20230623000054 |
| Provider Name | Glenda K Thomson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063738359 PECOS PAC ID: 9436287737 Enrollment ID: I20230715000732 |
| Provider Name | Louannie T Godinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154008357 PECOS PAC ID: 1759735533 Enrollment ID: I20230927002831 |
| Provider Name | Nichol M Mchale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205375599 PECOS PAC ID: 5597034439 Enrollment ID: I20230928002249 |
| Provider Name | Adriana M Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255976627 PECOS PAC ID: 1951755628 Enrollment ID: I20230928002959 |
| Provider Name | Mary E Vejnoska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851070700 PECOS PAC ID: 0345695243 Enrollment ID: I20231012002834 |
| Provider Name | Karina L Robledo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902529258 PECOS PAC ID: 2961857875 Enrollment ID: I20231012003003 |
| Provider Name | Jessica A Limon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083288849 PECOS PAC ID: 5991154684 Enrollment ID: I20231206002339 |
| Provider Name | Leoncia K Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508642158 PECOS PAC ID: 4789033481 Enrollment ID: I20231206002842 |
| Provider Name | Sneha N Gade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871107458 PECOS PAC ID: 4789033275 Enrollment ID: I20231208002531 |
| Provider Name | Lindsey Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427835610 PECOS PAC ID: 6406290246 Enrollment ID: I20240220002001 |
| Provider Name | Drew Cavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497126940 PECOS PAC ID: 6002250842 Enrollment ID: I20240220002154 |
| Provider Name | Adriana M Lopez-piper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881469880 PECOS PAC ID: 3577908359 Enrollment ID: I20240302000668 |
| Provider Name | Samantha Armes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114795507 PECOS PAC ID: 4082050737 Enrollment ID: I20240315002802 |
| Provider Name | Amber Lynee Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063143865 PECOS PAC ID: 1456798933 Enrollment ID: I20240319003748 |
| Provider Name | Lauren Auditore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205618345 PECOS PAC ID: 5193162477 Enrollment ID: I20240321003542 |
| Provider Name | Harsimran Kaur Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194288837 PECOS PAC ID: 5991142796 Enrollment ID: I20240327003672 |
| Provider Name | Janise W Luna-benally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295509214 PECOS PAC ID: 0547607335 Enrollment ID: I20240328003062 |
| Provider Name | Hayley Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568120681 PECOS PAC ID: 5294173407 Enrollment ID: I20240408001807 |
| Provider Name | Bridget Rose O'connell-long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750888079 PECOS PAC ID: 0648521088 Enrollment ID: I20240411004512 |
| Provider Name | Esther Apraku Bondzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295515245 PECOS PAC ID: 1951740513 Enrollment ID: I20240415003723 |
| Provider Name | Amanda Leeh Blackhorse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841638111 PECOS PAC ID: 1456790005 Enrollment ID: I20240416003093 |
| Provider Name | Tess Hanen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659153732 PECOS PAC ID: 7719326149 Enrollment ID: I20240418002454 |
| Provider Name | Ashley Ann Rieker-dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356121727 PECOS PAC ID: 1456791466 Enrollment ID: I20240424001877 |
| Provider Name | Tiffany Marie Luc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164108205 PECOS PAC ID: 4082054721 Enrollment ID: I20240429003299 |
| Provider Name | Marjorie Searcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568228138 PECOS PAC ID: 2062852585 Enrollment ID: I20240501002486 |
| Provider Name | Stephanie Carpenter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083479802 PECOS PAC ID: 5597105999 Enrollment ID: I20240502001500 |
| Provider Name | Madilynn Nicole Szoboszlay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053944975 PECOS PAC ID: 1153761366 Enrollment ID: I20240503002205 |
| Provider Name | Manuel G Guajardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780734699 PECOS PAC ID: 5597771865 Enrollment ID: I20240510000035 |
| Provider Name | Savannah Aycock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346095973 PECOS PAC ID: 2163863432 Enrollment ID: I20240517000707 |
| Provider Name | Elizabeth Argueta Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598543811 PECOS PAC ID: 0446692685 Enrollment ID: I20240520003461 |
| Provider Name | Emilie Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770344061 PECOS PAC ID: 2961844337 Enrollment ID: I20240530002926 |
| Provider Name | Lucinda C Mcgarvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083659544 PECOS PAC ID: 3274627997 Enrollment ID: I20240605002510 |
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 |