Optum Primary Care | |
14973 W Bell Rd #100 Surprise AZ 85374-3202 | |
(623) 815-2900 | |
(623) 583-1319 |
Full Name | Optum Primary Care |
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Speciality | Family Medicine |
Location | 14973 W Bell Rd, Surprise, Arizona |
Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
Authorized Official Contact | 7024802550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optum Primary Care 16435 N Scottsdale Rd Ste 400 Scottsdale AZ 85254-1745 Ph: (602) 675-9005 | Optum Primary Care 14973 W Bell Rd #100 Surprise AZ 85374-3202 Ph: (623) 815-2900 |
NPI Number | 1467563718 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 09/02/2023 |
Medicare PECOS PAC ID | 8527054063 |
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Medicare Enrollment ID | O20040421001226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467563718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | James B Vogt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740332352 PECOS PAC ID: 8921991142 Enrollment ID: I20040224000307 |
Provider Name | Constantin Siclovan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164613675 PECOS PAC ID: 1052302056 Enrollment ID: I20040519000901 |
Provider Name | Ravi K Bajpai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083798334 PECOS PAC ID: 1254330251 Enrollment ID: I20061219000592 |
Provider Name | Gerald R Bush |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811087653 PECOS PAC ID: 3779561428 Enrollment ID: I20080825000578 |
Provider Name | Christopher Szoke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497852396 PECOS PAC ID: 9436288115 Enrollment ID: I20100519000462 |
Provider Name | Jacob M Jones |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720213598 PECOS PAC ID: 7113173709 Enrollment ID: I20120815000055 |
Provider Name | Celine T Villariz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013268630 PECOS PAC ID: 0547586935 Enrollment ID: I20150302001575 |
Provider Name | Stephanie Florence Whiting |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871168807 PECOS PAC ID: 4587050489 Enrollment ID: I20220401000201 |
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