| Optima Medical Care, Llc | |
|
8575 E Princess Dr Ste 117 Scottsdale AZ 85255-5437 | |
| (480) 889-1961 | |
| (480) 264-7012 |
| Full Name | Optima Medical Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8575 E Princess Dr Ste 117, Scottsdale, Arizona |
| Authorized Official Name and Position | Paul J Sos (OWNER) |
| Authorized Official Contact | 4802204392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optima Medical Care, Llc 8575 E Princess Dr Ste 117 Scottsdale AZ 85255-5437 Ph: (480) 889-1961 | Optima Medical Care, Llc 8575 E Princess Dr Ste 117 Scottsdale AZ 85255-5437 Ph: (480) 889-1961 |
| NPI Number | 1235380007 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 03/10/2017 |
| Medicare PECOS PAC ID | 2062572563 |
|---|---|
| Medicare Enrollment ID | O20081113000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235380007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 51955 (Arizona) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | (* (Not Available)) | Secondary |
| Provider Name | Paul J Sos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437122553 PECOS PAC ID: 9234164336 Enrollment ID: I20050928000063 |
| Provider Name | John C Opie |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1043272628 PECOS PAC ID: 5597782177 Enrollment ID: I20051102000379 |
| Provider Name | Frank A Bonavita |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366446312 PECOS PAC ID: 8123171659 Enrollment ID: I20170901001530 |
| Provider Name | Robert Stoffey |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1033153812 PECOS PAC ID: 7416851480 Enrollment ID: I20191015001341 |
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