| Paradise Valley Family Medicine, Pc | |
|
11209 N Tatum Blvd Suite 180 Phoenix AZ 85028-3091 | |
| (602) 494-5155 | |
| (602) 494-5115 |
| Full Name | Paradise Valley Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11209 N Tatum Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Teresa J O'brien (MANAGER) |
| Authorized Official Contact | 6024945118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Valley Family Medicine, Pc 11209 N. Tatum Blvd Suite 180 Phoenix AZ 85028 Ph: (602) 494-5155 | Paradise Valley Family Medicine, Pc 11209 N Tatum Blvd Suite 180 Phoenix AZ 85028-3091 Ph: (602) 494-5155 |
| NPI Number | 1598872186 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 3375435761 |
|---|---|
| Medicare Enrollment ID | O20040329001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598872186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David D Minor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356441356 PECOS PAC ID: 6406848217 Enrollment ID: I20040401000436 |
| Provider Name | Gypsy F Paar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477592871 PECOS PAC ID: 5092796193 Enrollment ID: I20040624001566 |
| Provider Name | Warren C Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134168925 PECOS PAC ID: 1759273154 Enrollment ID: I20040803000661 |
| Provider Name | Lindsay E Teel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215950134 PECOS PAC ID: 1658306311 Enrollment ID: I20050930000477 |
| Provider Name | Anthony J Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104865922 PECOS PAC ID: 8527950922 Enrollment ID: I20051005000403 |
| Provider Name | Monica Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003149329 PECOS PAC ID: 4486966694 Enrollment ID: I20150701000014 |
| Provider Name | Janet Cupone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265898795 PECOS PAC ID: 7517266190 Enrollment ID: I20160503001902 |
| Provider Name | Amy Hanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699152900 PECOS PAC ID: 3577854058 Enrollment ID: I20160614002290 |
| Provider Name | Sonja G Kerth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407208135 PECOS PAC ID: 9133467806 Enrollment ID: I20190205003225 |
| Provider Name | Sammya Shahla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407175284 PECOS PAC ID: 1951538347 Enrollment ID: I20190925002435 |
| Provider Name | Brooke Spalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043094881 PECOS PAC ID: 8729433529 Enrollment ID: I20231014000350 |
| Provider Name | Marian L Brock-andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346927365 PECOS PAC ID: 1951757277 Enrollment ID: I20231023003580 |
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 | |
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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 | |
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