| Sierra Vista Regional Health Center Medical Group Llc | |
|
5750 E Highway 90 Suite 200 Sierra Vista AZ 85635 | |
| (520) 263-3979 | |
| (520) 263-3977 |
| Full Name | Sierra Vista Regional Health Center Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5750 E Highway 90, Sierra Vista, Arizona |
| Authorized Official Name and Position | Monic Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Regional Health Center Medical Group Llc 5750 E Highway 90 Suite 200 Sierra Vista AZ 85635-9111 Ph: (520) 263-3979 | Sierra Vista Regional Health Center Medical Group Llc 5750 E Highway 90 Suite 200 Sierra Vista AZ 85635 Ph: (520) 263-3979 |
| NPI Number | 1043575483 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 10/07/2022 |
| Medicare PECOS PAC ID | 3779732854 |
|---|---|
| Medicare Enrollment ID | O20121004000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043575483 | NPI | - | NPPES |
| 724470 | Medicaid | AZ |
| Provider Name | Ryan Y Tsuda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528289113 PECOS PAC ID: 2961305669 Enrollment ID: I20040129001144 |
| Provider Name | Aaron Scott Hammond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538152236 PECOS PAC ID: 7113908450 Enrollment ID: I20040525000217 |
| Provider Name | John K Ekman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194722256 PECOS PAC ID: 4183695281 Enrollment ID: I20040803000744 |
| Provider Name | Riyaz A Sumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144212721 PECOS PAC ID: 9830160399 Enrollment ID: I20040805001464 |
| Provider Name | Jody L Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609936533 PECOS PAC ID: 0345148854 Enrollment ID: I20050330000357 |
| Provider Name | Lino A Ossanna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003849514 PECOS PAC ID: 8527020387 Enrollment ID: I20050331000724 |
| Provider Name | Margaret A Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841279270 PECOS PAC ID: 8325089816 Enrollment ID: I20050516000052 |
| Provider Name | Laurence M Susini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588603179 PECOS PAC ID: 6608774112 Enrollment ID: I20050803000139 |
| Provider Name | Elson L Revak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306834981 PECOS PAC ID: 0244263911 Enrollment ID: I20050913001213 |
| Provider Name | Michael E Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154365187 PECOS PAC ID: 8426073271 Enrollment ID: I20051011000230 |
| Provider Name | Jeffery B Bushman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174603211 PECOS PAC ID: 4486670676 Enrollment ID: I20051018000001 |
| Provider Name | Kent Winkler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972506277 PECOS PAC ID: 9032195094 Enrollment ID: I20051202000120 |
| Provider Name | Peter Niemczyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518953041 PECOS PAC ID: 7719876457 Enrollment ID: I20060109000432 |
| Provider Name | Mary E Schlotterer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992765846 PECOS PAC ID: 0143232066 Enrollment ID: I20060615000329 |
| Provider Name | Nancy E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245255637 PECOS PAC ID: 8628081932 Enrollment ID: I20060802000412 |
| Provider Name | Bora Ozguler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598785073 PECOS PAC ID: 4981601564 Enrollment ID: I20061024000101 |
| Provider Name | Jarrett Hamilton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033206131 PECOS PAC ID: 5395848378 Enrollment ID: I20070312000561 |
| Provider Name | Wendy Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649468471 PECOS PAC ID: 7517053549 Enrollment ID: I20071022000454 |
| Provider Name | Jihad G Youssef |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457306789 PECOS PAC ID: 0840388146 Enrollment ID: I20071120000701 |
| Provider Name | Jeffrey H Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053385609 PECOS PAC ID: 5890733406 Enrollment ID: I20071231000485 |
| Provider Name | Marsha A Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376568899 PECOS PAC ID: 5890870752 Enrollment ID: I20080317000583 |
| Provider Name | Noelle Herrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336317049 PECOS PAC ID: 0749353050 Enrollment ID: I20080721000153 |
| Provider Name | Michelle D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982738175 PECOS PAC ID: 6305906652 Enrollment ID: I20081117000781 |
| Provider Name | Constance L Slay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396919346 PECOS PAC ID: 5294882940 Enrollment ID: I20090415000203 |
| Provider Name | Hursh S Naik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124139423 PECOS PAC ID: 9436295524 Enrollment ID: I20091002000325 |
| Provider Name | Ramon L Carampatan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245277102 PECOS PAC ID: 5991845026 Enrollment ID: I20091221000279 |
| Provider Name | Blair T Goodsell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811917297 PECOS PAC ID: 1355482852 Enrollment ID: I20100106000299 |
| Provider Name | Aaron B Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013241231 PECOS PAC ID: 2163559907 Enrollment ID: I20101101000745 |
| Provider Name | Catherine P Brainard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912973744 PECOS PAC ID: 7810185089 Enrollment ID: I20110103001024 |
| Provider Name | Louis A Musso |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073512976 PECOS PAC ID: 9931093200 Enrollment ID: I20110128000236 |
| Provider Name | Joel A Falk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700855178 PECOS PAC ID: 2567456338 Enrollment ID: I20110523000089 |
| Provider Name | Eric S Hazelrigg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548249766 PECOS PAC ID: 1557355328 Enrollment ID: I20110524000097 |
| Provider Name | Andrea P Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902050057 PECOS PAC ID: 3274675368 Enrollment ID: I20110819000173 |
| Provider Name | Sidney E Semrad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770525396 PECOS PAC ID: 0840275046 Enrollment ID: I20111213000305 |
| Provider Name | Sanjoy Bhattacharya |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710150693 PECOS PAC ID: 5799857538 Enrollment ID: I20111228000443 |
| Provider Name | Arun S Patil |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093955908 PECOS PAC ID: 3971653130 Enrollment ID: I20120628000052 |
| Provider Name | Natalie M Andress |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427319961 PECOS PAC ID: 9739345760 Enrollment ID: I20120719000329 |
| Provider Name | Larissa Grebenchtchikova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093970766 PECOS PAC ID: 7810062874 Enrollment ID: I20130103000469 |
| Provider Name | Roberto Alfonso Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588803837 PECOS PAC ID: 4082867544 Enrollment ID: I20130111000155 |
| Provider Name | Robert L March |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093811580 PECOS PAC ID: 2668377235 Enrollment ID: I20130116000400 |
| Provider Name | Misty Decker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326380668 PECOS PAC ID: 2163660507 Enrollment ID: I20130524000494 |
| Provider Name | Oday R.s. Al Rabadi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972779643 PECOS PAC ID: 8325288277 Enrollment ID: I20130717000511 |
| Provider Name | Nicolas L Peters |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487844791 PECOS PAC ID: 6608023130 Enrollment ID: I20131022002332 |
| Provider Name | Rachel R Bish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700019098 PECOS PAC ID: 4789810383 Enrollment ID: I20131203001107 |
| Provider Name | Mustafa K Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891967444 PECOS PAC ID: 4880844141 Enrollment ID: I20140306001729 |
| Provider Name | Kimberly M Chestnut |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750717757 PECOS PAC ID: 9234360371 Enrollment ID: I20140402001969 |
| Provider Name | Jules P Manger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144464439 PECOS PAC ID: 8921236605 Enrollment ID: I20140701001895 |
| Provider Name | Karina M Robbins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316100613 PECOS PAC ID: 3971664590 Enrollment ID: I20141021003270 |
| Provider Name | Sherry Hron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285057117 PECOS PAC ID: 7911129838 Enrollment ID: I20141110001043 |
| Provider Name | Eric J Langerman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255629333 PECOS PAC ID: 3173845138 Enrollment ID: I20141201002148 |
| Provider Name | Randall Roy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306001383 PECOS PAC ID: 8628210762 Enrollment ID: I20141204001320 |
| Provider Name | Aaron Moyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518050905 PECOS PAC ID: 0547161416 Enrollment ID: I20150325001198 |
| Provider Name | Ryan Levasseur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881813103 PECOS PAC ID: 5991974156 Enrollment ID: I20150330000962 |
| Provider Name | Pranav V Doshi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013170612 PECOS PAC ID: 5496901043 Enrollment ID: I20150729008221 |
| Provider Name | Wanda Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316928708 PECOS PAC ID: 0941201925 Enrollment ID: I20150909002684 |
| Provider Name | Frederique P Delhaye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497804827 PECOS PAC ID: 7416093059 Enrollment ID: I20151105001390 |
| Provider Name | Superna Kundra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356503510 PECOS PAC ID: 1355598087 Enrollment ID: I20151106002317 |
| Provider Name | Renata Brodsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497983274 PECOS PAC ID: 9931419264 Enrollment ID: I20151117000741 |
| Provider Name | Brian K Daines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962517656 PECOS PAC ID: 1355599648 Enrollment ID: I20151119003025 |
| Provider Name | Bernadette Marie Esquibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569383 PECOS PAC ID: 8022312172 Enrollment ID: I20160210000558 |
| Provider Name | Rodric D Falcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063785350 PECOS PAC ID: 9234367400 Enrollment ID: I20160323001111 |
| Provider Name | Brandi D Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699085126 PECOS PAC ID: 5395967285 Enrollment ID: I20160422002116 |
| Provider Name | Mona Youssef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861468217 PECOS PAC ID: 7315161932 Enrollment ID: I20160512002451 |
| Provider Name | Jonquil Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376940957 PECOS PAC ID: 2062711237 Enrollment ID: I20160725001523 |
| Provider Name | Jeanne Ray Wiedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861728495 PECOS PAC ID: 9739474230 Enrollment ID: I20160823001892 |
| Provider Name | Margaret Riesenberg-karges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235371725 PECOS PAC ID: 5799900874 Enrollment ID: I20160829001891 |
| Provider Name | Charles Taylor Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124196845 PECOS PAC ID: 5294722062 Enrollment ID: I20161011001141 |
| Provider Name | Angelique F Varela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508830696 PECOS PAC ID: 3779536578 Enrollment ID: I20161229001135 |
| Provider Name | Kerby B Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662007 PECOS PAC ID: 4486805587 Enrollment ID: I20170105001915 |
| Provider Name | Vinay Sanghi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114911203 PECOS PAC ID: 4284524356 Enrollment ID: I20170420001461 |
| Provider Name | Jane Ellen Benson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982815171 PECOS PAC ID: 8921379702 Enrollment ID: I20170814000789 |
| Provider Name | Caroline N Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154746352 PECOS PAC ID: 2567687585 Enrollment ID: I20170828000890 |
| Provider Name | Debra Ann Ort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396805412 PECOS PAC ID: 7618925298 Enrollment ID: I20170907001782 |
| Provider Name | Deanna J Kristofic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013207489 PECOS PAC ID: 9133396716 Enrollment ID: I20171002003783 |
| Provider Name | David Arnold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710192786 PECOS PAC ID: 3173616463 Enrollment ID: I20171101002085 |
| Provider Name | James A Benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100287 PECOS PAC ID: 5799900015 Enrollment ID: I20171109001750 |
| Provider Name | Thomas Knutson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003109745 PECOS PAC ID: 1759684939 Enrollment ID: I20171201002147 |
| Provider Name | Aileen Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669790457 PECOS PAC ID: 8820237233 Enrollment ID: I20171213002839 |
| Provider Name | Christa B Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346591286 PECOS PAC ID: 4082846761 Enrollment ID: I20180208001951 |
| Provider Name | Robert Murphy Portley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417299819 PECOS PAC ID: 6608137948 Enrollment ID: I20180228001970 |
| Provider Name | Brian Curtis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891780235 PECOS PAC ID: 9234156258 Enrollment ID: I20180404001341 |
| Provider Name | William F Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467737817 PECOS PAC ID: 9436319035 Enrollment ID: I20180430001968 |
| Provider Name | Barbara Fay Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245395029 PECOS PAC ID: 9537153432 Enrollment ID: I20180515002628 |
| Provider Name | Laura Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699184432 PECOS PAC ID: 4183989536 Enrollment ID: I20180605003470 |
| Provider Name | Justin L Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720588015 PECOS PAC ID: 1759637622 Enrollment ID: I20180706001719 |
| Provider Name | Joseph S Denhalter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528559143 PECOS PAC ID: 2668720749 Enrollment ID: I20180806002638 |
| Provider Name | Matthew Mobily |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750669024 PECOS PAC ID: 7012262108 Enrollment ID: I20180905002462 |
| Provider Name | Michelle Elizabeth Dacosta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235413352 PECOS PAC ID: 3971855768 Enrollment ID: I20181005000239 |
| Provider Name | Nabajit Choudhury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841639507 PECOS PAC ID: 1153676259 Enrollment ID: I20181210002929 |
| Provider Name | Marla J Van Tassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801266572 PECOS PAC ID: 1355644964 Enrollment ID: I20181217001672 |
| Provider Name | Pamela D Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013189505 PECOS PAC ID: 7618212150 Enrollment ID: I20190102002443 |
| Provider Name | Jane S Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588755151 PECOS PAC ID: 9032451372 Enrollment ID: I20190507000738 |
| Provider Name | Todd Hyrum Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184287781 PECOS PAC ID: 0648513945 Enrollment ID: I20190529001915 |
| Provider Name | Ronald William Rosenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568680866 PECOS PAC ID: 7214910009 Enrollment ID: I20190627000757 |
| Provider Name | Robin Thomas Schobert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063072023 PECOS PAC ID: 5294061057 Enrollment ID: I20190731003074 |
| Provider Name | Brandy Arellano |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669033924 PECOS PAC ID: 5395072524 Enrollment ID: I20190812001779 |
| Provider Name | Patricia Alsgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336382993 PECOS PAC ID: 9032268065 Enrollment ID: I20190909002661 |
| Provider Name | Jason J Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396130571 PECOS PAC ID: 6608181995 Enrollment ID: I20190909003929 |
| Provider Name | Kamran Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164684007 PECOS PAC ID: 7012085145 Enrollment ID: I20190925002975 |
| Provider Name | Joanne Rink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215991963 PECOS PAC ID: 7012967664 Enrollment ID: I20191003003041 |
| Provider Name | Andrew J Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538456413 PECOS PAC ID: 3577855485 Enrollment ID: I20200515002422 |
| Provider Name | Laurentine Uwamahoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379469 PECOS PAC ID: 4789005257 Enrollment ID: I20200609002401 |
| Provider Name | Roland Haj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578943585 PECOS PAC ID: 6204171325 Enrollment ID: I20200713001043 |
| Provider Name | Douglas Daniel Opie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154708451 PECOS PAC ID: 8921421702 Enrollment ID: I20200713001622 |
| Provider Name | Laurie Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306375670 PECOS PAC ID: 1557629383 Enrollment ID: I20201014003112 |
| Provider Name | Alta Langdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356751077 PECOS PAC ID: 4486871415 Enrollment ID: I20201022004142 |
| Provider Name | Max Berdichevsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902136823 PECOS PAC ID: 8921264060 Enrollment ID: I20201222002311 |
| Provider Name | Vandana Vedula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922059153 PECOS PAC ID: 2062424716 Enrollment ID: I20210108000728 |
| Provider Name | Yanny L Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073831681 PECOS PAC ID: 1052553427 Enrollment ID: I20210114000920 |
| Provider Name | William Oscar Sarette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093875494 PECOS PAC ID: 4183860059 Enrollment ID: I20210302001858 |
| Provider Name | Sabrina N Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801023510 PECOS PAC ID: 0840426383 Enrollment ID: I20210421000908 |
| Provider Name | Hector Manuel Cabeza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790942688 PECOS PAC ID: 1456544774 Enrollment ID: I20210428000531 |
| Provider Name | Merle Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225091325 PECOS PAC ID: 9436328911 Enrollment ID: I20210728003245 |
| Provider Name | Eric Njiforfut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053844027 PECOS PAC ID: 4688077555 Enrollment ID: I20210729002244 |
| Provider Name | Fadi Fahad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871925610 PECOS PAC ID: 5799022042 Enrollment ID: I20210819002282 |
| Provider Name | Rise Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326799313 PECOS PAC ID: 6406233725 Enrollment ID: I20220506000633 |
| Provider Name | Kendra Bowles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326781808 PECOS PAC ID: 4486034527 Enrollment ID: I20220706003452 |
| Provider Name | Denise Roemen-kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275981110 PECOS PAC ID: 8921386715 Enrollment ID: I20220819002307 |
| Provider Name | Michael V Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629041843 PECOS PAC ID: 5890680995 Enrollment ID: I20221202001756 |
| Provider Name | Sheila Kobiella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659806438 PECOS PAC ID: 7315212909 Enrollment ID: I20221205000999 |
| Provider Name | Tara Lynn Zehmisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699371385 PECOS PAC ID: 2365813953 Enrollment ID: I20230118001150 |
| Provider Name | Dana J Albalate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124736467 PECOS PAC ID: 1951772094 Enrollment ID: I20230127000418 |
| Provider Name | Marybeth Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336807890 PECOS PAC ID: 1658744586 Enrollment ID: I20230223002606 |
| Provider Name | Governor H Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639497 PECOS PAC ID: 4981947546 Enrollment ID: I20230413000180 |
| Provider Name | Alli Elizabeth Anne Skeehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821789223 PECOS PAC ID: 5991164683 Enrollment ID: I20230628002504 |
| Provider Name | Barry Bohlen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710928130 PECOS PAC ID: 2264330232 Enrollment ID: I20230703000858 |
| Provider Name | Jessica Y Calvo Castanon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104114081 PECOS PAC ID: 2567682818 Enrollment ID: I20230828000365 |
| Provider Name | Misty Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427837343 PECOS PAC ID: 5496103939 Enrollment ID: I20231122001272 |
| Provider Name | Anne Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265177331 PECOS PAC ID: 2365822319 Enrollment ID: I20231218002606 |
| Provider Name | Dorlyne M Brchan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629369640 PECOS PAC ID: 5890092233 Enrollment ID: I20240105002679 |
Lucy Burciaga Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Colonia De Salud, Ste 200b, Sierra Vista, AZ 85635 Phone: 502-459-5959 | |
Transmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Joshua Tree Dr, Sierra Vista, AZ 85635 Phone: 520-439-4340 Fax: 520-458-0798 | |
Sierra Gastroenterology, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4990 E Mediterranean Dr, Suite A, Sierra Vista, AZ 85635 Phone: 520-458-5890 Fax: 520-458-4439 | |
Cchci Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 Calle Portal Ste A140, Sierra Vista, AZ 85635 Phone: 520-364-1429 | |
Valley Vista Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 157 N Coronado Dr, #c, Sierra Vista, AZ 85635 Phone: 520-458-0993 Fax: 520-458-4402 | |
Lenzner Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 S Lenzner Avenue, Sierra Vista, AZ 85635 Phone: 520-452-0388 Fax: 520-452-0379 |