| Sip Home Systems - Sun City Llc | |
|
2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 | |
| (623) 374-7774 | |
| Not Available |
| Full Name | Sip Home Systems - Sun City Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2375 E Camelback Rd Ste 600, Phoenix, Arizona |
| Authorized Official Name and Position | Kequiang Shen (MD) |
| Authorized Official Contact | 6233747774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sip Home Systems - Sun City Llc 2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 Ph: () - | Sip Home Systems - Sun City Llc 2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 Ph: (623) 374-7774 |
| NPI Number | 1801427844 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 4981035193 |
|---|---|
| Medicare Enrollment ID | O20200501002790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801427844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ann E Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174688170 PECOS PAC ID: 8628059276 Enrollment ID: I20040528000309 |
| Provider Name | Catherine A Brigandi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386759793 PECOS PAC ID: 9133150188 Enrollment ID: I20050830000109 |
| Provider Name | Richard A Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811971393 PECOS PAC ID: 9638211329 Enrollment ID: I20100119000165 |
| Provider Name | Susan J Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750516555 PECOS PAC ID: 0042407157 Enrollment ID: I20101214001276 |
| Provider Name | Ann L Schlensig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669419354 PECOS PAC ID: 1759456460 Enrollment ID: I20121101000561 |
| Provider Name | Roy Lee Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578583209 PECOS PAC ID: 8426108481 Enrollment ID: I20140428000003 |
| Provider Name | Maryam H Lateef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477533610 PECOS PAC ID: 3577475888 Enrollment ID: I20141023000369 |
| Provider Name | Bradley Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821318262 PECOS PAC ID: 7618291014 Enrollment ID: I20150113000383 |
| Provider Name | Kevin S. Broaddrick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639188394 PECOS PAC ID: 1951393867 Enrollment ID: I20150723007902 |
| Provider Name | Richard Leroy Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851475610 PECOS PAC ID: 5395706550 Enrollment ID: I20150729010442 |
| Provider Name | Dennis James Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558406629 PECOS PAC ID: 0143535344 Enrollment ID: I20150818003649 |
| Provider Name | Mandi L Filla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144629429 PECOS PAC ID: 7315168572 Enrollment ID: I20150923002487 |
| Provider Name | Josie Joy Balboa-azura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226285 PECOS PAC ID: 7315243656 Enrollment ID: I20160331000334 |
| Provider Name | Sarette Zecharia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013387307 PECOS PAC ID: 7618275660 Enrollment ID: I20160420000923 |
| Provider Name | Carlos Manuel Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265738942 PECOS PAC ID: 0840585931 Enrollment ID: I20160829001949 |
| Provider Name | Gresheene Dea Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578013652 PECOS PAC ID: 6002191780 Enrollment ID: I20170320001574 |
| Provider Name | Aileen Marie O Macaraeg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184155459 PECOS PAC ID: 4183900434 Enrollment ID: I20170420002743 |
| Provider Name | Naomi S Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841705027 PECOS PAC ID: 2567721699 Enrollment ID: I20180118002138 |
| Provider Name | Daniel Douglas Kiddy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144214529 PECOS PAC ID: 2567414030 Enrollment ID: I20180628002708 |
| Provider Name | Kelli S Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124488317 PECOS PAC ID: 8527367333 Enrollment ID: I20180831000982 |
| Provider Name | David A Rand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396923264 PECOS PAC ID: 1456602465 Enrollment ID: I20181001001122 |
| Provider Name | Ran Mcbryde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841760766 PECOS PAC ID: 8123367919 Enrollment ID: I20190221001730 |
| Provider Name | James Warren Reznick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659376689 PECOS PAC ID: 7911187174 Enrollment ID: I20190226000587 |
| Provider Name | Rebecca L Schoenherr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255582359 PECOS PAC ID: 7517014186 Enrollment ID: I20190228000869 |
| Provider Name | John Paulo Batucan Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366907602 PECOS PAC ID: 8729321922 Enrollment ID: I20190509001530 |
| Provider Name | Darnell L Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679038749 PECOS PAC ID: 2264766930 Enrollment ID: I20190628002923 |
| Provider Name | Eunmee Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981593 PECOS PAC ID: 0749613065 Enrollment ID: I20191127000654 |
| Provider Name | Eunice Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144877267 PECOS PAC ID: 8022441914 Enrollment ID: I20191206001696 |
| Provider Name | Kirk Alan Tjalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487930871 PECOS PAC ID: 2163645862 Enrollment ID: I20200108003134 |
| Provider Name | Sasha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831621119 PECOS PAC ID: 0941574099 Enrollment ID: I20200129001770 |
| Provider Name | Christian M Azode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492046 PECOS PAC ID: 6103252580 Enrollment ID: I20200203001686 |
| Provider Name | Patricia Elzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326673906 PECOS PAC ID: 3678904828 Enrollment ID: I20200504001326 |
| Provider Name | Nerissa Apostol Zafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275162323 PECOS PAC ID: 4981035151 Enrollment ID: I20200504002721 |
| Provider Name | Monte Glade Merrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295900165 PECOS PAC ID: 3779618376 Enrollment ID: I20200604001991 |
| Provider Name | Lia Seoyeon Doh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962034215 PECOS PAC ID: 0345661740 Enrollment ID: I20200610000660 |
| Provider Name | Sharon Uchechi Joshua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497378541 PECOS PAC ID: 8921420357 Enrollment ID: I20200612000101 |
| Provider Name | Lekha Manu Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881228567 PECOS PAC ID: 3274955513 Enrollment ID: I20200615003675 |
| Provider Name | Lamonica Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336504513 PECOS PAC ID: 3779880331 Enrollment ID: I20200731002406 |
| Provider Name | Ladonna Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441346 PECOS PAC ID: 0840515854 Enrollment ID: I20200805001649 |
| Provider Name | Edo Udoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617573 PECOS PAC ID: 7810162948 Enrollment ID: I20200903002792 |
| Provider Name | Daryl Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497367403 PECOS PAC ID: 0042638934 Enrollment ID: I20200909001160 |
| Provider Name | Glenmore Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720293277 PECOS PAC ID: 4082869789 Enrollment ID: I20200929002525 |
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 |