| Sip Home Systems - Mesa Llc | |
|
24th At Camelback, 2375 E. Camelback Rd. Suite 600 Phoenix AZ 85016 | |
| (623) 374-7774 | |
| Not Available |
| Full Name | Sip Home Systems - Mesa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 24th At Camelback, 2375 E. Camelback Rd., Phoenix, Arizona |
| Authorized Official Name and Position | Kenny Mai (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 - Mesa Llc 24th At Camelback, 2375 E. Camelback Rd. Suite 600 Phoenix AZ 85016-2111 Ph: () - | Sip Home Systems - Mesa Llc 24th At Camelback, 2375 E. Camelback Rd. Suite 600 Phoenix AZ 85016 Ph: (623) 374-7774 |
| NPI Number | 1780215681 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 7618306820 |
|---|---|
| Medicare Enrollment ID | O20200408003204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780215681 | NPI | - | NPPES |
| ========= | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| Provider Name | Linda L Motsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689630402 PECOS PAC ID: 5799753588 Enrollment ID: I20040920000818 |
| Provider Name | Barbara G Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376707406 PECOS PAC ID: 3274693080 Enrollment ID: I20081125000085 |
| Provider Name | Edmond L Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235304171 PECOS PAC ID: 1850444233 Enrollment ID: I20100114000343 |
| Provider Name | Susan J Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750516555 PECOS PAC ID: 0042407157 Enrollment ID: I20101214001276 |
| Provider Name | Kenny Mai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760703623 PECOS PAC ID: 4587811013 Enrollment ID: I20130829000025 |
| Provider Name | Zaid Fadul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740593797 PECOS PAC ID: 4385885276 Enrollment ID: I20131031001131 |
| Provider Name | Anna D Manalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609205350 PECOS PAC ID: 6305076951 Enrollment ID: I20140228000039 |
| Provider Name | Roy Lee Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578583209 PECOS PAC ID: 8426108481 Enrollment ID: I20140428000003 |
| Provider Name | Donald A Human |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093787491 PECOS PAC ID: 1850380932 Enrollment ID: I20141107002110 |
| Provider Name | Virginia I Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760758981 PECOS PAC ID: 4587989355 Enrollment ID: I20150219001147 |
| Provider Name | Chidinma F Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154718328 PECOS PAC ID: 3971824087 Enrollment ID: I20150602000013 |
| Provider Name | Danny C Blankenship |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275512618 PECOS PAC ID: 0244137164 Enrollment ID: I20150706000506 |
| Provider Name | Patricia A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871982280 PECOS PAC ID: 9335451210 Enrollment ID: I20150707000879 |
| 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 | Vilas Deshpande |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538157573 PECOS PAC ID: 1951578830 Enrollment ID: I20150821013761 |
| Provider Name | Sarette Zecharia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013387307 PECOS PAC ID: 7618275660 Enrollment ID: I20160420000923 |
| Provider Name | Sung Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437522489 PECOS PAC ID: 4183913072 Enrollment ID: I20160517000090 |
| Provider Name | Carlos Manuel Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265738942 PECOS PAC ID: 0840585931 Enrollment ID: I20160829001949 |
| Provider Name | Barbara J Stocking |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154370161 PECOS PAC ID: 7618970732 Enrollment ID: I20170201000708 |
| 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 | Krystle A Ayres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992226716 PECOS PAC ID: 8527330398 Enrollment ID: I20170815001843 |
| Provider Name | Judith L Ekblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194253559 PECOS PAC ID: 3678846391 Enrollment ID: I20170831001372 |
| Provider Name | Yoshie Buie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894436 PECOS PAC ID: 8123331535 Enrollment ID: I20180205001098 |
| Provider Name | Brandi Kimble |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659788735 PECOS PAC ID: 0749541431 Enrollment ID: I20180220001995 |
| Provider Name | Quang Dinh Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568568582 PECOS PAC ID: 0143272757 Enrollment ID: I20180425002632 |
| Provider Name | Daniel Douglas Kiddy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144214529 PECOS PAC ID: 2567414030 Enrollment ID: I20180628002708 |
| Provider Name | Michael D Hurt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255399812 PECOS PAC ID: 9133143316 Enrollment ID: I20180827003403 |
| Provider Name | Anita Lois Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178491 PECOS PAC ID: 9335499623 Enrollment ID: I20180907000294 |
| Provider Name | David A Rand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396923264 PECOS PAC ID: 1456602465 Enrollment ID: I20181001001122 |
| Provider Name | Sheiba Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851871743 PECOS PAC ID: 7416208400 Enrollment ID: I20181002001291 |
| 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 | Roxanna Donan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106872 PECOS PAC ID: 3476893819 Enrollment ID: I20190320003133 |
| 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 | Veronica Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023674942 PECOS PAC ID: 4183959752 Enrollment ID: I20190718002372 |
| Provider Name | Joyce N Gichana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184280091 PECOS PAC ID: 3173852829 Enrollment ID: I20190906000195 |
| Provider Name | Leo Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407989916 PECOS PAC ID: 4587993092 Enrollment ID: I20190909003332 |
| Provider Name | Victoria P Gandia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225521867 PECOS PAC ID: 0547505448 Enrollment ID: I20191003002244 |
| Provider Name | Eunmee Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981593 PECOS PAC ID: 0749613065 Enrollment ID: I20191127000654 |
| Provider Name | Kirk Alan Tjalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487930871 PECOS PAC ID: 2163645862 Enrollment ID: I20200108003134 |
| Provider Name | Emilia Luisa Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285267237 PECOS PAC ID: 9638500879 Enrollment ID: I20200504001021 |
| 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 | Lynn Marie Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205304573 PECOS PAC ID: 8820429921 Enrollment ID: I20200505000973 |
| Provider Name | Guylene Lucien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275187718 PECOS PAC ID: 2163853292 Enrollment ID: I20200505002854 |
| 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 | Lekha Manu Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881228567 PECOS PAC ID: 3274955513 Enrollment ID: I20200615003675 |
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 |