| Southwest Internal Medicine Group | |
|
15255 N 40th St Suite 127 Phoenix AZ 85032-4624 | |
| (602) 253-0855 | |
| (602) 424-6986 |
| Full Name | Southwest Internal Medicine Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 15255 N 40th St, Phoenix, Arizona |
| Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Internal Medicine Group 15255 N 40th St Suite 127 Phoenix AZ 85032-4624 Ph: (602) 253-0855 | Southwest Internal Medicine Group 15255 N 40th St Suite 127 Phoenix AZ 85032-4624 Ph: (602) 253-0855 |
| NPI Number | 1821299462 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 09/02/2023 |
| Medicare PECOS PAC ID | 0941308985 |
|---|---|
| Medicare Enrollment ID | O20070614000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821299462 | NPI | - | NPPES |
| 242165 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14478 (Arizona) | Primary |
| Provider Name | Kishlay Anand |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104984491 PECOS PAC ID: 0840292066 Enrollment ID: I20100617000476 |
| Provider Name | Irma G Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181820 PECOS PAC ID: 1153377213 Enrollment ID: I20160609000355 |
| Provider Name | Clara E Krajnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316398076 PECOS PAC ID: 6204100803 Enrollment ID: I20170920002821 |
| Provider Name | David J Memmoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891978607 PECOS PAC ID: 0244364347 Enrollment ID: I20200416003989 |
| Provider Name | Shanyn C Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790858462 PECOS PAC ID: 1557363827 Enrollment ID: I20220329001920 |
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 |