Stripes Primary Care | |
3846 E Lafayette Ave Gilbert AZ 85298-9130 | |
(480) 984-5225 | |
(480) 984-5447 |
Full Name | Stripes Primary Care |
---|---|
Speciality | Internal Medicine |
Location | 3846 E Lafayette Ave, Gilbert, Arizona |
Authorized Official Name and Position | Kelly Bradshaw (ADMINISTRATOR) |
Authorized Official Contact | 4809845225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stripes Primary Care 2919 S Ellsworth Rd Suite 139 Mesa AZ 85212-2164 Ph: (480) 984-5225 | Stripes Primary Care 3846 E Lafayette Ave Gilbert AZ 85298-9130 Ph: (480) 984-5225 |
NPI Number | 1508155979 |
---|---|
Provider Enumeration Date | 04/06/2011 |
Last Update Date | 02/03/2014 |
Medicare PECOS PAC ID | 5698950178 |
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Medicare Enrollment ID | O20110427000205 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508155979 | NPI | - | NPPES |
307499 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Chikwendu C Nwosu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104994375 PECOS PAC ID: 4284738352 Enrollment ID: I20080221000513 |
Provider Name | Oyoyo O Onuoha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811183171 PECOS PAC ID: 0042343147 Enrollment ID: I20100726000745 |
Provider Name | Richard E Wade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952617201 PECOS PAC ID: 5890979116 Enrollment ID: I20110412000417 |
Provider Name | Vincent Michael Noriega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831469733 PECOS PAC ID: 8729246723 Enrollment ID: I20121009000387 |
Provider Name | Christopher M Serrone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366830945 PECOS PAC ID: 5597077487 Enrollment ID: I20150707001243 |
Provider Name | Michael N. Igwe |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023374352 PECOS PAC ID: 0648583393 Enrollment ID: I20150825004812 |
Provider Name | Jerwonna Glover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033503305 PECOS PAC ID: 9931415577 Enrollment ID: I20150827002516 |
Provider Name | Ryan Wayne Sidebottom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104298090 PECOS PAC ID: 9537457528 Enrollment ID: I20161006000970 |
Provider Name | Ajitha Nair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558801522 PECOS PAC ID: 8729347802 Enrollment ID: I20181016001752 |
Provider Name | Emelita L Cabilatazan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891275657 PECOS PAC ID: 5991042319 Enrollment ID: I20190123002971 |
Provider Name | Rakhi Joshi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396203113 PECOS PAC ID: 3375874043 Enrollment ID: I20191010000569 |
Provider Name | Leloole Sole Barika |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124315908 PECOS PAC ID: 6901135359 Enrollment ID: I20191210002015 |
Provider Name | Joel William Houghton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225691736 PECOS PAC ID: 5698109395 Enrollment ID: I20200106002791 |
Provider Name | Garrett Christopher Spann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609431824 PECOS PAC ID: 4688909625 Enrollment ID: I20200122002997 |
Provider Name | Yva Jean-marc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083265516 PECOS PAC ID: 3476989039 Enrollment ID: I20200130002298 |
Provider Name | Roberta Lee Escalera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225672785 PECOS PAC ID: 2769811314 Enrollment ID: I20200401003080 |
Provider Name | Laura K Skinner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649817487 PECOS PAC ID: 9638595606 Enrollment ID: I20200820003084 |
Provider Name | Ekaterina Erev |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841878451 PECOS PAC ID: 2567871486 Enrollment ID: I20210505002870 |
Provider Name | Jayna L Raub |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962173096 PECOS PAC ID: 0345639902 Enrollment ID: I20211119001881 |
Provider Name | Garett Roger Moon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710571203 PECOS PAC ID: 8820484595 Enrollment ID: I20220405002205 |
Provider Name | Jessica Glentz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508457086 PECOS PAC ID: 5294119798 Enrollment ID: I20230802000061 |
Provider Name | Nancy Concio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568185809 PECOS PAC ID: 7416300892 Enrollment ID: I20240201002284 |
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