| The Core Institute | |
|
18444 N 25th Ave Ste 210 Phoenix AZ 85023-1261 | |
| (623) 537-5600 | |
| (866) 939-2673 |
| Full Name | The Core Institute |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 18444 N 25th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | David Joseph Jacofsky (MD -CEO) |
| Authorized Official Contact | 8669742673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Core Institute 18444 N 25th Ave Ste 310 Phoenix AZ 85023-1261 Ph: (623) 537-5600 | The Core Institute 18444 N 25th Ave Ste 210 Phoenix AZ 85023-1261 Ph: (623) 537-5600 |
| NPI Number | 1427095801 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 04/29/2024 |
| Medicare PECOS PAC ID | 0345287322 |
|---|---|
| Medicare Enrollment ID | O20050412000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427095801 | NPI | - | NPPES |
| 341246 | Medicaid | AZ | |
| DD0900 | Other | AZ | RR MEDICARE |
| Provider Name | Dorothy A Mcguinness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699769992 PECOS PAC ID: 9032004247 Enrollment ID: I20040217000750 |
| Provider Name | Arash Araghi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730183690 PECOS PAC ID: 9335039536 Enrollment ID: I20040402000052 |
| Provider Name | Mark D Mellinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922070366 PECOS PAC ID: 3779577614 Enrollment ID: I20040413000815 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184651663 PECOS PAC ID: 3870580632 Enrollment ID: I20040426001314 |
| Provider Name | Tharesh Udupa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275537607 PECOS PAC ID: 1951398460 Enrollment ID: I20040427001400 |
| Provider Name | Kirk M Puttlitz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205807971 PECOS PAC ID: 8224017504 Enrollment ID: I20040719001524 |
| Provider Name | Byron H Willis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316960842 PECOS PAC ID: 2062487457 Enrollment ID: I20040830000481 |
| Provider Name | Andre Hagevik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528039625 PECOS PAC ID: 4486615010 Enrollment ID: I20041026000747 |
| Provider Name | Bourck D Cashmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225009707 PECOS PAC ID: 8729043617 Enrollment ID: I20041119000518 |
| Provider Name | John Andrew Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306887088 PECOS PAC ID: 0345239612 Enrollment ID: I20050413000011 |
| Provider Name | David J Jacofsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922040179 PECOS PAC ID: 8022055003 Enrollment ID: I20050413000028 |
| Provider Name | Mark Doran Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619918745 PECOS PAC ID: 6204873144 Enrollment ID: I20050413000055 |
| Provider Name | John A Ledington |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902832785 PECOS PAC ID: 7517909187 Enrollment ID: I20050524000644 |
| Provider Name | Eric Michael Feldman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477509693 PECOS PAC ID: 0446282131 Enrollment ID: I20050901000777 |
| Provider Name | Kristen L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255511713 PECOS PAC ID: 3173549672 Enrollment ID: I20051024000090 |
| Provider Name | Vardges Vandian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093755274 PECOS PAC ID: 7911802921 Enrollment ID: I20051128000528 |
| Provider Name | Yuri Lewicky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467454702 PECOS PAC ID: 6800824525 Enrollment ID: I20060109000141 |
| Provider Name | Steven L Myerthall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487691739 PECOS PAC ID: 2365457710 Enrollment ID: I20060207000525 |
| Provider Name | Joseph B Dobrusin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457391559 PECOS PAC ID: 4082629050 Enrollment ID: I20060310000024 |
| Provider Name | Sepein Chiang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154491710 PECOS PAC ID: 1153307517 Enrollment ID: I20060421000560 |
| Provider Name | Katherine A Zwanziger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871515171 PECOS PAC ID: 1153325907 Enrollment ID: I20060908000335 |
| Provider Name | John Allen Kearney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578583928 PECOS PAC ID: 7113923541 Enrollment ID: I20061009000054 |
| Provider Name | Jennifer M Fergestad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043276777 PECOS PAC ID: 7618997909 Enrollment ID: I20061219000011 |
| Provider Name | John W Cory |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760474845 PECOS PAC ID: 7810985892 Enrollment ID: I20070108000584 |
| Provider Name | Rene Angel Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821081902 PECOS PAC ID: 9133129430 Enrollment ID: I20070111000072 |
| Provider Name | Vikram A Kumar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295758035 PECOS PAC ID: 9537164918 Enrollment ID: I20070130000412 |
| Provider Name | Jose A Menendez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295744779 PECOS PAC ID: 6002817202 Enrollment ID: I20070130000437 |
| Provider Name | Bryan T Wall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790712792 PECOS PAC ID: 5799727822 Enrollment ID: I20070213000033 |
| Provider Name | Douglas Brown Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588661888 PECOS PAC ID: 2163524299 Enrollment ID: I20070220000851 |
| Provider Name | Frank J Raia |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1043411416 PECOS PAC ID: 6305945890 Enrollment ID: I20070625000306 |
| Provider Name | Jason Scalise |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073681367 PECOS PAC ID: 7214968585 Enrollment ID: I20070625000321 |
| Provider Name | Damon Adamany |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770622771 PECOS PAC ID: 7618068826 Enrollment ID: I20070802000135 |
| Provider Name | Jennifer L Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831278316 PECOS PAC ID: 4688767890 Enrollment ID: I20070904000735 |
| Provider Name | Manda L Chatelain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124049838 PECOS PAC ID: 5597853655 Enrollment ID: I20071127000047 |
| Provider Name | Matthew Weichbrodt |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013123058 PECOS PAC ID: 4880643980 Enrollment ID: I20080602000568 |
| Provider Name | Scott William Siverhus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336121102 PECOS PAC ID: 5193617801 Enrollment ID: I20080603000383 |
| Provider Name | Lawrence M Kutz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992825343 PECOS PAC ID: 9335212935 Enrollment ID: I20080715000537 |
| Provider Name | Jason R Sherman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689896060 PECOS PAC ID: 8426122698 Enrollment ID: I20080806000261 |
| Provider Name | David A Ben Aviv |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639348436 PECOS PAC ID: 6305995697 Enrollment ID: I20090515000214 |
| Provider Name | Robert Cercek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962621292 PECOS PAC ID: 5294887329 Enrollment ID: I20090721000042 |
| Provider Name | David Terry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801916630 PECOS PAC ID: 0042398950 Enrollment ID: I20090722000608 |
| Provider Name | Chandrahas Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770799660 PECOS PAC ID: 2769557479 Enrollment ID: I20090805000187 |
| Provider Name | Amalia M Decomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063603843 PECOS PAC ID: 6608909890 Enrollment ID: I20100809001130 |
| Provider Name | Tony K Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598939175 PECOS PAC ID: 0042334419 Enrollment ID: I20100908000282 |
| Provider Name | Mona Vijay Mhatre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609993179 PECOS PAC ID: 5496948051 Enrollment ID: I20101015000386 |
| Provider Name | William Clyne Thompson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1538394408 PECOS PAC ID: 0345434825 Enrollment ID: I20101028000706 |
| Provider Name | Krystle Uribe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013223890 PECOS PAC ID: 7012101132 Enrollment ID: I20101103000351 |
| Provider Name | Ali Araghi |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1912969635 PECOS PAC ID: 4082656202 Enrollment ID: I20110113000174 |
| Provider Name | Christopher A Iannotti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124294913 PECOS PAC ID: 0648304709 Enrollment ID: I20110203000862 |
| Provider Name | Troy Matthew Merckle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316140916 PECOS PAC ID: 8224123583 Enrollment ID: I20110302000872 |
| Provider Name | Lana L Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255617049 PECOS PAC ID: 2062688492 Enrollment ID: I20120105000612 |
| Provider Name | Jessica M Ryder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649317470 PECOS PAC ID: 9830352012 Enrollment ID: I20120525000497 |
| Provider Name | Nicholas Peter Bellinaso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487911798 PECOS PAC ID: 1759538069 Enrollment ID: I20120821000954 |
| Provider Name | Ahmad Nizam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427368885 PECOS PAC ID: 0749437754 Enrollment ID: I20120827000706 |
| Provider Name | Nicholas A Scott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588849517 PECOS PAC ID: 3971750910 Enrollment ID: I20120828000106 |
| Provider Name | Evan J Freedman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184835613 PECOS PAC ID: 1850548892 Enrollment ID: I20120828000141 |
| Provider Name | Todd C Herman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063788875 PECOS PAC ID: 9638326580 Enrollment ID: I20120828000316 |
| Provider Name | Ryan Thomas Scott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053554600 PECOS PAC ID: 2769650829 Enrollment ID: I20120926000296 |
| Provider Name | Garret W Bruno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942559547 PECOS PAC ID: 4880830405 Enrollment ID: I20130425000695 |
| Provider Name | Harvinder Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881859460 PECOS PAC ID: 6800034232 Enrollment ID: I20130524000366 |
| Provider Name | Melissa M Galli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659509214 PECOS PAC ID: 9234394107 Enrollment ID: I20140218002111 |
| Provider Name | Anuj Prakash Daftari |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043452196 PECOS PAC ID: 9739319526 Enrollment ID: I20140221001455 |
| Provider Name | Norman Barrington Chutkan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689682890 PECOS PAC ID: 2062577901 Enrollment ID: I20140701000802 |
| Provider Name | Nina Patel-hinkle |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073515078 PECOS PAC ID: 9335364306 Enrollment ID: I20140707001652 |
| Provider Name | Justin Edward Statt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649590050 PECOS PAC ID: 2163649765 Enrollment ID: I20140805001732 |
| Provider Name | Robert N Steinmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255732558 PECOS PAC ID: 8628298163 Enrollment ID: I20141003000517 |
| Provider Name | David Maurice Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144364696 PECOS PAC ID: 6406044536 Enrollment ID: I20150106002621 |
| Provider Name | Brigitte Flanagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962600585 PECOS PAC ID: 4789998568 Enrollment ID: I20150806012873 |
| Provider Name | Raymond Finch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639551617 PECOS PAC ID: 7113232349 Enrollment ID: I20150818004513 |
| Provider Name | Bernadette Connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760574503 PECOS PAC ID: 2961412069 Enrollment ID: I20150910001781 |
| Provider Name | Michael H Amini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528292166 PECOS PAC ID: 3678790433 Enrollment ID: I20150921002826 |
| Provider Name | Morris B Hamburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104176627 PECOS PAC ID: 7911150511 Enrollment ID: I20160330001362 |
| Provider Name | Eamonn M Mahoney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366626756 PECOS PAC ID: 6305962408 Enrollment ID: I20160819001959 |
| Provider Name | John Wallace |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225292634 PECOS PAC ID: 4789834375 Enrollment ID: I20161003001633 |
| Provider Name | Joshua Korson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316497308 PECOS PAC ID: 3971886730 Enrollment ID: I20170202000658 |
| Provider Name | Niloofar Dehghan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295272334 PECOS PAC ID: 9436432747 Enrollment ID: I20170213000658 |
| Provider Name | Amanda Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550367 PECOS PAC ID: 7012290992 Enrollment ID: I20170220002562 |
| Provider Name | Kurt Lundberg |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1689930927 PECOS PAC ID: 4981836822 Enrollment ID: I20170707002072 |
| Provider Name | Kelly Krohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942279948 PECOS PAC ID: 4587690391 Enrollment ID: I20170724000328 |
| Provider Name | Heather Ann Fett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811423262 PECOS PAC ID: 5193099802 Enrollment ID: I20170919003316 |
| Provider Name | Brooks T Tennyson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497276299 PECOS PAC ID: 8325312465 Enrollment ID: I20170927004625 |
| Provider Name | Katharine M Mcwilliams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457744039 PECOS PAC ID: 4981979184 Enrollment ID: I20171012003465 |
| Provider Name | Kristen Nicole Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932610862 PECOS PAC ID: 7618233081 Enrollment ID: I20171117002629 |
| Provider Name | Benjamin C Damico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609365188 PECOS PAC ID: 8123374063 Enrollment ID: I20180706000495 |
| Provider Name | Samuel L Ashby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598150492 PECOS PAC ID: 5496002495 Enrollment ID: I20180723001233 |
| Provider Name | Jennifer Anne White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407157811 PECOS PAC ID: 3476729534 Enrollment ID: I20180830000602 |
| Provider Name | Nicholas Kurt Wischmeier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700148731 PECOS PAC ID: 2860798964 Enrollment ID: I20180912000169 |
| Provider Name | Brandon Paul Hirsch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447559216 PECOS PAC ID: 4789956517 Enrollment ID: I20180918001084 |
| Provider Name | Michael Brendan Rose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861758435 PECOS PAC ID: 3779737002 Enrollment ID: I20181001002373 |
| Provider Name | Jordan Alexandra Cave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134626880 PECOS PAC ID: 6507110863 Enrollment ID: I20181126004004 |
| Provider Name | Ryan G Zate |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1790110112 PECOS PAC ID: 0840418893 Enrollment ID: I20190123000892 |
| Provider Name | Zaccary George Ekdahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134631104 PECOS PAC ID: 3971859372 Enrollment ID: I20190125000987 |
| Provider Name | Ashley Marie Warner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639643612 PECOS PAC ID: 9133468879 Enrollment ID: I20190225001937 |
| Provider Name | Thomas Acott |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1760826853 PECOS PAC ID: 1759520448 Enrollment ID: I20190827003632 |
| Provider Name | Joseph Jabrucki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104337088 PECOS PAC ID: 0840566485 Enrollment ID: I20190923000826 |
| Provider Name | Rebecca Shoup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124676689 PECOS PAC ID: 7012248024 Enrollment ID: I20191004002559 |
| Provider Name | Kristian Angelo Dumelod Oarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801399407 PECOS PAC ID: 6901238484 Enrollment ID: I20191121002527 |
| Provider Name | Torrey Parry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326459660 PECOS PAC ID: 0547690141 Enrollment ID: I20200422002865 |
| Provider Name | Kirsten Sumner |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578981601 PECOS PAC ID: 0941503130 Enrollment ID: I20200501000140 |
| Provider Name | Taylor Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851850820 PECOS PAC ID: 9032531397 Enrollment ID: I20200616000590 |
| Provider Name | Hayden Poulson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710444831 PECOS PAC ID: 7810324969 Enrollment ID: I20200619000443 |
| Provider Name | Blake Obrock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770879843 PECOS PAC ID: 8729358544 Enrollment ID: I20200630003404 |
| Provider Name | Timothy Degan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447679840 PECOS PAC ID: 2961753405 Enrollment ID: I20200824002407 |
| Provider Name | Stephen Joseph Ros |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013320431 PECOS PAC ID: 8224336896 Enrollment ID: I20200901001718 |
| Provider Name | Jonathan T Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952549644 PECOS PAC ID: 9830346006 Enrollment ID: I20200921000545 |
| Provider Name | Thomas Goodine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366931354 PECOS PAC ID: 0749531655 Enrollment ID: I20201012002158 |
| Provider Name | Rachel A Stephenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891394680 PECOS PAC ID: 6103238738 Enrollment ID: I20201223001152 |
| Provider Name | Tarah Mundy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346832805 PECOS PAC ID: 4082029319 Enrollment ID: I20210219001053 |
| Provider Name | Cassandra Cavallaro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043729494 PECOS PAC ID: 2769757632 Enrollment ID: I20210324002064 |
| Provider Name | Ashlyn Clarise Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467035931 PECOS PAC ID: 7113326224 Enrollment ID: I20210521001599 |
| Provider Name | James P Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609850585 PECOS PAC ID: 7012809957 Enrollment ID: I20210712000171 |
| Provider Name | Michael Duran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659765568 PECOS PAC ID: 2062785942 Enrollment ID: I20210813002677 |
| Provider Name | Paul Sousa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275915332 PECOS PAC ID: 4486969870 Enrollment ID: I20210818002474 |
| Provider Name | Jaharris Ahmed Collier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679928436 PECOS PAC ID: 6800180589 Enrollment ID: I20210825002796 |
| Provider Name | Joseph Marian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093346926 PECOS PAC ID: 8022430859 Enrollment ID: I20210928001312 |
| Provider Name | Christina Lillian Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396411765 PECOS PAC ID: 3678968849 Enrollment ID: I20220325000193 |
| Provider Name | Kaitlyn E Post |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154734176 PECOS PAC ID: 9830318815 Enrollment ID: I20220511000824 |
| Provider Name | Elizabeth Stifter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801544598 PECOS PAC ID: 7315327715 Enrollment ID: I20220701000685 |
| Provider Name | Karen Nicole Woods |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033615091 PECOS PAC ID: 8921353087 Enrollment ID: I20220726001716 |
| Provider Name | Vikram Mayuran Sampath |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568879773 PECOS PAC ID: 3375878366 Enrollment ID: I20220817003956 |
| Provider Name | Jeffrey Blaine Surina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750743191 PECOS PAC ID: 8224323720 Enrollment ID: I20220819001246 |
| Provider Name | Sara Lynn Grubor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447971999 PECOS PAC ID: 0042695256 Enrollment ID: I20220923000378 |
| Provider Name | Burak Altintas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831604552 PECOS PAC ID: 2163775966 Enrollment ID: I20220923001279 |
| Provider Name | Andre D Shaffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275899635 PECOS PAC ID: 8820381171 Enrollment ID: I20221007000921 |
| Provider Name | Claire Marie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043971823 PECOS PAC ID: 0840660445 Enrollment ID: I20221222001742 |
| Provider Name | Brent Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144420472 PECOS PAC ID: 7012054158 Enrollment ID: I20230208000915 |
| Provider Name | Esther Toronto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588370860 PECOS PAC ID: 9638541618 Enrollment ID: I20230221002511 |
| Provider Name | Nirain Dsouza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295736106 PECOS PAC ID: 5799888764 Enrollment ID: I20230501002809 |
| Provider Name | Nancy Tiet Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093327421 PECOS PAC ID: 1355708470 Enrollment ID: I20230606000932 |
| Provider Name | Anthony Michael White |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386141521 PECOS PAC ID: 6002205143 Enrollment ID: I20230606002721 |
| Provider Name | Melissa Brummond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578750188 PECOS PAC ID: 4486734001 Enrollment ID: I20230609000929 |
| Provider Name | Colleen E Karn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710210109 PECOS PAC ID: 7315083078 Enrollment ID: I20230629003208 |
| Provider Name | Michael Holmboe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720596653 PECOS PAC ID: 2668831025 Enrollment ID: I20230703000113 |
| Provider Name | Katherine Xie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134654858 PECOS PAC ID: 8123398914 Enrollment ID: I20230707001424 |
| Provider Name | Michael James Mckernan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356873392 PECOS PAC ID: 1850784810 Enrollment ID: I20230717003070 |
| Provider Name | Craig E. Krcal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316573322 PECOS PAC ID: 1557721602 Enrollment ID: I20230720001885 |
| Provider Name | Justin Thomas Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396246583 PECOS PAC ID: 5496116733 Enrollment ID: I20230802002202 |
| Provider Name | Jacob Harder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477117190 PECOS PAC ID: 8123480910 Enrollment ID: I20230810001873 |
| Provider Name | Brenna L Canterbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699057091 PECOS PAC ID: 4688846660 Enrollment ID: I20230815002297 |
| Provider Name | Theresa Pak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922536630 PECOS PAC ID: 4880073881 Enrollment ID: I20230908000232 |
| Provider Name | Lukas Emile Hashem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063110708 PECOS PAC ID: 2062876691 Enrollment ID: I20230914001457 |
| Provider Name | Christopher Russell Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164144077 PECOS PAC ID: 4880042027 Enrollment ID: I20231128002106 |
| Provider Name | Lysa Marie Busalacchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629757224 PECOS PAC ID: 0244688034 Enrollment ID: I20231205001658 |
| Provider Name | Mark Winchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265209027 PECOS PAC ID: 2466805270 Enrollment ID: I20240129001930 |
| Provider Name | Luke Chon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437928116 PECOS PAC ID: 2961855531 Enrollment ID: I20240131000001 |
| Provider Name | Kurt Marshall Barger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417514902 PECOS PAC ID: 0244607729 Enrollment ID: I20240131001198 |
| Provider Name | Shannon Geraty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942061569 PECOS PAC ID: 0941643118 Enrollment ID: I20240206000001 |
| Provider Name | Armand Payne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740058205 PECOS PAC ID: 0446693196 Enrollment ID: I20240209000044 |
| Provider Name | Kael Nahikian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932559077 PECOS PAC ID: 6002259785 Enrollment ID: I20240209001034 |
| Provider Name | Madison Soles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942076062 PECOS PAC ID: 9931544889 Enrollment ID: I20240229004694 |
| Provider Name | Garrett Lee Chartier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245096122 PECOS PAC ID: 6507202512 Enrollment ID: I20240313001413 |
| Provider Name | Daniel L Lara |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861847915 PECOS PAC ID: 3375838535 Enrollment ID: I20240410003088 |
| Provider Name | Adam R Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508511015 PECOS PAC ID: 5698160653 Enrollment ID: I20240522002761 |
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 |