| Thumb Butte Medical Center, Pllc | |
|
3124 Willow Creek Rd Prescott AZ 86301-6610 | |
| (928) 445-7085 | |
| (928) 445-7095 |
| Full Name | Thumb Butte Medical Center, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3124 Willow Creek Rd, Prescott, Arizona |
| Authorized Official Name and Position | Hojat Askari (OWNER) |
| Authorized Official Contact | 9284457085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thumb Butte Medical Center, Pllc 3124 Willow Creek Rd Prescott AZ 86301-6610 Ph: (928) 445-7085 | Thumb Butte Medical Center, Pllc 3124 Willow Creek Rd Prescott AZ 86301-6610 Ph: (928) 445-7085 |
| NPI Number | 1225260334 |
|---|---|
| Provider Enumeration Date | 08/23/2009 |
| Last Update Date | 04/27/2018 |
| Medicare PECOS PAC ID | 5890833271 |
|---|---|
| Medicare Enrollment ID | O20091104000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225260334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul T Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780779991 PECOS PAC ID: 6800797424 Enrollment ID: I20040116000802 |
| Provider Name | Mohammad Golparian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174510002 PECOS PAC ID: 0446248538 Enrollment ID: I20040817001040 |
| Provider Name | Eddie M Lipan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639135031 PECOS PAC ID: 8921077066 Enrollment ID: I20040927000492 |
| Provider Name | Aaron R Degroot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841360484 PECOS PAC ID: 1759312424 Enrollment ID: I20050823000781 |
| Provider Name | Mohamad Altriki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619061736 PECOS PAC ID: 8022003185 Enrollment ID: I20071009000151 |
| Provider Name | Hojat Askari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326251695 PECOS PAC ID: 4082752563 Enrollment ID: I20091104000351 |
| Provider Name | Michael A Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114004587 PECOS PAC ID: 2860671856 Enrollment ID: I20110124000205 |
| Provider Name | Heidi L Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558617167 PECOS PAC ID: 3173774890 Enrollment ID: I20121106000357 |
| Provider Name | Robyn S Clow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306186572 PECOS PAC ID: 7012155377 Enrollment ID: I20130528000093 |
| Provider Name | Eileen I Mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922438563 PECOS PAC ID: 9830321090 Enrollment ID: I20140422002153 |
| Provider Name | Kaveh Karandish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346485919 PECOS PAC ID: 2769528702 Enrollment ID: I20140826001056 |
| Provider Name | Eva R Bildner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659790483 PECOS PAC ID: 6406168459 Enrollment ID: I20150702002261 |
| Provider Name | Rahmat Afrasiabi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811961204 PECOS PAC ID: 5294785374 Enrollment ID: I20160517001408 |
| Provider Name | Pelma R Tabrizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568497998 PECOS PAC ID: 9830085521 Enrollment ID: I20170419000253 |
| Provider Name | Christopher Novack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366825978 PECOS PAC ID: 2567762743 Enrollment ID: I20171205001671 |
| Provider Name | Ann B Mccombs |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1407029903 PECOS PAC ID: 5193070423 Enrollment ID: I20180608002297 |
| Provider Name | Ahmed K Agha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063413524 PECOS PAC ID: 0547471799 Enrollment ID: I20190809001704 |
| Provider Name | John R Alessi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629099387 PECOS PAC ID: 7012825730 Enrollment ID: I20200220001096 |
| Provider Name | Kelli B Folgheraiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942973656 PECOS PAC ID: 9931504404 Enrollment ID: I20210826003111 |
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