|
| |
|
10320 W Mcdowell Rd Ste L Avondale AZ 85392-4863 | |
| (623) 873-0112 | |
| (623) 873-1370 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 10320 W Mcdowell Rd Ste L, Avondale, Arizona |
| Authorized Official Name and Position | Rodd Aking (CEO) |
| Authorized Official Contact | 6238730112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 12170 Glendale AZ 85318-2170 Ph: (623) 873-0112 | 10320 W Mcdowell Rd Ste L Avondale AZ 85392-4863 Ph: (623) 873-0112 |
| NPI Number | 1942212345 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 01/21/2025 |
| Medicare PECOS PAC ID | 6305842949 |
|---|---|
| Medicare Enrollment ID | O20061004000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942212345 | NPI | - | NPPES |
| 641598 | Medicaid | AZ | |
| L-1286974-7 | Other | AZ | CORPORATION/LLC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Rodd Aking |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912930124 PECOS PAC ID: 9739073230 Enrollment ID: I20061004000657 |
| Provider Name | Padma M Aking |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700975893 PECOS PAC ID: 2163449851 Enrollment ID: I20061213000109 |
| Provider Name | Chelsea Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194594218 PECOS PAC ID: 6507399086 Enrollment ID: I20241023002522 |
West Valley Primary Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12383 W Campbell Ave, Avondale, AZ 85392 Phone: 480-985-1093 | |
Southwest Cardiovascular Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10825 W Mcdowell Rd Ste 320, Avondale, AZ 85392 Phone: 844-900-2567 | |
Pro Amani Treatment Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 W Van Buren St Apt 2071, Avondale, AZ 85323 Phone: 951-591-8544 | |
Avondale Fire & Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S Avondale Blvd Ste 100, Avondale, AZ 85323 Phone: 623-333-6249 | |
Goodyear Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Bldg. I, Ste.9029, Avondale, AZ 85392 Phone: 623-925-5660 Fax: 623-932-3898 | |
Integrity Therapy Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10575 W Indian School Rd Ste 105, Avondale, AZ 85392 Phone: 480-384-0109 |