| United Physicians Group Llc | |
|
20235 N Cave Creek Rd Ste 104, #622 Phoenix AZ 85024-4455 | |
| (602) 363-1116 | |
| Not Available |
| Full Name | United Physicians Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20235 N Cave Creek Rd, Phoenix, Arizona |
| Authorized Official Name and Position | James D Stewart (PRESIDENT) |
| Authorized Official Contact | 6023631116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Physicians Group Llc 13462 W Jesse Red Dr Peoria AZ 85383-7904 Ph: (023) 631-1166 | United Physicians Group Llc 20235 N Cave Creek Rd Ste 104, #622 Phoenix AZ 85024-4455 Ph: (602) 363-1116 |
| NPI Number | 1316336845 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 9830482330 |
|---|---|
| Medicare Enrollment ID | O20160720002996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316336845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | 005591 (Arizona) | Secondary |
| Provider Name | Patrick B Gaylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730161027 PECOS PAC ID: 8426047077 Enrollment ID: I20040508000413 |
| Provider Name | James D Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285895920 PECOS PAC ID: 9537338785 Enrollment ID: I20110926000925 |
| Provider Name | Allison M Gaylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114267887 PECOS PAC ID: 9931345949 Enrollment ID: I20130417000730 |
| Provider Name | Grace M Mellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184010852 PECOS PAC ID: 8820303548 Enrollment ID: I20150810002454 |
| Provider Name | Kelli K Ducray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306338736 PECOS PAC ID: 0143571026 Enrollment ID: I20191210002210 |
| Provider Name | Kimberly Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450925 PECOS PAC ID: 5496182156 Enrollment ID: I20200219001937 |
| Provider Name | Kelly Banonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790395531 PECOS PAC ID: 8527486984 Enrollment ID: I20200916002251 |
| Provider Name | Christina Marie Heiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154948800 PECOS PAC ID: 3577951987 Enrollment ID: I20211103002099 |
| Provider Name | Chelsie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831803931 PECOS PAC ID: 1850757303 Enrollment ID: I20230525001625 |
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