| Upc Group Payment | |
|
1201 S 7th Ave Ste 150 Phoenix AZ 85007-4075 | |
| (602) 253-5100 | |
| (866) 882-5456 |
| Full Name | Upc Group Payment |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 S 7th Ave Ste 150, Phoenix, Arizona |
| Authorized Official Name and Position | Janice Talas-denny (PROVIDER NETWORK MANAGEMENT ASOC) |
| Authorized Official Contact | 6024167647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upc Group Payment 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: (602) 253-5100 | Upc Group Payment 1201 S 7th Ave Ste 150 Phoenix AZ 85007-4075 Ph: (602) 253-5100 |
| NPI Number | 1083840953 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 1759437635 |
|---|---|
| Medicare Enrollment ID | O20090917000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083840953 | NPI | - | NPPES |
| 459375 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
| Provider Name | Vanessa L Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952326076 PECOS PAC ID: 8729064654 Enrollment ID: I20040629001355 |
| Provider Name | Diana Fletcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871671099 PECOS PAC ID: 1951338599 Enrollment ID: I20050726000000 |
| Provider Name | Antonio L Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801818349 PECOS PAC ID: 3476577289 Enrollment ID: I20060119000676 |
| Provider Name | John J Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1568534741 PECOS PAC ID: 9335153881 Enrollment ID: I20060203000413 |
| Provider Name | Naveen Kumar Cherukuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568556587 PECOS PAC ID: 7618927815 Enrollment ID: I20061104000070 |
| Provider Name | David A Fife |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659569697 PECOS PAC ID: 4789771312 Enrollment ID: I20071030000203 |
| Provider Name | Robert G Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316950298 PECOS PAC ID: 0749243699 Enrollment ID: I20080903000139 |
| Provider Name | Jaime T Michel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639239015 PECOS PAC ID: 0446267835 Enrollment ID: I20081208000137 |
| Provider Name | Mariza C Marcili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407981319 PECOS PAC ID: 0244376473 Enrollment ID: I20091001000474 |
| Provider Name | Christina Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265654206 PECOS PAC ID: 0042343071 Enrollment ID: I20100728000518 |
| Provider Name | Keira E Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396999272 PECOS PAC ID: 1052508512 Enrollment ID: I20101209000414 |
| Provider Name | Sharon Pl Ishihara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144544867 PECOS PAC ID: 9931381126 Enrollment ID: I20110309000423 |
| Provider Name | Stacy L Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043325541 PECOS PAC ID: 5597948851 Enrollment ID: I20110323000722 |
| Provider Name | Tarry Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982655338 PECOS PAC ID: 1052459559 Enrollment ID: I20110606000748 |
| Provider Name | John Zaharopoulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609005891 PECOS PAC ID: 1456529387 Enrollment ID: I20110720000802 |
| Provider Name | Joaquin Bermudez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104086784 PECOS PAC ID: 3072781913 Enrollment ID: I20110720000831 |
| Provider Name | Susan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861793002 PECOS PAC ID: 4880868033 Enrollment ID: I20111128000221 |
| Provider Name | Emina Foci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750214 PECOS PAC ID: 1254508872 Enrollment ID: I20120123000843 |
| Provider Name | Sami Victor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023264587 PECOS PAC ID: 1153587977 Enrollment ID: I20120724000293 |
| Provider Name | Shirley A Sheroian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982963658 PECOS PAC ID: 5890941306 Enrollment ID: I20120815000352 |
| Provider Name | Quentin C Shambley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093935538 PECOS PAC ID: 9133376387 Enrollment ID: I20120823000557 |
| Provider Name | Renee H Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184940652 PECOS PAC ID: 6204088123 Enrollment ID: I20121128000558 |
| Provider Name | Jayden Nadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598016230 PECOS PAC ID: 5991957755 Enrollment ID: I20121201000069 |
| Provider Name | Michael A Riddle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487859898 PECOS PAC ID: 3779646104 Enrollment ID: I20121228000386 |
| Provider Name | Laura M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417142 PECOS PAC ID: 9830334374 Enrollment ID: I20130403000555 |
| Provider Name | Sara J Edmund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730441825 PECOS PAC ID: 0749427656 Enrollment ID: I20130515000092 |
| Provider Name | Roy Lee Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578583209 PECOS PAC ID: 8426108481 Enrollment ID: I20140428000003 |
| Provider Name | Alys M Oxentenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750785168 PECOS PAC ID: 3072837798 Enrollment ID: I20150128000792 |
| Provider Name | Rahsaan L Lindsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245400928 PECOS PAC ID: 8123155710 Enrollment ID: I20150130001722 |
| Provider Name | Medina M Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215334172 PECOS PAC ID: 6002132990 Enrollment ID: I20150312001335 |
| Provider Name | Steven Kwoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588952071 PECOS PAC ID: 2466741814 Enrollment ID: I20160525001089 |
| Provider Name | Joan Margaret Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023352952 PECOS PAC ID: 1557655875 Enrollment ID: I20160810000456 |
| Provider Name | Laura A Barket |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659614469 PECOS PAC ID: 7113216557 Enrollment ID: I20170503001314 |
| Provider Name | Craig J Cott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932184017 PECOS PAC ID: 1254382500 Enrollment ID: I20170714002468 |
| Provider Name | Barbara A Browder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740702901 PECOS PAC ID: 1254604952 Enrollment ID: I20170831000686 |
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