| Velda Rose Medical Center | |
|
5252 E Main St Mesa AZ 85205-8022 | |
| (480) 396-3222 | |
| (480) 396-2298 |
| Full Name | Velda Rose Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5252 E Main St, Mesa, Arizona |
| Authorized Official Name and Position | Mark D Goldberg (MEDICAL DIRECTR) |
| Authorized Official Contact | 4803963222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Velda Rose Medical Center 5252 E Main St Mesa AZ 85205-8022 Ph: (480) 396-3222 | Velda Rose Medical Center 5252 E Main St Mesa AZ 85205-8022 Ph: (480) 396-3222 |
| NPI Number | 1841482601 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 09/08/2020 |
| Medicare PECOS PAC ID | 6608852066 |
|---|---|
| Medicare Enrollment ID | O20040625001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841482601 | NPI | - | NPPES |
| 298704 | Medicaid | AZ | |
| 348260 | Medicaid | AZ | |
| F000274 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18592 (Arizona) | Primary |
| Provider Name | David C Izenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104930122 PECOS PAC ID: 6103822531 Enrollment ID: I20061009000061 |
| Provider Name | Michael J Demko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477561652 PECOS PAC ID: 5395888713 Enrollment ID: I20100208000560 |
| Provider Name | Mark D Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144238312 PECOS PAC ID: 2961575360 Enrollment ID: I20100216000292 |
| Provider Name | Uma Gopakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124367255 PECOS PAC ID: 5991921843 Enrollment ID: I20140805002384 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |