| Winslow Indian Health Care Center, Inc | |
|
500 N Indiana Ave Winslow AZ 86047-2169 | |
| (928) 289-4646 | |
| (928) 289-6290 |
| Full Name | Winslow Indian Health Care Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 N Indiana Ave, Winslow, Arizona |
| Authorized Official Name and Position | Francis Armao (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9282894646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winslow Indian Health Care Center, Inc Po Box 400 Winslow AZ 86047-0400 Ph: (928) 289-4646 | Winslow Indian Health Care Center, Inc 500 N Indiana Ave Winslow AZ 86047-2169 Ph: (928) 289-4646 |
| NPI Number | 1184729493 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 10/10/2011 |
| Medicare PECOS PAC ID | 4284548991 |
|---|---|
| Medicare Enrollment ID | O20031117000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184729493 | NPI | - | NPPES |
| 728701 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Myron A Fribush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184702102 PECOS PAC ID: 1456323997 Enrollment ID: I20040806000360 |
| Provider Name | Pearish J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619998200 PECOS PAC ID: 6103899257 Enrollment ID: I20040817000401 |
| Provider Name | Maree P Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679603203 PECOS PAC ID: 9739142795 Enrollment ID: I20041110000578 |
| Provider Name | Keith A Goss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700860715 PECOS PAC ID: 3779540521 Enrollment ID: I20041214000511 |
| Provider Name | Gregory T Jarrin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275663197 PECOS PAC ID: 5698723658 Enrollment ID: I20050106000092 |
| Provider Name | Lezlie G Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063542553 PECOS PAC ID: 4183667470 Enrollment ID: I20050607001370 |
| Provider Name | John S Condojani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497761555 PECOS PAC ID: 2668463860 Enrollment ID: I20050920001121 |
| Provider Name | Richard L Nez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487784856 PECOS PAC ID: 2567487838 Enrollment ID: I20051006000410 |
| Provider Name | Deborah A Samoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801804430 PECOS PAC ID: 6204856875 Enrollment ID: I20051128000545 |
| Provider Name | Ang Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497852404 PECOS PAC ID: 8628058179 Enrollment ID: I20060313000495 |
| Provider Name | Lei Guan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235191321 PECOS PAC ID: 2961493176 Enrollment ID: I20060804000303 |
| Provider Name | William R Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023052933 PECOS PAC ID: 4082663539 Enrollment ID: I20070202000209 |
| Provider Name | David M Labiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235236795 PECOS PAC ID: 7719976133 Enrollment ID: I20070711000856 |
| Provider Name | Kevin Rowe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417087644 PECOS PAC ID: 3375516347 Enrollment ID: I20070813000486 |
| Provider Name | Stephen A Savoia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346259496 PECOS PAC ID: 2668567645 Enrollment ID: I20071005000277 |
| Provider Name | Ksenija Topic |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639350648 PECOS PAC ID: 0446332233 Enrollment ID: I20080201000254 |
| Provider Name | Darius Mirza Moezzi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700860996 PECOS PAC ID: 0547248429 Enrollment ID: I20080205000496 |
| Provider Name | John E Tveten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588741615 PECOS PAC ID: 9638276884 Enrollment ID: I20080205000633 |
| Provider Name | John N Dement |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235200767 PECOS PAC ID: 1153217864 Enrollment ID: I20080919000216 |
| Provider Name | Darryl J Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184718769 PECOS PAC ID: 8123930229 Enrollment ID: I20081218000503 |
| Provider Name | William K Kvien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235148784 PECOS PAC ID: 4789602905 Enrollment ID: I20090105000118 |
| Provider Name | Michael Lewis Tutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114003183 PECOS PAC ID: 8224191937 Enrollment ID: I20090107000118 |
| Provider Name | Christian J Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013912534 PECOS PAC ID: 1052474111 Enrollment ID: I20090115000381 |
| Provider Name | Jennifer S Kast |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881831915 PECOS PAC ID: 0648334797 Enrollment ID: I20090204000280 |
| Provider Name | Regina E Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063690014 PECOS PAC ID: 3870640949 Enrollment ID: I20090406000568 |
| Provider Name | James A Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649458423 PECOS PAC ID: 6709933633 Enrollment ID: I20090413000211 |
| Provider Name | Bich Hoa Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891723169 PECOS PAC ID: 7719954247 Enrollment ID: I20090505000387 |
| Provider Name | Ruth S Deboard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419100 PECOS PAC ID: 2961570049 Enrollment ID: I20090527000064 |
| Provider Name | Edward J Tognacci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265410351 PECOS PAC ID: 3173569746 Enrollment ID: I20090721000687 |
| Provider Name | Lanae B Yong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497985790 PECOS PAC ID: 4880748029 Enrollment ID: I20090821000443 |
| Provider Name | Michael D Laplante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942330303 PECOS PAC ID: 0648305201 Enrollment ID: I20100322000189 |
| Provider Name | Lita A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164749263 PECOS PAC ID: 0345379160 Enrollment ID: I20100603000325 |
| Provider Name | Christine B Villarino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114991007 PECOS PAC ID: 3577521400 Enrollment ID: I20100714000600 |
| Provider Name | Steven G Zeldes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124158506 PECOS PAC ID: 0749314755 Enrollment ID: I20100812000678 |
| Provider Name | Frank B Armao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053441550 PECOS PAC ID: 2163336876 Enrollment ID: I20100818000291 |
| Provider Name | David M Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336169689 PECOS PAC ID: 9537103700 Enrollment ID: I20100910000978 |
| Provider Name | Caroline Tracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740452457 PECOS PAC ID: 3577752856 Enrollment ID: I20110118001305 |
| Provider Name | Larry C Schramm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902936438 PECOS PAC ID: 8729268867 Enrollment ID: I20110208000165 |
| Provider Name | Joanne I Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902105661 PECOS PAC ID: 0446435549 Enrollment ID: I20110505000595 |
| Provider Name | Michael J Schumacher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922387117 PECOS PAC ID: 0244401834 Enrollment ID: I20110910002901 |
| Provider Name | Brenna L Canterbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699057091 PECOS PAC ID: 4688846660 Enrollment ID: I20111017000763 |
| Provider Name | Peter J Hohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104883453 PECOS PAC ID: 2466358981 Enrollment ID: I20120307000016 |
| Provider Name | Cory J Mazour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811903388 PECOS PAC ID: 5193785137 Enrollment ID: I20120507000706 |
| Provider Name | Michael E Stitzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588825152 PECOS PAC ID: 6709040397 Enrollment ID: I20120612000022 |
| Provider Name | Jonathan Thomas Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982839288 PECOS PAC ID: 0648436014 Enrollment ID: I20120730000683 |
| Provider Name | Andrew Ditto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841424348 PECOS PAC ID: 8921254020 Enrollment ID: I20120806000287 |
| Provider Name | Lorraine D Kelwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053675934 PECOS PAC ID: 7719133511 Enrollment ID: I20120810000151 |
| Provider Name | Nicole S Lawrence |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083915300 PECOS PAC ID: 5799968822 Enrollment ID: I20121011000710 |
| Provider Name | Sonia E Mariano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013151562 PECOS PAC ID: 9537352083 Enrollment ID: I20130211000537 |
| Provider Name | Datcha T Dorvil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043470065 PECOS PAC ID: 4486891561 Enrollment ID: I20130509000043 |
| Provider Name | Melissa Schossow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942548961 PECOS PAC ID: 4284871179 Enrollment ID: I20130514000093 |
| Provider Name | Janine L Risser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558441634 PECOS PAC ID: 2062591209 Enrollment ID: I20131217000763 |
| Provider Name | Sarah E Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376854588 PECOS PAC ID: 1355515230 Enrollment ID: I20140213001158 |
| Provider Name | Rishi T Dholakia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083807184 PECOS PAC ID: 3577715192 Enrollment ID: I20140326001775 |
| Provider Name | Randall J Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124015722 PECOS PAC ID: 0042101032 Enrollment ID: I20140624000337 |
| Provider Name | Emily E Robbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104258003 PECOS PAC ID: 2264657048 Enrollment ID: I20140711000437 |
| Provider Name | Deborah J Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164754008 PECOS PAC ID: 4981733482 Enrollment ID: I20141205001672 |
| Provider Name | Lance Mcadams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497089205 PECOS PAC ID: 5991028730 Enrollment ID: I20141230002145 |
| Provider Name | Daniel E Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013971282 PECOS PAC ID: 3577548924 Enrollment ID: I20150218001842 |
| Provider Name | Erin Imeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818270 PECOS PAC ID: 5698933893 Enrollment ID: I20150413000249 |
| Provider Name | Roger A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295764892 PECOS PAC ID: 1850388893 Enrollment ID: I20150630000811 |
| Provider Name | Rebecca H Robarge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720349244 PECOS PAC ID: 1850607508 Enrollment ID: I20150826001820 |
| Provider Name | Sonya Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396821849 PECOS PAC ID: 8820305253 Enrollment ID: I20150917002345 |
| Provider Name | Akwugo A Eziefule |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245468354 PECOS PAC ID: 0941110258 Enrollment ID: I20151103002896 |
| Provider Name | Berkely A Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710994884 PECOS PAC ID: 4385782606 Enrollment ID: I20151110001259 |
| Provider Name | Joyce B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770625048 PECOS PAC ID: 3375599376 Enrollment ID: I20151119000400 |
| Provider Name | Isaac Palacios |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164817425 PECOS PAC ID: 4981908241 Enrollment ID: I20160205001678 |
| Provider Name | Tara P Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649460080 PECOS PAC ID: 3678601317 Enrollment ID: I20160217002534 |
| Provider Name | Candis Elaine Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957385 PECOS PAC ID: 4385949510 Enrollment ID: I20160225000614 |
| Provider Name | Babu Chalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598051633 PECOS PAC ID: 3173746500 Enrollment ID: I20160425001000 |
| Provider Name | Bonnie M Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346285095 PECOS PAC ID: 3779586193 Enrollment ID: I20160602000670 |
| Provider Name | Charlene Y Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184061954 PECOS PAC ID: 7315235256 Enrollment ID: I20161010001793 |
| Provider Name | Janice Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952775769 PECOS PAC ID: 5799064911 Enrollment ID: I20170221002429 |
| Provider Name | Stephanie M Crihfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255600615 PECOS PAC ID: 0547544264 Enrollment ID: I20170224000878 |
| Provider Name | Amy E Birdsong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578903902 PECOS PAC ID: 3678859576 Enrollment ID: I20170407000265 |
| Provider Name | Diane Marie Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760403299 PECOS PAC ID: 9830148360 Enrollment ID: I20170714001240 |
| Provider Name | Clarissa Kum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558777078 PECOS PAC ID: 1951618131 Enrollment ID: I20170810002433 |
| Provider Name | Sage J White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285046227 PECOS PAC ID: 4789993288 Enrollment ID: I20170811001763 |
| Provider Name | Xihua Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174871693 PECOS PAC ID: 2668744863 Enrollment ID: I20170823002020 |
| Provider Name | Clyde Yellowhair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336662584 PECOS PAC ID: 7416229364 Enrollment ID: I20170828001659 |
| Provider Name | Karen L Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083795215 PECOS PAC ID: 0446142012 Enrollment ID: I20171120001023 |
| Provider Name | Richard N Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356475818 PECOS PAC ID: 9436258902 Enrollment ID: I20171120002139 |
| Provider Name | Lisa A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091205 PECOS PAC ID: 3476745811 Enrollment ID: I20180214000195 |
| Provider Name | Samuel J Rosero Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912395807 PECOS PAC ID: 0244506418 Enrollment ID: I20180427000082 |
| Provider Name | David A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072019 PECOS PAC ID: 2567726763 Enrollment ID: I20180515001817 |
| Provider Name | Candice Schrodetzki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235630427 PECOS PAC ID: 1052666047 Enrollment ID: I20180614002612 |
| Provider Name | Amy Beth Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667181 PECOS PAC ID: 9436436284 Enrollment ID: I20181012000553 |
| Provider Name | Krista Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699771428 PECOS PAC ID: 4486692910 Enrollment ID: I20181026001465 |
| Provider Name | Susan A Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659494128 PECOS PAC ID: 4981661303 Enrollment ID: I20181105000162 |
| Provider Name | Alison M Pingitore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538518113 PECOS PAC ID: 5294028668 Enrollment ID: I20181105000381 |
| Provider Name | Evan R Pulvers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730561184 PECOS PAC ID: 3577807106 Enrollment ID: I20181207001112 |
| Provider Name | Karen L Ritscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396051793 PECOS PAC ID: 8628314465 Enrollment ID: I20190115002251 |
| Provider Name | Bryce E Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790150738 PECOS PAC ID: 1951640945 Enrollment ID: I20190311000121 |
| Provider Name | Nicole L Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497714406 PECOS PAC ID: 3173536703 Enrollment ID: I20190311001835 |
| Provider Name | Michelle Tom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619363843 PECOS PAC ID: 3274875059 Enrollment ID: I20190426000144 |
| Provider Name | William Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760766208 PECOS PAC ID: 7719228196 Enrollment ID: I20190426001358 |
| Provider Name | Leslie Diane Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316326523 PECOS PAC ID: 4486994365 Enrollment ID: I20190430002087 |
| Provider Name | Folorunso Ibraheem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861636979 PECOS PAC ID: 3870788250 Enrollment ID: I20190520000544 |
| Provider Name | Ellen E Claxton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306839840 PECOS PAC ID: 6608764865 Enrollment ID: I20190530001112 |
| Provider Name | David Y Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962751545 PECOS PAC ID: 6709114267 Enrollment ID: I20190821002249 |
| Provider Name | Randy W Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467939249 PECOS PAC ID: 1153659164 Enrollment ID: I20190828001611 |
| Provider Name | Justina Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669836284 PECOS PAC ID: 8729313309 Enrollment ID: I20190905001326 |
| Provider Name | Antonia L Calabro-payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528284460 PECOS PAC ID: 7315130580 Enrollment ID: I20191009001416 |
| Provider Name | Amina Danishyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861854085 PECOS PAC ID: 7012249089 Enrollment ID: I20191023002888 |
| Provider Name | Jorge Phillip Kinds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174182760 PECOS PAC ID: 5698007136 Enrollment ID: I20191101000882 |
| Provider Name | Matthew D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447405782 PECOS PAC ID: 2668703448 Enrollment ID: I20191104000357 |
| Provider Name | Beta J Hamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376553040 PECOS PAC ID: 8224026349 Enrollment ID: I20191112001298 |
| Provider Name | Levi T Ballstaedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619326188 PECOS PAC ID: 2466885975 Enrollment ID: I20191213000544 |
| Provider Name | Preston C Maxim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427090042 PECOS PAC ID: 2860564598 Enrollment ID: I20200303001081 |
| Provider Name | Bradley N Rowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487297719 PECOS PAC ID: 7416381637 Enrollment ID: I20200312000120 |
| Provider Name | Laura P Edgerley-gibb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205024361 PECOS PAC ID: 6608069216 Enrollment ID: I20200318002563 |
| Provider Name | Jacqueline Ustache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255788832 PECOS PAC ID: 8729418405 Enrollment ID: I20200421000014 |
| Provider Name | Sasha Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841780079 PECOS PAC ID: 1254766629 Enrollment ID: I20200609000664 |
| Provider Name | Chadd J Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881469 PECOS PAC ID: 9133541360 Enrollment ID: I20200617000690 |
| Provider Name | Brian Sealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548698434 PECOS PAC ID: 4688892888 Enrollment ID: I20200807001444 |
| Provider Name | Shawn P Catmull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821597600 PECOS PAC ID: 0749606622 Enrollment ID: I20200824000529 |
| Provider Name | Muriel E Rosenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942637780 PECOS PAC ID: 5890093819 Enrollment ID: I20200903000482 |
| Provider Name | Andrew Wenger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336677566 PECOS PAC ID: 6608144423 Enrollment ID: I20201201000519 |
| Provider Name | Joseph N Pack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578765012 PECOS PAC ID: 4688730062 Enrollment ID: I20201223000876 |
| Provider Name | Samuel Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518499177 PECOS PAC ID: 7012338213 Enrollment ID: I20210203001472 |
| Provider Name | Marcia Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326411711 PECOS PAC ID: 8123321361 Enrollment ID: I20210330000245 |
| Provider Name | Irina S Bratan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567922 PECOS PAC ID: 9436576402 Enrollment ID: I20210423000060 |
| Provider Name | David Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635378 PECOS PAC ID: 1456750652 Enrollment ID: I20210520000125 |
| Provider Name | Daniel E Wesche |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013985191 PECOS PAC ID: 0547455727 Enrollment ID: I20210719000634 |
| Provider Name | Andrew J Aldridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497724017 PECOS PAC ID: 6305039132 Enrollment ID: I20210811002646 |
| Provider Name | Kelsey R Heinrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154826196 PECOS PAC ID: 3678838653 Enrollment ID: I20210827001414 |
| Provider Name | David C Weech |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811456676 PECOS PAC ID: 5395133664 Enrollment ID: I20211020000187 |
| Provider Name | Megan Danielle Potilechio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255868451 PECOS PAC ID: 7315215134 Enrollment ID: I20211110000051 |
| Provider Name | Mary V Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982639779 PECOS PAC ID: 0143301556 Enrollment ID: I20211206001199 |
| Provider Name | Ryan Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912435868 PECOS PAC ID: 7012271273 Enrollment ID: I20220110002439 |
| Provider Name | Roseline Dor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316459316 PECOS PAC ID: 2567854862 Enrollment ID: I20220119000071 |
| Provider Name | Andrew M Wilkis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225363724 PECOS PAC ID: 4082876073 Enrollment ID: I20220121000195 |
| Provider Name | Theresa S Salvatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144682584 PECOS PAC ID: 1052607348 Enrollment ID: I20220216000355 |
| Provider Name | Ottilia Sibanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992280622 PECOS PAC ID: 9739572728 Enrollment ID: I20220216000705 |
| Provider Name | Ryan Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750825717 PECOS PAC ID: 8224422233 Enrollment ID: I20220308000485 |
| Provider Name | Gary K Yong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992936454 PECOS PAC ID: 3375685787 Enrollment ID: I20220418002616 |
| Provider Name | Jonathan D Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437611860 PECOS PAC ID: 6406235878 Enrollment ID: I20220713001530 |
| Provider Name | Randall Beaupre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457883811 PECOS PAC ID: 7618351354 Enrollment ID: I20220830003460 |
| Provider Name | Samuel Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851952162 PECOS PAC ID: 4981026127 Enrollment ID: I20220926000240 |
| Provider Name | Mark Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295881274 PECOS PAC ID: 5092847558 Enrollment ID: I20220926000579 |
| Provider Name | Krissie Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750856621 PECOS PAC ID: 5193060622 Enrollment ID: I20220928000353 |
| Provider Name | Natalie Baugh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538774302 PECOS PAC ID: 1658747787 Enrollment ID: I20221014001323 |
| Provider Name | Leonard A Yontz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578805966 PECOS PAC ID: 9638108384 Enrollment ID: I20221101003188 |
| Provider Name | Bethany A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982048856 PECOS PAC ID: 2668615998 Enrollment ID: I20221110003106 |
| Provider Name | Melody Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730701004 PECOS PAC ID: 0446675086 Enrollment ID: I20221207002518 |
| Provider Name | Daniel David Metzger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124485453 PECOS PAC ID: 8820383508 Enrollment ID: I20221223000195 |
| Provider Name | Melissa M Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760410807 PECOS PAC ID: 9436250602 Enrollment ID: I20230522002661 |
| Provider Name | Paul Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841236577 PECOS PAC ID: 7810968484 Enrollment ID: I20230524003217 |
| Provider Name | Douglas W Mapel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497730451 PECOS PAC ID: 0749281673 Enrollment ID: I20230726001201 |
| Provider Name | Julia B Eskuchen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174716526 PECOS PAC ID: 6103077656 Enrollment ID: I20230822002644 |
| Provider Name | Winfred D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093887598 PECOS PAC ID: 0143322503 Enrollment ID: I20230823001312 |
| Provider Name | Dorotie Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285099440 PECOS PAC ID: 8123366341 Enrollment ID: I20230904000115 |
| Provider Name | Karrie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649624404 PECOS PAC ID: 3577952290 Enrollment ID: I20230913000757 |
| Provider Name | Clarence D Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735723 PECOS PAC ID: 9638572241 Enrollment ID: I20230915000026 |
| Provider Name | Kishana R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881181634 PECOS PAC ID: 4880932383 Enrollment ID: I20230920000006 |
| Provider Name | Travis E Devader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740442946 PECOS PAC ID: 4284814021 Enrollment ID: I20230922000064 |
| Provider Name | Derek Smith Meeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780801100 PECOS PAC ID: 8224218870 Enrollment ID: I20230927000026 |
| Provider Name | Ty A Bowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619503596 PECOS PAC ID: 0143680090 Enrollment ID: I20231003000022 |
| Provider Name | Syna Daudfar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124521976 PECOS PAC ID: 6800260522 Enrollment ID: I20231003002479 |
| Provider Name | Trent S Willey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558512897 PECOS PAC ID: 6002164811 Enrollment ID: I20231003002853 |
| Provider Name | David B Marble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841856507 PECOS PAC ID: 7618382169 Enrollment ID: I20231004003025 |
| Provider Name | Liam C Bosch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750814554 PECOS PAC ID: 1153709639 Enrollment ID: I20231130000039 |
| Provider Name | Nicholas A Akgulian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740214980 PECOS PAC ID: 0446263768 Enrollment ID: I20231207000533 |
| Provider Name | Susan Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275246043 PECOS PAC ID: 4587037494 Enrollment ID: I20240212004180 |
| Provider Name | Zachary Daniel Pruemer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245990035 PECOS PAC ID: 2567820780 Enrollment ID: I20240307001224 |
| Provider Name | Patrena L Caldwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306917463 PECOS PAC ID: 4082694054 Enrollment ID: I20240308001388 |
| Provider Name | Latarsha A Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720242241 PECOS PAC ID: 3274714142 Enrollment ID: I20240316000292 |
| Provider Name | Drue Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679952188 PECOS PAC ID: 8123313269 Enrollment ID: I20240425000057 |
| Provider Name | Kathleen A Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942737978 PECOS PAC ID: 1850783176 Enrollment ID: I20240429000643 |
| Provider Name | Sherri A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437926797 PECOS PAC ID: 8022459312 Enrollment ID: I20240517001256 |
Little Colorado Physicians Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Lee St, Winslow, AZ 86047 Phone: 928-289-3396 Fax: 928-289-2801 | |
Winslow Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691 Fax: 928-289-6289 | |
Ldr Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 W Second St, Winslow, AZ 86047 Phone: 928-289-6093 Fax: 928-289-6787 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W. Lee Street, Winslow, AZ 86047 Phone: 928-289-2000 Fax: 928-289-0036 | |
Winslow Indian Health Care Ctr Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6291 | |
Little Colorado Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691 Fax: 928-289-3855 |