| Ray Road Medical Group Llc | |
|
1949 W Ray Rd Ste 23, Chandler, AZ 85224-4008 | |
| (480) 917-1720 | |
| (480) 917-6934 |
| Full Name | Ray Road Medical Group Llc |
|---|---|
| Type | Facility |
| Speciality | General Practice |
| Location | 1949 W Ray Rd Ste 23, Chandler, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912498239 | NPI | - | NPPES |
| Provider Name | Mollie E Callanan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255369849 PECOS PAC ID: 4880637313 Enrollment ID: I20050606001134 |
| Provider Name | Sheila Jarvis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154596153 PECOS PAC ID: 2365468709 Enrollment ID: I20051014000851 |
| Provider Name | Justin W Gomez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689839672 PECOS PAC ID: 3678626884 Enrollment ID: I20090806000056 |
| Provider Name | Troy C Ciavaglia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740400258 PECOS PAC ID: 7113052267 Enrollment ID: I20100316000061 |
| Provider Name | Sonja Gerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366719965 PECOS PAC ID: 0941460018 Enrollment ID: I20120327000757 |
| Provider Name | Matthew Lemke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427674118 PECOS PAC ID: 7113344755 Enrollment ID: I20200910002328 |
| Provider Name | Josefina Danielle Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336897164 PECOS PAC ID: 0244626752 Enrollment ID: I20220411000745 |
| Provider Name | Kymberli Angelina Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734746 PECOS PAC ID: 6608260161 Enrollment ID: I20240729001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Road Medical Group Llc Po Box 6610, Chandler, AZ 85246-6610 Ph: (480) 926-7800 | Ray Road Medical Group Llc 1949 W Ray Rd Ste 23, Chandler, AZ 85224-4008 Ph: (480) 917-1720 |