| Dr Brad A Fiorito, DO | |
| 
					350 W Thomas Rd, Phoenix, AZ 85013-4409  | |
| (602) 406-3000 | |
| Not Available | 
| Full Name | Dr Brad A Fiorito | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Critical Care Medicine | 
| Location | 350 W Thomas Rd, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467415331 | NPI | - | NPPES | 
| 874116 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 4103 (Arizona) | Secondary | 
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 4103 (Arizona) | Primary | 
| Entity Name | Banner Physician Super Specialists Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Brad A Fiorito, DO Po Box 27340, Phoenix, AZ 85061-7340 Ph: (602) 943-9200  | Dr Brad A Fiorito, DO 350 W Thomas Rd, Phoenix, AZ 85013-4409 Ph: (602) 406-3000  | 
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198  | |
Laura Gardner Hamant,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521  | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263  | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006  | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Alexandra Palacios,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945  |