| Dr James Michael Underwood, DO | |
|
44572 W Bowlin Rd, Maricopa, AZ 85138 | |
| (520) 568-2316 | |
| (520) 568-2316 |
| Full Name | Dr James Michael Underwood |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 44572 W Bowlin Rd, Maricopa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558365957 | NPI | - | NPPES |
| 2137860 | Medicaid | OH | |
| 000000354015 | Other | OH | BLUE CROSS BLUE SHIELD PI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OH34007098 (Ohio) | Secondary |
| 208000000X | Pediatrics | 007525 (Arizona) | Primary |
| Entity Name | Mountain Park Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Michael Underwood, DO Po Box 10097, Casa Grande, AZ 85130-0020 Ph: () - | Dr James Michael Underwood, DO 44572 W Bowlin Rd, Maricopa, AZ 85138 Ph: (520) 568-2316 |
Elizabeth Ann Allen, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21300 N John Wayne Pkwy Ste 112, Maricopa, AZ 85139 Phone: 520-568-9500 | |
Dr. Marie Christianne Sandhya Ravi Chandar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 | |
Dr. Rachel Singer, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 | |
Carrie Ann Lipp, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 Fax: 520-233-2531 | |
Dr. Dawn Medler Sorenson, M.D., M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 Fax: 520-233-2531 | |
Nurul Itqiyah Hariadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 Fax: 520-233-2574 |