| Jordan H Perlow, MD | |
|
901 E Willetta St, Phoenix, AZ 85006-2727 | |
| (602) 239-2647 | |
| (602) 239-5295 |
| Full Name | Jordan H Perlow |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 901 E Willetta St, 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 |
|---|---|---|---|
| 1255390936 | NPI | - | NPPES |
| 112475 | Medicaid | AZ | |
| U3715 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 20808 (Arizona) | Primary |
| Entity Name | Obstetrix Medical Group Of Phoenix Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407957152 PECOS PAC ID: 8628961430 Enrollment ID: O20040206000419 |
| Entity Name | Banner - University Physician Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan H Perlow, MD 901 E Willetta St, Phoenix, AZ 85006-2727 Ph: (602) 239-2647 | Jordan H Perlow, MD 901 E Willetta St, Phoenix, AZ 85006-2727 Ph: (602) 239-2647 |
Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619 | |
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065 | |
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766 | |
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823 |