| Victor Staheli, MD | |
|
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | |
| (928) 537-4375 | |
| Not Available |
| Full Name | Victor Staheli |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275844979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 47628 (Arizona) | Primary |
| 207P00000X | Emergency Medicine | 35.098775 (Ohio) | Secondary |
| Entity Name | Summit Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
| Entity Name | Summit Healthcare Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Staheli, MD 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (928) 537-4375 | Victor Staheli, MD 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (928) 537-4375 |
Travis Wade Austin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-9581 | |
Bruce A Hall, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Philip L Johnson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Cameron Tregaskes, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6371 Fax: 928-537-2538 | |
Susan Davies, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Brent Veerman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |