| Advanced Medical Center | |
|
1847 E Southern Ave Ste 1 Tempe AZ 85282-5881 | |
| (480) 897-7070 | |
| (844) 563-8236 |
| Full Name | Advanced Medical Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1847 E Southern Ave Ste 1, Tempe, Arizona |
| Authorized Official Name and Position | Louisa Arguello (PRACTICE ADMIN) |
| Authorized Official Contact | 4808977070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Center 1847 E Southern Ave Ste 1 Tempe AZ 85282-5881 Ph: (480) 897-7070 | Advanced Medical Center 1847 E Southern Ave Ste 1 Tempe AZ 85282-5881 Ph: (480) 897-7070 |
| NPI Number | 1336651496 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Medicare PECOS PAC ID | 0345509469 |
|---|---|
| Medicare Enrollment ID | O20180118001793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336651496 | NPI | - | NPPES |
| 337166 | Medicaid | AZ |
| Provider Name | David K Towns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326116278 PECOS PAC ID: 7416009048 Enrollment ID: I20090713000607 |
| Provider Name | Jayson Luma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518082411 PECOS PAC ID: 5294786521 Enrollment ID: I20091120000420 |
| Provider Name | Christopher Ian Earle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003242314 PECOS PAC ID: 6305074378 Enrollment ID: I20140121000677 |
| Provider Name | Faith M Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437448859 PECOS PAC ID: 3072735166 Enrollment ID: I20141104002716 |
| Provider Name | Sally A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417352196 PECOS PAC ID: 8224354709 Enrollment ID: I20150325001408 |
| Provider Name | Jennifer Withee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790115905 PECOS PAC ID: 8527335033 Enrollment ID: I20170602002038 |
| Provider Name | Curtis Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659808103 PECOS PAC ID: 4385912831 Enrollment ID: I20170626000202 |
| Provider Name | Amirarsalan Eissa |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1184913659 PECOS PAC ID: 5496033557 Enrollment ID: I20180716003220 |
| Provider Name | Kathy Katayoun Nafisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811468465 PECOS PAC ID: 8123354529 Enrollment ID: I20190723002393 |
| Provider Name | Leanette Henagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811355118 PECOS PAC ID: 8224456439 Enrollment ID: I20200918001762 |
| Provider Name | Kimberly A Kuopus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619498102 PECOS PAC ID: 8022389568 Enrollment ID: I20210518002948 |
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