| Neurocritical Care And Stroke Of Arizona Pllc | |
|
250 E Dunlap Ave Phoenix AZ 85020-2825 | |
| (602) 396-7491 | |
| Not Available |
| Full Name | Neurocritical Care And Stroke Of Arizona Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 250 E Dunlap Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Victor Zach (MANAGER) |
| Authorized Official Contact | 4804206428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocritical Care And Stroke Of Arizona Pllc 111 E Dunlap Ave Ste 1-279 Phoenix AZ 85020-2807 Ph: (602) 396-7491 | Neurocritical Care And Stroke Of Arizona Pllc 250 E Dunlap Ave Phoenix AZ 85020-2825 Ph: (602) 396-7491 |
| NPI Number | 1649561580 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 07/15/2013 |
| Medicare PECOS PAC ID | 0143493882 |
|---|---|
| Medicare Enrollment ID | O20111025000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649561580 | NPI | - | NPPES |
| 628271 | Medicaid | AZ |
| Provider Name | Tamara Zach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962638254 PECOS PAC ID: 5799823480 Enrollment ID: I20110722000715 |
| Provider Name | Victor Zach |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588824353 PECOS PAC ID: 8426237249 Enrollment ID: I20111025000871 |
| Provider Name | Matthew Robert Flaherty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265797401 PECOS PAC ID: 5092956722 Enrollment ID: I20150602001515 |
| Provider Name | Gregory M Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912383522 PECOS PAC ID: 2668772468 Enrollment ID: I20151203003278 |
| Provider Name | Jennifer Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851753404 PECOS PAC ID: 8527350776 Enrollment ID: I20160707001876 |
| Provider Name | Diana Mohine Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518276880 PECOS PAC ID: 7214229962 Enrollment ID: I20160715002080 |
| Provider Name | Rahmar Ali Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265889364 PECOS PAC ID: 3274820162 Enrollment ID: I20160920002409 |
| Provider Name | Dien T Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609326289 PECOS PAC ID: 9830477256 Enrollment ID: I20161104001524 |
| Provider Name | Mark Hinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639538986 PECOS PAC ID: 9234408048 Enrollment ID: I20170711002313 |
| Provider Name | Michele Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898411 PECOS PAC ID: 2163735150 Enrollment ID: I20170713001174 |
| Provider Name | Vladimir Katyshev |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235417551 PECOS PAC ID: 0143590950 Enrollment ID: I20170726002174 |
| Provider Name | Leslie Wynveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063947521 PECOS PAC ID: 7719259480 Enrollment ID: I20170816001980 |
| Provider Name | Tamara K Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457867517 PECOS PAC ID: 3577825330 Enrollment ID: I20180315001231 |
| Provider Name | Allison Lee Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235636887 PECOS PAC ID: 0648525220 Enrollment ID: I20180622000965 |
| Provider Name | Amr Elmaghraby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639517949 PECOS PAC ID: 1254553605 Enrollment ID: I20190603001469 |
| Provider Name | Burgess Levenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336702679 PECOS PAC ID: 6002148087 Enrollment ID: I20191023003471 |
| Provider Name | Navid Valizadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073933222 PECOS PAC ID: 1456603794 Enrollment ID: I20200707001257 |
| Provider Name | Elena Aminov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992301923 PECOS PAC ID: 4688087331 Enrollment ID: I20210119002423 |
| Provider Name | Valeria R Mountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982342002 PECOS PAC ID: 4981085412 Enrollment ID: I20220714004259 |
| Provider Name | Brittney L Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992449193 PECOS PAC ID: 5395120083 Enrollment ID: I20220915003689 |
| Provider Name | Daniel D Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588390611 PECOS PAC ID: 1759766108 Enrollment ID: I20220921000996 |
| Provider Name | Danielle Leigh Crooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124630728 PECOS PAC ID: 2163888660 Enrollment ID: I20230524003373 |
| Provider Name | Shayan Ul Haque |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1275057598 PECOS PAC ID: 4981060407 Enrollment ID: I20230525000523 |
| Provider Name | Lily Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922729730 PECOS PAC ID: 0345611406 Enrollment ID: I20230602000355 |
| Provider Name | Alexis Dawn Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750152427 PECOS PAC ID: 2769824945 Enrollment ID: I20240521001013 |
| Provider Name | Ina Dervishi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1225522212 PECOS PAC ID: 6901153899 Enrollment ID: I20240731004480 |
| Provider Name | Sean V Cleymaet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386173425 PECOS PAC ID: 3971903436 Enrollment ID: I20240814002666 |
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