| Phoenix Neurology And Sleep Medicine Pllc | |
|
2940 N Litchfield Rd Goodyear AZ 85395-7830 | |
| (623) 535-0050 | |
| (623) 535-9620 |
| Full Name | Phoenix Neurology And Sleep Medicine Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2940 N Litchfield Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Troy G Anderson (MANAGING MEMBER) |
| Authorized Official Contact | 6235350050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Neurology And Sleep Medicine Pllc Po Box 205112 Dallas TX 75320-5112 Ph: (623) 535-0050 | Phoenix Neurology And Sleep Medicine Pllc 2940 N Litchfield Rd Goodyear AZ 85395-7830 Ph: (623) 535-0050 |
| NPI Number | 1285687822 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/13/2014 |
| Medicare PECOS PAC ID | 9335152669 |
|---|---|
| Medicare Enrollment ID | O20060803000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285687822 | NPI | - | NPPES |
| 918581 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Julius R Charlie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063479707 PECOS PAC ID: 9638149966 Enrollment ID: I20040726001317 |
| Provider Name | Susan A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457497604 PECOS PAC ID: 7911972948 Enrollment ID: I20040901000607 |
| Provider Name | Troy G Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710958947 PECOS PAC ID: 5395782296 Enrollment ID: I20050412001185 |
| Provider Name | Kimberly D Vana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407947104 PECOS PAC ID: 8921024134 Enrollment ID: I20051018000121 |
| Provider Name | Daniel T Torzala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437127990 PECOS PAC ID: 0446303689 Enrollment ID: I20090805000257 |
| Provider Name | Eric J Foltz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063550978 PECOS PAC ID: 5294826855 Enrollment ID: I20101004000960 |
| Provider Name | Shruti Badhwar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497918502 PECOS PAC ID: 0244406593 Enrollment ID: I20120109000238 |
| Provider Name | Albert L Klaski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619132792 PECOS PAC ID: 1254596075 Enrollment ID: I20120629000151 |
| Provider Name | Harpreet K Sandhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215135462 PECOS PAC ID: 3173772449 Enrollment ID: I20130529000693 |
| Provider Name | Amparo E Macariola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505401 PECOS PAC ID: 3971884669 Enrollment ID: I20201013003109 |
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