| Quality Of Life Medical Centers, Llc | |
|
5390 E Erickson Dr Tucson AZ 85712-2822 | |
| (520) 733-2250 | |
| (520) 733-2270 |
| Full Name | Quality Of Life Medical Centers, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5390 E Erickson Dr, Tucson, Arizona |
| Authorized Official Name and Position | John W Mcgettigan (OWNER) |
| Authorized Official Contact | 5207332250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Of Life Medical Centers, Llc 5390 E Erickson Dr Tucson AZ 85712-2822 Ph: (520) 733-2250 | Quality Of Life Medical Centers, Llc 5390 E Erickson Dr Tucson AZ 85712-2822 Ph: (520) 733-2250 |
| NPI Number | 1508824855 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Medicare PECOS PAC ID | 8820988348 |
|---|---|
| Medicare Enrollment ID | O20040318000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508824855 | NPI | - | NPPES |
| OTC20023 | Other | AZ | AZ OUTPATIENT CENTER LICENSE |
| Provider Name | Rebecca Pradhan Nara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083602700 PECOS PAC ID: 2365438330 Enrollment ID: I20040423000951 |
| Provider Name | Riemke M Brakema |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497755326 PECOS PAC ID: 4486635141 Enrollment ID: I20040527001032 |
| Provider Name | John W Mcgettigan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679637342 PECOS PAC ID: 9931093176 Enrollment ID: I20040909000658 |
| Provider Name | Robert E Mutterperl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861438822 PECOS PAC ID: 3971561101 Enrollment ID: I20041222000558 |
| Provider Name | Steven M Rayle |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104826478 PECOS PAC ID: 3971551904 Enrollment ID: I20050106000666 |
| Provider Name | Brian F Mccabe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497751093 PECOS PAC ID: 5698700656 Enrollment ID: I20050928001460 |
| Provider Name | Ida M Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154432086 PECOS PAC ID: 9335145101 Enrollment ID: I20061018000646 |
| Provider Name | Michael J Maximov |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376556068 PECOS PAC ID: 9032003231 Enrollment ID: I20061128000439 |
| Provider Name | David W Robertson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164631792 PECOS PAC ID: 6103925680 Enrollment ID: I20070625000239 |
| Provider Name | Patricia J Jalomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564778 PECOS PAC ID: 1658697321 Enrollment ID: I20150225000227 |
| Provider Name | Cindy J Finch-benoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720520570 PECOS PAC ID: 9638450059 Enrollment ID: I20161227000069 |
| Provider Name | Jean A Marsalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043293475 PECOS PAC ID: 0042587123 Enrollment ID: I20170519001537 |
| Provider Name | Susan M Lebouef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386046167 PECOS PAC ID: 9739438672 Enrollment ID: I20180824002982 |
| Provider Name | Laurel H Kittrell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922536549 PECOS PAC ID: 6103181383 Enrollment ID: I20190107000530 |
| Provider Name | Mikell B Karsten |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235556481 PECOS PAC ID: 4183962509 Enrollment ID: I20190211001432 |
| Provider Name | Kelly Allyn Mendelsohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619599156 PECOS PAC ID: 9537571500 Enrollment ID: I20201218002485 |
| Provider Name | Jared B Gilman |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801240569 PECOS PAC ID: 5799070736 Enrollment ID: I20210614000314 |
| Provider Name | Heather L Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801463203 PECOS PAC ID: 4082016639 Enrollment ID: I20210706001890 |
| Provider Name | Ronald Zack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104375732 PECOS PAC ID: 4082081740 Enrollment ID: I20221109001465 |
| Provider Name | Robert J Whiting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982078143 PECOS PAC ID: 9931633252 Enrollment ID: I20241108003181 |
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