| I Am Wellness Az Llc | |
|
604 W Warner Rd Ste E201, Chandler, AZ 85225-2911 | |
| (601) 324-0793 | |
| (480) 779-1277 |
| Full Name | I Am Wellness Az Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine - Adult Medicine |
| Location | 604 W Warner Rd Ste E201, Chandler, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184354532 | NPI | - | NPPES |
| Provider Name | Marc L Eckhauser |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811997513 PECOS PAC ID: 2567362676 Enrollment ID: I20040113000443 |
| Provider Name | Brian W Zernich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902878895 PECOS PAC ID: 9931091253 Enrollment ID: I20040329001820 |
| Provider Name | Kara L Gordon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962466862 PECOS PAC ID: 1658364641 Enrollment ID: I20040414001456 |
| Provider Name | Bogdan N Anghel |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1417934290 PECOS PAC ID: 5092706986 Enrollment ID: I20040803001579 |
| Provider Name | Brock A Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619933942 PECOS PAC ID: 0244209823 Enrollment ID: I20040930000155 |
| Provider Name | George Armendariz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750387783 PECOS PAC ID: 3476512724 Enrollment ID: I20041004000671 |
| Provider Name | Kathleen J Richards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073500237 PECOS PAC ID: 3072531573 Enrollment ID: I20051103000266 |
| Provider Name | Michael J Sekosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063409449 PECOS PAC ID: 5698793883 Enrollment ID: I20051107000196 |
| Provider Name | Raymond R Botte |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083674857 PECOS PAC ID: 5193743144 Enrollment ID: I20051108000479 |
| Provider Name | Stephen J Joyce |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619043890 PECOS PAC ID: 3274553946 Enrollment ID: I20051128000481 |
| Provider Name | Michael F Esber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174597462 PECOS PAC ID: 7416965355 Enrollment ID: I20060406000381 |
| Provider Name | Torrence Watkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447294558 PECOS PAC ID: 9234026196 Enrollment ID: I20070110000159 |
| Provider Name | Robert P Gervais |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255326963 PECOS PAC ID: 3577642503 Enrollment ID: I20080502000052 |
| Provider Name | Theresa M Hensler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386761484 PECOS PAC ID: 7416022728 Enrollment ID: I20080821000276 |
| Provider Name | Xuan Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285842054 PECOS PAC ID: 3173690385 Enrollment ID: I20080930000039 |
| Provider Name | Mary C Maselli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942270962 PECOS PAC ID: 6709946478 Enrollment ID: I20081125000737 |
| Provider Name | Randall James Sorrentino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588647374 PECOS PAC ID: 2365505385 Enrollment ID: I20090116000106 |
| Provider Name | Michael T Kelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073571816 PECOS PAC ID: 8527183342 Enrollment ID: I20100916001388 |
| Provider Name | Maressa M Alejandro-reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750328969 PECOS PAC ID: 6002881935 Enrollment ID: I20110112000619 |
| Provider Name | Nikesh D Seth |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922327030 PECOS PAC ID: 1254501760 Enrollment ID: I20110818000746 |
| Provider Name | Susan M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255671780 PECOS PAC ID: 1557507308 Enrollment ID: I20130423000288 |
| Provider Name | Kamran D Farahani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235425687 PECOS PAC ID: 3779725635 Enrollment ID: I20130806000714 |
| Provider Name | Mitchell Waller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457424467 PECOS PAC ID: 3870481583 Enrollment ID: I20140602001724 |
| Provider Name | Long H.t. Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336451525 PECOS PAC ID: 0345474227 Enrollment ID: I20150513000515 |
| Provider Name | Juan Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326477134 PECOS PAC ID: 6305166398 Enrollment ID: I20150514001163 |
| Provider Name | Lora A Mangiafico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043462526 PECOS PAC ID: 5294896312 Enrollment ID: I20150717000646 |
| Provider Name | Roberta E Boon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942684253 PECOS PAC ID: 9032410741 Enrollment ID: I20151223000240 |
| Provider Name | Charrisa Kimberly Renee Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295144749 PECOS PAC ID: 7315243482 Enrollment ID: I20160316000307 |
| Provider Name | Irma Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689078636 PECOS PAC ID: 0749574960 Enrollment ID: I20160811001023 |
| Provider Name | Jeffrey M Braxton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053415257 PECOS PAC ID: 1052490547 Enrollment ID: I20180730001053 |
| Provider Name | Anh T Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003395484 PECOS PAC ID: 6406196807 Enrollment ID: I20190321001887 |
| Provider Name | Jennifer Denise De La Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972064558 PECOS PAC ID: 9436434875 Enrollment ID: I20190805002398 |
| Provider Name | Shannon Ganley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073976833 PECOS PAC ID: 5698066231 Enrollment ID: I20190814003984 |
| Provider Name | Tan Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932427341 PECOS PAC ID: 2860623212 Enrollment ID: I20191014001587 |
| Provider Name | Jose J Cruz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558995027 PECOS PAC ID: 8022446145 Enrollment ID: I20200323003129 |
| Provider Name | Stephen Leschak |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760430029 PECOS PAC ID: 7315832805 Enrollment ID: I20200325000899 |
| Provider Name | Ibukun Odutola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801404074 PECOS PAC ID: 3971929704 Enrollment ID: I20201203001816 |
| Provider Name | Charles C De La Riva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336726447 PECOS PAC ID: 0244636777 Enrollment ID: I20210909001029 |
| Provider Name | Marie Elianthe Bentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548850134 PECOS PAC ID: 4284022534 Enrollment ID: I20211019002944 |
| Provider Name | Rebecca Anne Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003405739 PECOS PAC ID: 8426449075 Enrollment ID: I20211215002679 |
| Provider Name | Krysten Ashley Luthardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508573890 PECOS PAC ID: 3971973173 Enrollment ID: I20230104002802 |
| Provider Name | Jyldyz Temirkan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463715 PECOS PAC ID: 4082088844 Enrollment ID: I20230316002383 |
| Provider Name | George L Dooley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588187389 PECOS PAC ID: 8527432277 Enrollment ID: I20230320000720 |
| Provider Name | Darian E. Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699392761 PECOS PAC ID: 3577923523 Enrollment ID: I20230721001893 |
| Provider Name | Genesis Parra-lugo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699392753 PECOS PAC ID: 5496115321 Enrollment ID: I20230724002288 |
| Provider Name | Simon Pedro Jacquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336820976 PECOS PAC ID: 0345603908 Enrollment ID: I20230829004272 |
| Provider Name | Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942928544 PECOS PAC ID: 0941650329 Enrollment ID: I20231227002381 |
| Provider Name | Temitope Macdowald Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965996 PECOS PAC ID: 7911143417 Enrollment ID: I20240212001211 |
| Provider Name | June Michelle Steely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891733374 PECOS PAC ID: 2860567195 Enrollment ID: I20240221003264 |
| Provider Name | Luther Charles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245694983 PECOS PAC ID: 2365889128 Enrollment ID: I20240328001869 |
| Provider Name | Nicole Rachel Baxter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811579345 PECOS PAC ID: 8820535602 Enrollment ID: I20240730003014 |
| Provider Name | Jinsook Kwack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740721869 PECOS PAC ID: 0345651881 Enrollment ID: I20241003001081 |
| Provider Name | Anthony Vincent Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811074834 PECOS PAC ID: 9032214911 Enrollment ID: I20241107002090 |
| Provider Name | Jessica Raquel Morway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619552247 PECOS PAC ID: 0941735419 Enrollment ID: I20241120002142 |
| Provider Name | Joseph M Krupa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245736644 PECOS PAC ID: 5193108678 Enrollment ID: I20241218001345 |
| Provider Name | Stephen J Kominsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992706808 PECOS PAC ID: 1951200773 Enrollment ID: I20250604001379 |
| Provider Name | Israel Coronado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831476340 PECOS PAC ID: 6103086426 Enrollment ID: I20250616001709 |
| Provider Name | Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205586799 PECOS PAC ID: 4789064619 Enrollment ID: I20250722000660 |
| Provider Name | Joseph William Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609767284 PECOS PAC ID: 2961901715 Enrollment ID: I20250818004502 |
| Provider Name | Malika N Reddy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053057000 PECOS PAC ID: 0143722397 Enrollment ID: I20250905004438 |
| Provider Name | Weston Mitchell Hilland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487545372 PECOS PAC ID: 2466949201 Enrollment ID: I20251015000062 |
| Provider Name | Tery Paul Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003779612 PECOS PAC ID: 1658867981 Enrollment ID: I20260106003604 |
| Provider Name | Mark Gerard Almanza |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023505096 PECOS PAC ID: 0840774568 Enrollment ID: I20260320001324 |
| Provider Name | Valerie Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114649340 PECOS PAC ID: 7719355866 Enrollment ID: I20260325002951 |
| Provider Name | Cindy Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255287488 PECOS PAC ID: 2961977665 Enrollment ID: I20260410000092 |
| Provider Name | Joshua John Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720926058 PECOS PAC ID: 4880166883 Enrollment ID: I20260610002732 |
| Mailing Address | Practice Location Address |
|---|---|
| I Am Wellness Az Llc 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 Ph: (601) 324-0793 | I Am Wellness Az Llc 604 W Warner Rd Ste E201, Chandler, AZ 85225-2911 Ph: (601) 324-0793 |