| Apogee Medical Group Alabama Inc | |
|
15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 | |
| (602) 778-3600 | |
| (602) 778-3659 |
| Full Name | Apogee Medical Group Alabama Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15059 N Scottsdale Road, Scottsdale, Arizona |
| Authorized Official Name and Position | Karen J. Harwell (CFO) |
| Authorized Official Contact | 6027783600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apogee Medical Group Alabama Inc Po Box 708788 Sandy UT 84070-8788 Ph: (801) 352-9500 | Apogee Medical Group Alabama Inc 15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 Ph: (602) 778-3600 |
| NPI Number | 1114974631 |
|---|---|
| Provider Enumeration Date | 05/29/2006 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 5395764419 |
|---|---|
| Medicare Enrollment ID | O20051117001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114974631 | NPI | - | NPPES |
| DE4659 | Other | AL | RR MEDICARE |
| 529926450 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald H Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841272309 PECOS PAC ID: 6204808728 Enrollment ID: I20040806000267 |
| Provider Name | Carmelita G Prieto-dejesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295800654 PECOS PAC ID: 0143285023 Enrollment ID: I20041120000140 |
| Provider Name | Jack Ray Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851399877 PECOS PAC ID: 1456258409 Enrollment ID: I20081118000367 |
| Provider Name | Subba Alapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487642039 PECOS PAC ID: 7012974686 Enrollment ID: I20090220000400 |
| Provider Name | Shanker Unnikrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932414521 PECOS PAC ID: 1557503141 Enrollment ID: I20130812000028 |
| Provider Name | Subba Rao Daggubati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144468984 PECOS PAC ID: 8729110184 Enrollment ID: I20130903000428 |
| Provider Name | Ebenezer E Frans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689698896 PECOS PAC ID: 5496705709 Enrollment ID: I20150623000637 |
| Provider Name | Mahendra R Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710318472 PECOS PAC ID: 5496988388 Enrollment ID: I20150625001718 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20150708000417 |
| Provider Name | Saranya Buppajamtham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063775591 PECOS PAC ID: 5698082253 Enrollment ID: I20150914002697 |
| Provider Name | Wesley L Quarles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639540768 PECOS PAC ID: 1557654571 Enrollment ID: I20160727002444 |
| Provider Name | Kimberly Ann Mccluskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740732189 PECOS PAC ID: 3577843986 Enrollment ID: I20161130002429 |
| Provider Name | Tonya Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316214430 PECOS PAC ID: 4284932484 Enrollment ID: I20180723000486 |
| Provider Name | Patrick Dale Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720453954 PECOS PAC ID: 7416244702 Enrollment ID: I20190221000623 |
| Provider Name | Kushal P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346500477 PECOS PAC ID: 9830400712 Enrollment ID: I20210226000245 |
| Provider Name | Michael Inniss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891090734 PECOS PAC ID: 9638306855 Enrollment ID: I20211007003312 |
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