| Apogee Medical Group Pc | |
|
2525 E Camelback Rd #1100 Phoenix AZ 85016-4219 | |
| (602) 778-3600 | |
| (602) 778-3659 |
| Full Name | Apogee Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2525 E Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Karen 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 Pc Po Box 708850 Sandy UT 84070-8850 Ph: (801) 352-9500 | Apogee Medical Group Pc 2525 E Camelback Rd #1100 Phoenix AZ 85016-4219 Ph: (602) 778-3600 |
| NPI Number | 1558302174 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 02/25/2009 |
| Medicare PECOS PAC ID | 8820980188 |
|---|---|
| Medicare Enrollment ID | O20040330000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558302174 | NPI | - | NPPES |
| 844477000 | Other | OR | BCBS |
| 858464000 | Other | OR | BCBS |
| 838334000 | Other | OR | BCBS |
| 838366000 | Other | OR | BCBS |
| DA5021 | Other | OR | RR MEDICARE |
| 858463000 | Other | OR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James H Hinckley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336175157 PECOS PAC ID: 0042298622 Enrollment ID: I20040709001217 |
| Provider Name | Paul C Gering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235198995 PECOS PAC ID: 4486647088 Enrollment ID: I20040713001558 |
| Provider Name | Sun J Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811914484 PECOS PAC ID: 5193789626 Enrollment ID: I20041115001156 |
| Provider Name | Michael J Marvinny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164468534 PECOS PAC ID: 8820092331 Enrollment ID: I20060914000019 |
| Provider Name | Franchot V Slot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386864593 PECOS PAC ID: 5597858175 Enrollment ID: I20070912000805 |
| Provider Name | Brett T Mumford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164463113 PECOS PAC ID: 4880592112 Enrollment ID: I20071023000415 |
| Provider Name | Ginger L Dattilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639240864 PECOS PAC ID: 8820184518 Enrollment ID: I20080530000058 |
| Provider Name | Andrew C Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779365 PECOS PAC ID: 5597829499 Enrollment ID: I20090121000308 |
| Provider Name | Lesley N Bobek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922202787 PECOS PAC ID: 0244377802 Enrollment ID: I20091030000277 |
| Provider Name | Morris H Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487611877 PECOS PAC ID: 1153309281 Enrollment ID: I20100428000629 |
| Provider Name | Ambalavanan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184799066 PECOS PAC ID: 3779647169 Enrollment ID: I20110120001193 |
| Provider Name | Mark D Christenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883447 PECOS PAC ID: 0749297489 Enrollment ID: I20120302000119 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20120518000182 |
| Provider Name | Isaac L Elam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497998215 PECOS PAC ID: 2466608674 Enrollment ID: I20120803000272 |
| Provider Name | Lohith V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043442007 PECOS PAC ID: 0840447967 Enrollment ID: I20120824000427 |
| Provider Name | Tejesh Srinivasa Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922312636 PECOS PAC ID: 3476797366 Enrollment ID: I20130916000078 |
| Provider Name | Quratulain Durrani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730454265 PECOS PAC ID: 7315181708 Enrollment ID: I20130925000648 |
| Provider Name | Ramandeep Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295912814 PECOS PAC ID: 7315074465 Enrollment ID: I20150120002027 |
| Provider Name | Jimmy A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518288893 PECOS PAC ID: 0840503389 Enrollment ID: I20150713002747 |
| Provider Name | Augustine Okechukwu Okeke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043572696 PECOS PAC ID: 2567697998 Enrollment ID: I20150818004707 |
| Provider Name | Gloria A Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396014270 PECOS PAC ID: 3375710031 Enrollment ID: I20161026002196 |
| Provider Name | Rambabu Thallapaneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043521255 PECOS PAC ID: 3870736390 Enrollment ID: I20161110000100 |
| Provider Name | Mehul U Daulat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508270745 PECOS PAC ID: 2466671276 Enrollment ID: I20170112002022 |
| Provider Name | Cynthia L Rasch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124075841 PECOS PAC ID: 3971565235 Enrollment ID: I20170417001241 |
| Provider Name | Paul Robert Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912347600 PECOS PAC ID: 8224272158 Enrollment ID: I20170620003198 |
| Provider Name | Jonathan Barrus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346654589 PECOS PAC ID: 8628295839 Enrollment ID: I20170630001264 |
| Provider Name | Maureen T Cadmus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104811678 PECOS PAC ID: 5698721785 Enrollment ID: I20180306002911 |
| Provider Name | Kevin Hilborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528472552 PECOS PAC ID: 9638395460 Enrollment ID: I20180316002407 |
| Provider Name | Christopher Rod Counsil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154823433 PECOS PAC ID: 5092061630 Enrollment ID: I20180711003418 |
| Provider Name | Katrina Maren Schmell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437481769 PECOS PAC ID: 3971760901 Enrollment ID: I20180831001779 |
| Provider Name | Fahad Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881075513 PECOS PAC ID: 1052621323 Enrollment ID: I20181008001855 |
| Provider Name | Eileen O'sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538504519 PECOS PAC ID: 1254639438 Enrollment ID: I20190604000548 |
| Provider Name | Razvan Ducu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093017790 PECOS PAC ID: 8527232990 Enrollment ID: I20190916001028 |
| Provider Name | Olusayo Fadiran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770017386 PECOS PAC ID: 9931473212 Enrollment ID: I20201110001372 |
| Provider Name | Jacob Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194325357 PECOS PAC ID: 2365856275 Enrollment ID: I20210203002474 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20210918000069 |
| Provider Name | Richard Beach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558858092 PECOS PAC ID: 8921402405 Enrollment ID: I20211019002012 |
| Provider Name | Anthony L Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528283355 PECOS PAC ID: 3779647680 Enrollment ID: I20211109003278 |
| Provider Name | Stephanie Parmley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457015729 PECOS PAC ID: 7810381183 Enrollment ID: I20220302001809 |
| Provider Name | Carolyn Kor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972952471 PECOS PAC ID: 7113215047 Enrollment ID: I20220303001520 |
| Provider Name | Kenneth Starks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487799110 PECOS PAC ID: 4789572546 Enrollment ID: I20220329002072 |
| Provider Name | Prasheen P Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093247611 PECOS PAC ID: 0244517803 Enrollment ID: I20220621000665 |
| Provider Name | Johannie Keith Y Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154736056 PECOS PAC ID: 4183996606 Enrollment ID: I20220623000982 |
| Provider Name | Leah Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730692989 PECOS PAC ID: 9032540141 Enrollment ID: I20220629001498 |
| Provider Name | Lisa Trabucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013254762 PECOS PAC ID: 8325284128 Enrollment ID: I20220708000339 |
| Provider Name | William Lytollis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386602407 PECOS PAC ID: 4587677976 Enrollment ID: I20220708001835 |
| Provider Name | Melinda Jones-saah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477078798 PECOS PAC ID: 2062778061 Enrollment ID: I20220720003917 |
| Provider Name | Jasmit Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689081812 PECOS PAC ID: 7618233495 Enrollment ID: I20221209001183 |
| Provider Name | Jesse Isenstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336508266 PECOS PAC ID: 6507111374 Enrollment ID: I20230123002455 |
| Provider Name | Yechiel S Mor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881108074 PECOS PAC ID: 3779818240 Enrollment ID: I20230222001990 |
| Provider Name | Herretta Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982988028 PECOS PAC ID: 8527224617 Enrollment ID: I20230316002742 |
| Provider Name | Curtis Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174834196 PECOS PAC ID: 0749456994 Enrollment ID: I20230516002333 |
| Provider Name | Daniel K Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467914515 PECOS PAC ID: 7012383334 Enrollment ID: I20230607002618 |
| Provider Name | Muhammad Farhan Khaliq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790168409 PECOS PAC ID: 0244546331 Enrollment ID: I20230608000355 |
| Provider Name | Nathaniel Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477174076 PECOS PAC ID: 7012339765 Enrollment ID: I20230714002269 |
| Provider Name | Darl V Bell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275538977 PECOS PAC ID: 5294718474 Enrollment ID: I20230718002963 |
| Provider Name | Ki Won Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003236423 PECOS PAC ID: 7315212552 Enrollment ID: I20230724001958 |
| Provider Name | William J Predun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457856502 PECOS PAC ID: 6103154554 Enrollment ID: I20230724002607 |
| Provider Name | Larry D Birger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306830823 PECOS PAC ID: 6608848478 Enrollment ID: I20231104000499 |
| Provider Name | Charlene Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621756 PECOS PAC ID: 8123240926 Enrollment ID: I20231122001129 |
| Provider Name | Lu Jun Pan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20231219002523 |
| Provider Name | Rory Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225567431 PECOS PAC ID: 8820362908 Enrollment ID: I20231229001056 |
| Provider Name | Noshin Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376171546 PECOS PAC ID: 7113360850 Enrollment ID: I20240208004539 |
| Provider Name | Hussam Sawass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770019655 PECOS PAC ID: 5193123925 Enrollment ID: I20240213004217 |
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Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
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