| Apogee Medical Group, Wisconsin, S.c | |
|
15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 | |
| (602) 778-3600 | |
| (602) 778-3695 |
| Full Name | Apogee Medical Group, Wisconsin, S.c |
|---|---|
| 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, Wisconsin, S.c 2525 E Camelback Rd Ste 1100 Phoenix AZ 85016-4219 Ph: (972) 269-1897 | Apogee Medical Group, Wisconsin, S.c 15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254-2685 Ph: (602) 778-3600 |
| NPI Number | 1629415591 |
|---|---|
| Provider Enumeration Date | 05/31/2013 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 2365677952 |
|---|---|
| Medicare Enrollment ID | O20131107001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629415591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 60642-20 (Wisconsin) | Primary |
| Provider Name | Edward J Bongiorno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992789754 PECOS PAC ID: 1658276464 Enrollment ID: I20031204000857 |
| Provider Name | Robert G Teehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366522393 PECOS PAC ID: 5294633384 Enrollment ID: I20031229000210 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20040114000294 |
| Provider Name | Mohamed H Yafai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730156431 PECOS PAC ID: 6901790088 Enrollment ID: I20040210000669 |
| Provider Name | Francis J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073598322 PECOS PAC ID: 5698748069 Enrollment ID: I20040813000998 |
| Provider Name | John R Basarich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033178512 PECOS PAC ID: 3779542352 Enrollment ID: I20041008000306 |
| Provider Name | Nauman A Siddiqi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427187020 PECOS PAC ID: 2961466610 Enrollment ID: I20041112001024 |
| Provider Name | Mazen A Al Khalisy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417931106 PECOS PAC ID: 9335156934 Enrollment ID: I20060307000324 |
| Provider Name | Nabeel M Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771069 PECOS PAC ID: 5597786681 Enrollment ID: I20060818000330 |
| Provider Name | Cynthia M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457390510 PECOS PAC ID: 2163525262 Enrollment ID: I20070309000461 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Brad M Malehorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568671378 PECOS PAC ID: 7517058431 Enrollment ID: I20070807000739 |
| Provider Name | Vickie J Woelfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144337999 PECOS PAC ID: 6103985460 Enrollment ID: I20081101000119 |
| Provider Name | William James Wittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902880511 PECOS PAC ID: 5496659468 Enrollment ID: I20100520000305 |
| Provider Name | Dawn M Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427206010 PECOS PAC ID: 1254460181 Enrollment ID: I20100602000291 |
| Provider Name | Pratik T Jivani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598056756 PECOS PAC ID: 0840476024 Enrollment ID: I20110524000535 |
| Provider Name | Tal Pollak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831158 PECOS PAC ID: 9234370982 Enrollment ID: I20130723000904 |
| Provider Name | Dean Luu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124260542 PECOS PAC ID: 9931341013 Enrollment ID: I20130820000824 |
| Provider Name | Megan K Klarner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902233216 PECOS PAC ID: 1850527904 Enrollment ID: I20131119000731 |
| Provider Name | Naishalkumar B Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275880726 PECOS PAC ID: 0941426480 Enrollment ID: I20140718001495 |
| Provider Name | Amanda G Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279579 PECOS PAC ID: 3779705157 Enrollment ID: I20141119002475 |
| Provider Name | Heather N Clarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20141226000297 |
| Provider Name | Michelle Lyn Minikel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093913113 PECOS PAC ID: 9032242573 Enrollment ID: I20150610001170 |
| Provider Name | Shirley Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20150914001296 |
| Provider Name | Rachelle Ann Catarozzoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891163663 PECOS PAC ID: 3274842265 Enrollment ID: I20151013001837 |
| Provider Name | Fahhad Farukhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376749341 PECOS PAC ID: 4082803176 Enrollment ID: I20151104001651 |
| Provider Name | Kara Lund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528379872 PECOS PAC ID: 8022330141 Enrollment ID: I20160126001683 |
| Provider Name | Hassan M Haji-abdirahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972735785 PECOS PAC ID: 6204084387 Enrollment ID: I20160418000199 |
| Provider Name | Wasif A Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497149116 PECOS PAC ID: 2961792379 Enrollment ID: I20160621001919 |
| Provider Name | Annmarie K Ransom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679959829 PECOS PAC ID: 3375852924 Enrollment ID: I20161110000510 |
| Provider Name | Kwang Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326271909 PECOS PAC ID: 6103069273 Enrollment ID: I20161122001857 |
| Provider Name | Jennifer Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134664121 PECOS PAC ID: 8527349406 Enrollment ID: I20170109001338 |
| Provider Name | Beth M Pape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215476874 PECOS PAC ID: 6103102124 Enrollment ID: I20170405002079 |
| Provider Name | Shauna L Lambrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316225303 PECOS PAC ID: 6507142007 Enrollment ID: I20170418001447 |
| Provider Name | Terry L Dunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043606577 PECOS PAC ID: 7911218946 Enrollment ID: I20170907001075 |
| Provider Name | Katie Gesch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063839447 PECOS PAC ID: 5294045225 Enrollment ID: I20171006000891 |
| Provider Name | Vikram Goyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982047197 PECOS PAC ID: 5991006546 Enrollment ID: I20171026002313 |
| Provider Name | Dilip Purohit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205871308 PECOS PAC ID: 3072611581 Enrollment ID: I20171101002073 |
| Provider Name | Folasade Olajumoke Ajayi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275762239 PECOS PAC ID: 9830464874 Enrollment ID: I20180523001613 |
| Provider Name | Daniel A Sturgill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922341189 PECOS PAC ID: 7911226378 Enrollment ID: I20180614000410 |
| Provider Name | Sankalpa Bandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417324583 PECOS PAC ID: 0345596854 Enrollment ID: I20180712002485 |
| Provider Name | William Lytollis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386602407 PECOS PAC ID: 4587677976 Enrollment ID: I20180726000634 |
| Provider Name | Zachary Thomas Richardson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437544863 PECOS PAC ID: 0042512238 Enrollment ID: I20180807000776 |
| Provider Name | Hemal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245626522 PECOS PAC ID: 2860741006 Enrollment ID: I20180821001282 |
| Provider Name | Johannie Keith Y Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154736056 PECOS PAC ID: 4183996606 Enrollment ID: I20180911001298 |
| Provider Name | Sherry Lee Rieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124508213 PECOS PAC ID: 3375895410 Enrollment ID: I20181017003015 |
| Provider Name | Heather E Avellone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114499001 PECOS PAC ID: 8527304443 Enrollment ID: I20190115001037 |
| Provider Name | Lloyd Cassidy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457795569 PECOS PAC ID: 7810213451 Enrollment ID: I20190418001271 |
| Provider Name | Marie L Habelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366906018 PECOS PAC ID: 0648512095 Enrollment ID: I20190503001873 |
| Provider Name | Angela Payne Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029187 PECOS PAC ID: 3678731395 Enrollment ID: I20190613001385 |
| Provider Name | Shannon Pastovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972065407 PECOS PAC ID: 3678808102 Enrollment ID: I20190705000501 |
| Provider Name | Mariya Vengrenyuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013367309 PECOS PAC ID: 9638426372 Enrollment ID: I20190709002516 |
| Provider Name | Arushi Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992157408 PECOS PAC ID: 0143557371 Enrollment ID: I20190812001668 |
| Provider Name | Gregory C Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801250394 PECOS PAC ID: 6204186935 Enrollment ID: I20190814000043 |
| Provider Name | Olger Nano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235587312 PECOS PAC ID: 9436488954 Enrollment ID: I20190909004085 |
| Provider Name | Julio La Torre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427405620 PECOS PAC ID: 4688904394 Enrollment ID: I20190924000225 |
| Provider Name | Rachel A Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477076297 PECOS PAC ID: 3173895372 Enrollment ID: I20200128000052 |
| Provider Name | Laura M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336776350 PECOS PAC ID: 6507296100 Enrollment ID: I20200422003064 |
| Provider Name | Arshad Aliabd Al-mashhadani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245771476 PECOS PAC ID: 7719250901 Enrollment ID: I20200730003821 |
| Provider Name | Babak Serushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972030674 PECOS PAC ID: 5890066153 Enrollment ID: I20200909002374 |
| Provider Name | Jahanzeb Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881121929 PECOS PAC ID: 0244659043 Enrollment ID: I20200929000080 |
| Provider Name | Matthew Wolschleger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295273407 PECOS PAC ID: 1557631546 Enrollment ID: I20200929001031 |
| Provider Name | Brainerd Ese Ewarien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881089936 PECOS PAC ID: 6103172788 Enrollment ID: I20210106002618 |
| Provider Name | Jason W Moyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889244 PECOS PAC ID: 3870893365 Enrollment ID: I20210322001535 |
| Provider Name | Carolyn Kor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972952471 PECOS PAC ID: 7113215047 Enrollment ID: I20210428002169 |
| Provider Name | Julian Santos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982197067 PECOS PAC ID: 7911303250 Enrollment ID: I20210910002306 |
| Provider Name | William J Predun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457856502 PECOS PAC ID: 6103154554 Enrollment ID: I20210917001755 |
| Provider Name | Badreddien Farrag Hammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497252084 PECOS PAC ID: 4082011408 Enrollment ID: I20210927002497 |
| Provider Name | Syed M Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992292155 PECOS PAC ID: 1355688664 Enrollment ID: I20211007002764 |
| Provider Name | Ryan Hughson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942706890 PECOS PAC ID: 7618375957 Enrollment ID: I20211018001070 |
| Provider Name | Drake Todd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427535020 PECOS PAC ID: 2668861949 Enrollment ID: I20211108000025 |
| Provider Name | Erfanul Saker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316479041 PECOS PAC ID: 7618215609 Enrollment ID: I20211201000517 |
| Provider Name | Dennis Luke Matthews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750876876 PECOS PAC ID: 0143626564 Enrollment ID: I20211220001808 |
| Provider Name | Sara Marie Staffeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871264713 PECOS PAC ID: 0042603854 Enrollment ID: I20220131000572 |
| Provider Name | Hussam Sawass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770019655 PECOS PAC ID: 5193123925 Enrollment ID: I20220503002274 |
| Provider Name | Noormuhammad O Abbasakoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558645895 PECOS PAC ID: 6800283177 Enrollment ID: I20220505001090 |
| Provider Name | Zoua Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033883509 PECOS PAC ID: 1456730837 Enrollment ID: I20220615000090 |
| Provider Name | Yasir Yafai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205395381 PECOS PAC ID: 8224417357 Enrollment ID: I20220621002161 |
| Provider Name | Syed Zubin Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336646249 PECOS PAC ID: 8628474863 Enrollment ID: I20220906003106 |
| Provider Name | Sylvia M.d. Owusu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164984365 PECOS PAC ID: 4486051620 Enrollment ID: I20220915003447 |
| Provider Name | Ethan Schneider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083177224 PECOS PAC ID: 4385972124 Enrollment ID: I20220921002504 |
| Provider Name | Josephine Waindim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356905020 PECOS PAC ID: 5597098574 Enrollment ID: I20221213002355 |
| Provider Name | Yongsub Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003447681 PECOS PAC ID: 5496127706 Enrollment ID: I20230215001315 |
| Provider Name | Tsering-drolma Shingza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265155980 PECOS PAC ID: 6002280179 Enrollment ID: I20230314000478 |
| Provider Name | Matthew Callander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568773588 PECOS PAC ID: 7517109812 Enrollment ID: I20230403002700 |
| Provider Name | Jacob Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760196893 PECOS PAC ID: 1759746647 Enrollment ID: I20230427002730 |
| Provider Name | Vithusika Ranjitkumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285256610 PECOS PAC ID: 2466818620 Enrollment ID: I20230515002226 |
| Provider Name | Caitlin Kling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750919783 PECOS PAC ID: 9739545831 Enrollment ID: I20230516000874 |
| Provider Name | Priya Vora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285252767 PECOS PAC ID: 9931522570 Enrollment ID: I20230607001995 |
| Provider Name | Bikramjit Singh Bindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134741333 PECOS PAC ID: 0042618779 Enrollment ID: I20230720001158 |
| Provider Name | Racheal Mayes Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326725441 PECOS PAC ID: 7517328347 Enrollment ID: I20230726003202 |
| Provider Name | Breanna Barrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194416362 PECOS PAC ID: 1951762590 Enrollment ID: I20230731001042 |
| Provider Name | Ayman Elbatanony |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285260240 PECOS PAC ID: 3375908882 Enrollment ID: I20230831003761 |
| Provider Name | Farah Farah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720405038 PECOS PAC ID: 2668781493 Enrollment ID: I20230907000341 |
| Provider Name | Dawit Major |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689201642 PECOS PAC ID: 1254698400 Enrollment ID: I20230912003067 |
| Provider Name | Ali Serushan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801675178 PECOS PAC ID: 6709232192 Enrollment ID: I20231020001249 |
| Provider Name | Bleck B Ngwafang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962938803 PECOS PAC ID: 4587078654 Enrollment ID: I20231129000518 |
| Provider Name | Fazeel Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194394684 PECOS PAC ID: 0749621019 Enrollment ID: I20240517000580 |
| Provider Name | Yechiel Mor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881108074 PECOS PAC ID: 3779818240 Enrollment ID: I20240730002587 |
| Provider Name | Darshana Ganguly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588383160 PECOS PAC ID: 7517488075 Enrollment ID: I20250313000279 |
| Provider Name | Amanda Marie Abaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053145193 PECOS PAC ID: 2163940933 Enrollment ID: I20250515001166 |
New Hope Unlimited, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8945 E Calle Buena Vis, Scottsdale, AZ 85255 Phone: 480-473-9808 Fax: 480-473-7916 | |
Richard J Settles, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, Suite 218, Scottsdale, AZ 85260 Phone: 480-314-9700 Fax: 480-314-9650 | |
Md Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7814 N Via De La Montana, Scottsdale, AZ 85258 Phone: 480-848-1428 | |
Akos Live Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23565 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 602-899-4404 | |
Robin F. Macdougall, D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4921 East Bell Road, Suite 102, Scottsdale, AZ 85254 Phone: 602-548-6500 Fax: 602-993-0054 | |
Lifescape Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8757 E Bell Rd, Scottsdale, AZ 85260 Phone: 480-860-5500 Fax: 480-860-5511 | |
Nanni B. Bachenheimer Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9630 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-747-3009 Fax: 480-296-7665 |