| Archwell Health Professional Services Of Arizona, Llc | |
|
4315 E Main St Mesa AZ 85205-8605 | |
| (888) 987-1151 | |
| Not Available |
| Full Name | Archwell Health Professional Services Of Arizona, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4315 E Main St, Mesa, Arizona |
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6154199047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archwell Health Professional Services Of Arizona, Llc 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: () - | Archwell Health Professional Services Of Arizona, Llc 4315 E Main St Mesa AZ 85205-8605 Ph: (888) 987-1151 |
| NPI Number | 1558026880 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 9830566199 |
|---|---|
| Medicare Enrollment ID | O20221031001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558026880 | NPI | - | NPPES |
| Provider Name | Christopher J Labban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165848 PECOS PAC ID: 7618865791 Enrollment ID: I20040309001334 |
| Provider Name | Dana M Kageyama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034566 PECOS PAC ID: 1557310315 Enrollment ID: I20050119000347 |
| Provider Name | Jay G Bernstein |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649233396 PECOS PAC ID: 6800836818 Enrollment ID: I20050510000320 |
| Provider Name | Mark C Luba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437139813 PECOS PAC ID: 4284668260 Enrollment ID: I20050920000280 |
| Provider Name | Megan Y Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457334450 PECOS PAC ID: 3072538222 Enrollment ID: I20051007000100 |
| Provider Name | Hollis Jc Underwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770640369 PECOS PAC ID: 5496770141 Enrollment ID: I20051011001098 |
| Provider Name | Parwin S Sadaat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487695243 PECOS PAC ID: 1759308935 Enrollment ID: I20060323000806 |
| Provider Name | Timothy C Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831133743 PECOS PAC ID: 3577532878 Enrollment ID: I20060811000420 |
| Provider Name | Lori B Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699975508 PECOS PAC ID: 1052408465 Enrollment ID: I20071101000398 |
| Provider Name | Daniel B Schlosser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518953611 PECOS PAC ID: 7517057896 Enrollment ID: I20071227000087 |
| Provider Name | Michael A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871610774 PECOS PAC ID: 5799850483 Enrollment ID: I20080814000358 |
| Provider Name | Sarah Louise Bivens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386653251 PECOS PAC ID: 7911067079 Enrollment ID: I20081119000222 |
| Provider Name | Patricia L Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447416847 PECOS PAC ID: 3678633765 Enrollment ID: I20081119000468 |
| Provider Name | Francene A Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932373693 PECOS PAC ID: 5294882593 Enrollment ID: I20090402000120 |
| Provider Name | Lisa L Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366567398 PECOS PAC ID: 8729052055 Enrollment ID: I20090921000559 |
| Provider Name | Leonardo C Serfino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831114743 PECOS PAC ID: 4587704499 Enrollment ID: I20091224000041 |
| Provider Name | Nasrin Jazayeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083776785 PECOS PAC ID: 5991805749 Enrollment ID: I20100115000008 |
| Provider Name | Maria E Gonzalez Berlari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861665796 PECOS PAC ID: 3577606128 Enrollment ID: I20100204000067 |
| Provider Name | Ronald E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124263561 PECOS PAC ID: 5395870471 Enrollment ID: I20100315000404 |
| Provider Name | Iram H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740487719 PECOS PAC ID: 9739204041 Enrollment ID: I20100909001039 |
| Provider Name | Kimberly Kay Kelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639343742 PECOS PAC ID: 7214007590 Enrollment ID: I20110615000434 |
| Provider Name | Tracy E Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740566801 PECOS PAC ID: 2567638828 Enrollment ID: I20120109000316 |
| Provider Name | Glenda G Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639379605 PECOS PAC ID: 3577713858 Enrollment ID: I20121023000050 |
| Provider Name | Catherine Ulrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821357427 PECOS PAC ID: 9335389717 Enrollment ID: I20130708000512 |
| Provider Name | Elfat Rumman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811266208 PECOS PAC ID: 0345475463 Enrollment ID: I20131028000321 |
| Provider Name | Bharat Nepal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861809618 PECOS PAC ID: 8426274945 Enrollment ID: I20140718000977 |
| Provider Name | Sonia M Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043637424 PECOS PAC ID: 4385964436 Enrollment ID: I20150513002007 |
| Provider Name | Kelly Woodrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447632195 PECOS PAC ID: 3072821990 Enrollment ID: I20150925002333 |
| Provider Name | Jennifer Ann Banek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255785481 PECOS PAC ID: 2163721713 Enrollment ID: I20160503000769 |
| Provider Name | Carrie Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790231546 PECOS PAC ID: 9931476967 Enrollment ID: I20170523002387 |
| Provider Name | Fraser Scott Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255842431 PECOS PAC ID: 9638445497 Enrollment ID: I20171023000656 |
| Provider Name | Emelita L Cabilatazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891275657 PECOS PAC ID: 5991042319 Enrollment ID: I20190123002971 |
| Provider Name | Anna L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427528686 PECOS PAC ID: 7315287182 Enrollment ID: I20190314002065 |
| Provider Name | Troy Lance Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528561016 PECOS PAC ID: 7012257488 Enrollment ID: I20190321000590 |
| Provider Name | Ayin Daleth Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619433489 PECOS PAC ID: 3476886888 Enrollment ID: I20190617002309 |
| Provider Name | Roel Conrad Jamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033419429 PECOS PAC ID: 7911138144 Enrollment ID: I20190714000014 |
| Provider Name | Leigh Anne Costanzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932563392 PECOS PAC ID: 3971899246 Enrollment ID: I20190717003134 |
| Provider Name | Sonja Jw Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558719955 PECOS PAC ID: 9234426750 Enrollment ID: I20190801002779 |
| Provider Name | Jorge Omar Flores Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437507654 PECOS PAC ID: 8325379332 Enrollment ID: I20191004002785 |
| Provider Name | Andres Gil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681420 PECOS PAC ID: 0749588622 Enrollment ID: I20191204002198 |
| Provider Name | Shana J Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538709761 PECOS PAC ID: 7214363290 Enrollment ID: I20200211001702 |
| Provider Name | Linda L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033182522 PECOS PAC ID: 9335109149 Enrollment ID: I20200901001523 |
| Provider Name | Elena Aminov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992301923 PECOS PAC ID: 4688087331 Enrollment ID: I20210119002423 |
| Provider Name | Emily H Coston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174298707 PECOS PAC ID: 3476958539 Enrollment ID: I20210827000635 |
| Provider Name | Melinda Jones-saah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477078798 PECOS PAC ID: 2062778061 Enrollment ID: I20220218001745 |
| Provider Name | Lin Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396830477 PECOS PAC ID: 2163414129 Enrollment ID: I20220408001251 |
| Provider Name | Antenor Xavier Aviles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528668720 PECOS PAC ID: 9032508569 Enrollment ID: I20220713002296 |
| Provider Name | Michelle Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104334077 PECOS PAC ID: 7810259488 Enrollment ID: I20220922002173 |
| Provider Name | Cuauhtemoc Gallardo-prado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700116605 PECOS PAC ID: 6204225436 Enrollment ID: I20221003001936 |
| Provider Name | Marisela F Mariscal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063075836 PECOS PAC ID: 0042545493 Enrollment ID: I20221006001513 |
| Provider Name | Lauren E Maxham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326347154 PECOS PAC ID: 1951521582 Enrollment ID: I20221206001737 |
| Provider Name | Monica C Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477218600 PECOS PAC ID: 7214308394 Enrollment ID: I20230127001964 |
| Provider Name | Karina Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699408492 PECOS PAC ID: 4183096399 Enrollment ID: I20230217000243 |
| Provider Name | Judith Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164495206 PECOS PAC ID: 7416029491 Enrollment ID: I20231020002302 |
| Provider Name | Anna Sokolowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598057200 PECOS PAC ID: 3678890811 Enrollment ID: I20240313004351 |
| Provider Name | Deepthi Reddy Narala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811482284 PECOS PAC ID: 7810243771 Enrollment ID: I20240318003008 |
| Provider Name | Manuel Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245281708 PECOS PAC ID: 1658412507 Enrollment ID: I20240401002756 |
| Provider Name | Iris Baccam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851853675 PECOS PAC ID: 1355727694 Enrollment ID: I20240624004381 |
| Provider Name | Jeffrey Demoss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568487841 PECOS PAC ID: 5294860771 Enrollment ID: I20240812002582 |
| Provider Name | Christopher Withers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221114 PECOS PAC ID: 2668456005 Enrollment ID: I20240812003429 |
| Provider Name | Erik C Bakken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053791962 PECOS PAC ID: 4789126178 Enrollment ID: I20240815001448 |
| Provider Name | Khy Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578137352 PECOS PAC ID: 2961804513 Enrollment ID: I20240821001511 |
| Provider Name | Nicolette Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255169314 PECOS PAC ID: 4183083686 Enrollment ID: I20240911002261 |
| Provider Name | Onna Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609372309 PECOS PAC ID: 0446508980 Enrollment ID: I20241016003314 |
| Provider Name | Nikolay Denkov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780263954 PECOS PAC ID: 6507268273 Enrollment ID: I20241017001052 |
| Provider Name | Naga Pannala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20250210000412 |
| Provider Name | Ramla Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982193785 PECOS PAC ID: 1951641331 Enrollment ID: I20250226002746 |
| Provider Name | Binita Chandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487941944 PECOS PAC ID: 9234352329 Enrollment ID: I20250227000132 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 | |
Michael J. Lucherini Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6828 E Brown Rd Ste 102, Mesa, AZ 85207 Phone: 480-981-8650 Fax: 480-981-1563 |