| Arizona Community Physicians Pc | |
|
5055 E Broadway Blvd Suite A100 Tucson AZ 85711-3640 | |
| (520) 327-0460 | |
| (520) 795-0225 |
| Full Name | Arizona Community Physicians Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5055 E Broadway Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Larry M. Levey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5203270460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Community Physicians Pc 5055 E Broadway Blvd Suite A100 Tucson AZ 85711-3640 Ph: (520) 327-0460 | Arizona Community Physicians Pc 5055 E Broadway Blvd Suite A100 Tucson AZ 85711-3640 Ph: (520) 327-0460 |
| NPI Number | 1205871076 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 4587560552 |
|---|---|
| Medicare Enrollment ID | O20031210000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205871076 | NPI | - | NPPES |
| ZWDBCR | Other | AZ | MEDICARE ID - TYPE UNSPEC |
| Provider Name | Philip J Galasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692905 PECOS PAC ID: 5991602898 Enrollment ID: I20031218000140 |
| Provider Name | Patrick P Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306817325 PECOS PAC ID: 2264333095 Enrollment ID: I20040115000705 |
| Provider Name | Christian J Moher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731582 PECOS PAC ID: 2961397161 Enrollment ID: I20040217000728 |
| Provider Name | Shanti R Martinez-aksamit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730118449 PECOS PAC ID: 8820984651 Enrollment ID: I20040226001015 |
| Provider Name | Alan J Chapeskie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083653687 PECOS PAC ID: 8426947482 Enrollment ID: I20040315001308 |
| Provider Name | Dan Dwarka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578763108 PECOS PAC ID: 6103811997 Enrollment ID: I20040420000448 |
| Provider Name | James S Evans |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295721413 PECOS PAC ID: 0648267294 Enrollment ID: I20040427000846 |
| Provider Name | Lionel R Duarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528026846 PECOS PAC ID: 3971590282 Enrollment ID: I20040428001333 |
| Provider Name | Shannon C Sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437200979 PECOS PAC ID: 1951398106 Enrollment ID: I20040429000265 |
| Provider Name | Misty J Colvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366415754 PECOS PAC ID: 3476540485 Enrollment ID: I20040429001147 |
| Provider Name | Jill R Verbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639126543 PECOS PAC ID: 5092705541 Enrollment ID: I20040517000004 |
| Provider Name | Kerry K Swindle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598710675 PECOS PAC ID: 7810987369 Enrollment ID: I20040517000011 |
| Provider Name | Eric Groskind |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649240961 PECOS PAC ID: 6103800180 Enrollment ID: I20040616001187 |
| Provider Name | Kurt Glaesser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518166628 PECOS PAC ID: 9335124874 Enrollment ID: I20040621000405 |
| Provider Name | Kenneth J Tertel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386843605 PECOS PAC ID: 7113902727 Enrollment ID: I20040621000434 |
| Provider Name | Wayne F Vose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760441786 PECOS PAC ID: 0446235998 Enrollment ID: I20040621000478 |
| Provider Name | Jennifer L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558362715 PECOS PAC ID: 9830174648 Enrollment ID: I20040623001566 |
| Provider Name | Mireille C Algazi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780677492 PECOS PAC ID: 4789673468 Enrollment ID: I20040629000306 |
| Provider Name | Roy D Loewenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295793941 PECOS PAC ID: 4587637434 Enrollment ID: I20040818000507 |
| Provider Name | Fred P Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316935042 PECOS PAC ID: 4880669613 Enrollment ID: I20040826000587 |
| Provider Name | Terry H Vondrak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306804059 PECOS PAC ID: 7214903053 Enrollment ID: I20040902001409 |
| Provider Name | Shelby A Goldberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558581074 PECOS PAC ID: 6608843313 Enrollment ID: I20040928000099 |
| Provider Name | Sandra M Dostert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619035888 PECOS PAC ID: 3274524947 Enrollment ID: I20041012000948 |
| Provider Name | Robin R Rash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847353 PECOS PAC ID: 4789678459 Enrollment ID: I20041025000870 |
| Provider Name | Gerome B Kantor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407850290 PECOS PAC ID: 2365349388 Enrollment ID: I20041119000088 |
| Provider Name | Jane E Hartline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548390768 PECOS PAC ID: 0941259733 Enrollment ID: I20050119000595 |
| Provider Name | Kevin L Pounds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831138569 PECOS PAC ID: 7810948817 Enrollment ID: I20050208000182 |
| Provider Name | Judith A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639137417 PECOS PAC ID: 3779535398 Enrollment ID: I20050211000364 |
| Provider Name | Vance J Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851349815 PECOS PAC ID: 1951353598 Enrollment ID: I20050211000440 |
| Provider Name | Norris E Dunevant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619911856 PECOS PAC ID: 7012960859 Enrollment ID: I20050222000257 |
| Provider Name | Sue M Medlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922045160 PECOS PAC ID: 6800833062 Enrollment ID: I20050411000290 |
| Provider Name | Mary Margaret Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386606895 PECOS PAC ID: 9234171976 Enrollment ID: I20050524000368 |
| Provider Name | Dorothy A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134178270 PECOS PAC ID: 3274576426 Enrollment ID: I20050608000429 |
| Provider Name | Edita F Extra-mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326023839 PECOS PAC ID: 5496790420 Enrollment ID: I20050621000707 |
| Provider Name | Richard C Rhiew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346226479 PECOS PAC ID: 2264477298 Enrollment ID: I20050621000755 |
| Provider Name | Nora Barsony |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376648568 PECOS PAC ID: 9436194495 Enrollment ID: I20050621001039 |
| Provider Name | Moira E Wristen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689653024 PECOS PAC ID: 7618880964 Enrollment ID: I20050622000361 |
| Provider Name | Dustin G Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396721403 PECOS PAC ID: 9335184282 Enrollment ID: I20050622000397 |
| Provider Name | Renee Gallo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922094465 PECOS PAC ID: 9931144755 Enrollment ID: I20050622001001 |
| Provider Name | Janice F Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609834399 PECOS PAC ID: 3476598210 Enrollment ID: I20050622001165 |
| Provider Name | Victor J Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316914872 PECOS PAC ID: 6204888571 Enrollment ID: I20050629000482 |
| Provider Name | Jennifer L Suriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477664209 PECOS PAC ID: 3870521883 Enrollment ID: I20050801000588 |
| Provider Name | Carol A Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831151349 PECOS PAC ID: 4385679349 Enrollment ID: I20050928001494 |
| Provider Name | Eric D Sonderer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265603047 PECOS PAC ID: 5799710026 Enrollment ID: I20051005000525 |
| Provider Name | Gary L Bohay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679534887 PECOS PAC ID: 9931124914 Enrollment ID: I20051010000039 |
| Provider Name | Amy N Brunsvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558343012 PECOS PAC ID: 3971528852 Enrollment ID: I20051010000865 |
| Provider Name | John W Stoughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609936194 PECOS PAC ID: 7416973664 Enrollment ID: I20051018000497 |
| Provider Name | Thomas W Eyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356399869 PECOS PAC ID: 4486674033 Enrollment ID: I20051129000293 |
| Provider Name | Michelle E Eyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205872470 PECOS PAC ID: 9537189188 Enrollment ID: I20051129000335 |
| Provider Name | Jennifer Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184775348 PECOS PAC ID: 1153341086 Enrollment ID: I20051207000707 |
| Provider Name | Lenka Rychetsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043286024 PECOS PAC ID: 2163444191 Enrollment ID: I20051219000825 |
| Provider Name | Maureen E Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982674552 PECOS PAC ID: 3072535335 Enrollment ID: I20051229000711 |
| Provider Name | Michael Ammann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932264843 PECOS PAC ID: 0941294888 Enrollment ID: I20060119000002 |
| Provider Name | Charles A Michieli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205892841 PECOS PAC ID: 2062427123 Enrollment ID: I20060209000663 |
| Provider Name | Laurene E Goll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043278732 PECOS PAC ID: 5799790879 Enrollment ID: I20060210000127 |
| Provider Name | Kimy Charani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467412874 PECOS PAC ID: 1153315742 Enrollment ID: I20060413000312 |
| Provider Name | Sheela B Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598752008 PECOS PAC ID: 8820008899 Enrollment ID: I20060505000661 |
| Provider Name | Muralikrishna K Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114914637 PECOS PAC ID: 4880604867 Enrollment ID: I20060505000688 |
| Provider Name | Randolph F Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811994353 PECOS PAC ID: 9739190109 Enrollment ID: I20060523000042 |
| Provider Name | James L Major |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298328 PECOS PAC ID: 9436047297 Enrollment ID: I20060825000094 |
| Provider Name | Ruth L Seppala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851451694 PECOS PAC ID: 2961509617 Enrollment ID: I20070515000268 |
| Provider Name | Keith R Dveirin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265471916 PECOS PAC ID: 0244338010 Enrollment ID: I20070604000121 |
| Provider Name | Rachel S Stover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093915928 PECOS PAC ID: 0941392120 Enrollment ID: I20070817000006 |
| Provider Name | Julio C Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881899573 PECOS PAC ID: 0345333993 Enrollment ID: I20070912000605 |
| Provider Name | Vasanta Pisharody Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417165671 PECOS PAC ID: 1850380171 Enrollment ID: I20071011000470 |
| Provider Name | Lisa A Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164602215 PECOS PAC ID: 6305928482 Enrollment ID: I20080129000056 |
| Provider Name | Jennifer S Hutchison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285609099 PECOS PAC ID: 0345314597 Enrollment ID: I20080806000046 |
| Provider Name | Lisan S Peng |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992969414 PECOS PAC ID: 5698841666 Enrollment ID: I20080828000118 |
| Provider Name | Usha Venkataramanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386814945 PECOS PAC ID: 9830265230 Enrollment ID: I20080909000499 |
| Provider Name | Tim K Mcnichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225078660 PECOS PAC ID: 1355371162 Enrollment ID: I20080924000489 |
| Provider Name | Christine Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164691366 PECOS PAC ID: 7113081761 Enrollment ID: I20090127000572 |
| Provider Name | Duane F Dyson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891899530 PECOS PAC ID: 0042273807 Enrollment ID: I20090402000555 |
| Provider Name | Lana D Keesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750537353 PECOS PAC ID: 7517027030 Enrollment ID: I20090602000562 |
| Provider Name | Gurinder P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306894076 PECOS PAC ID: 9638219439 Enrollment ID: I20091229000239 |
| Provider Name | Lorelei J Neiburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306804075 PECOS PAC ID: 6204976012 Enrollment ID: I20091229000322 |
| Provider Name | Nelson A Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215976964 PECOS PAC ID: 1254471048 Enrollment ID: I20091230000155 |
| Provider Name | Thomas C Rothe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902854920 PECOS PAC ID: 3577603364 Enrollment ID: I20091230000200 |
| Provider Name | Alan K Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821037474 PECOS PAC ID: 1557402369 Enrollment ID: I20091230000374 |
| Provider Name | Michael D Purkis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942258694 PECOS PAC ID: 4183765993 Enrollment ID: I20091230000380 |
| Provider Name | Dung T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023057700 PECOS PAC ID: 0840331658 Enrollment ID: I20091230000441 |
| Provider Name | Robert E Lending |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154389807 PECOS PAC ID: 3476459470 Enrollment ID: I20100113000198 |
| Provider Name | Charles S Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538117536 PECOS PAC ID: 5597806562 Enrollment ID: I20100113000208 |
| Provider Name | Thomas L Brysacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780632935 PECOS PAC ID: 7113068180 Enrollment ID: I20100113000224 |
| Provider Name | Abraham R Byrd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669430385 PECOS PAC ID: 5193866168 Enrollment ID: I20100113000243 |
| Provider Name | Kenneth G Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508805151 PECOS PAC ID: 3274674247 Enrollment ID: I20100113000253 |
| Provider Name | Michael A Birgel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619935939 PECOS PAC ID: 7719028786 Enrollment ID: I20100113000273 |
| Provider Name | Daniel A Graybill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639137359 PECOS PAC ID: 2365583341 Enrollment ID: I20100113000371 |
| Provider Name | Mariali Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821037573 PECOS PAC ID: 7113068107 Enrollment ID: I20100113000445 |
| Provider Name | Shannon Howe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316986094 PECOS PAC ID: 4385785377 Enrollment ID: I20100113000452 |
| Provider Name | Marty D Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447299185 PECOS PAC ID: 5991846982 Enrollment ID: I20100113000489 |
| Provider Name | Howard M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871541029 PECOS PAC ID: 1658413554 Enrollment ID: I20100114000706 |
| Provider Name | Michael W Moynihan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831147800 PECOS PAC ID: 9032251897 Enrollment ID: I20100118000134 |
| Provider Name | Mark E Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699723692 PECOS PAC ID: 6002958865 Enrollment ID: I20100118000139 |
| Provider Name | Christopher Puca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851359517 PECOS PAC ID: 9436246584 Enrollment ID: I20100119000086 |
| Provider Name | Suzanne M Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588612402 PECOS PAC ID: 7618019316 Enrollment ID: I20100119000277 |
| Provider Name | Kristin W Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598723249 PECOS PAC ID: 9436291945 Enrollment ID: I20100121000728 |
| Provider Name | Gabriel W Cristello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144288846 PECOS PAC ID: 6709928930 Enrollment ID: I20100126000333 |
| Provider Name | Irene S Duarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336188093 PECOS PAC ID: 5597808501 Enrollment ID: I20100129000461 |
| Provider Name | Netley J Dsouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447299193 PECOS PAC ID: 0840333852 Enrollment ID: I20100129000488 |
| Provider Name | Edward D Beggy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962450114 PECOS PAC ID: 3072656099 Enrollment ID: I20100129000533 |
| Provider Name | John G Corcoran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053350603 PECOS PAC ID: 9537202445 Enrollment ID: I20100201000347 |
| Provider Name | Charles B Giffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932157161 PECOS PAC ID: 8325181241 Enrollment ID: I20100201000460 |
| Provider Name | Darren P Hee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902864663 PECOS PAC ID: 1850434770 Enrollment ID: I20100201000478 |
| Provider Name | John Z Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235187493 PECOS PAC ID: 3678616505 Enrollment ID: I20100201000480 |
| Provider Name | Stephen W Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326087008 PECOS PAC ID: 8022151851 Enrollment ID: I20100202000712 |
| Provider Name | Dean R Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578511226 PECOS PAC ID: 8123161718 Enrollment ID: I20100204000440 |
| Provider Name | Andrea M Schindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760430300 PECOS PAC ID: 6002959632 Enrollment ID: I20100204000737 |
| Provider Name | Peter J Lindner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285673970 PECOS PAC ID: 1759425762 Enrollment ID: I20100215000300 |
| Provider Name | Renee M Hultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063651602 PECOS PAC ID: 3173658564 Enrollment ID: I20100324000756 |
| Provider Name | Harold D Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285682195 PECOS PAC ID: 3274669890 Enrollment ID: I20100407000079 |
| Provider Name | Catherine M Gioannetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396703013 PECOS PAC ID: 9133255789 Enrollment ID: I20100407000475 |
| Provider Name | Wendy Edith Mccurdy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558332809 PECOS PAC ID: 1052448032 Enrollment ID: I20100422000920 |
| Provider Name | Ellen M Eichler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164478202 PECOS PAC ID: 6800925389 Enrollment ID: I20100520000869 |
| Provider Name | James P Kerwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942309232 PECOS PAC ID: 6901935105 Enrollment ID: I20100526000911 |
| Provider Name | Rosanna R Nicoletti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013927607 PECOS PAC ID: 7315079043 Enrollment ID: I20100715000935 |
| Provider Name | Kayvaan Mortazavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124265285 PECOS PAC ID: 9032241765 Enrollment ID: I20100715000947 |
| Provider Name | Melissa D Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326022484 PECOS PAC ID: 6406832930 Enrollment ID: I20100901000134 |
| Provider Name | Martha L Eicher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669577854 PECOS PAC ID: 3870618317 Enrollment ID: I20100921000485 |
| Provider Name | Philip J Starceski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124124284 PECOS PAC ID: 2365567823 Enrollment ID: I20100921000726 |
| Provider Name | Fredelito B Tiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346240843 PECOS PAC ID: 8426090887 Enrollment ID: I20101019000542 |
| Provider Name | Jonathan R Insel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053350728 PECOS PAC ID: 2466646351 Enrollment ID: I20101104001013 |
| Provider Name | Barbara A Jena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619037827 PECOS PAC ID: 3072709864 Enrollment ID: I20101118000972 |
| Provider Name | Dorota E Pucyk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235275785 PECOS PAC ID: 3577666304 Enrollment ID: I20101206000502 |
| Provider Name | Marie P Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407151418 PECOS PAC ID: 1850573890 Enrollment ID: I20110311000206 |
| Provider Name | Peter Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780875104 PECOS PAC ID: 3375725260 Enrollment ID: I20110517000792 |
| Provider Name | Leslie A Willingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174787790 PECOS PAC ID: 2769650746 Enrollment ID: I20110718000606 |
| Provider Name | Fanny R Bangoura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316101918 PECOS PAC ID: 1254509193 Enrollment ID: I20110720000829 |
| Provider Name | R Christopher Dillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295913473 PECOS PAC ID: 5890963730 Enrollment ID: I20110720000838 |
| Provider Name | Gerald E Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619269875 PECOS PAC ID: 2163692880 Enrollment ID: I20110906000706 |
| Provider Name | Amanda S Bacchus Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714325 PECOS PAC ID: 9335319052 Enrollment ID: I20110906000715 |
| Provider Name | Richard A Ruben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881848521 PECOS PAC ID: 2163692856 Enrollment ID: I20110908001610 |
| Provider Name | Jose M Herrera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346238151 PECOS PAC ID: 2961486238 Enrollment ID: I20120223000688 |
| Provider Name | Gerald Benjamin Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255490322 PECOS PAC ID: 9032379326 Enrollment ID: I20120323000231 |
| Provider Name | Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982865614 PECOS PAC ID: 0446304752 Enrollment ID: I20121017000174 |
| Provider Name | Chad A Prior |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790772036 PECOS PAC ID: 1052563970 Enrollment ID: I20121128000511 |
| Provider Name | Bether R Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275897365 PECOS PAC ID: 6608020268 Enrollment ID: I20130206000491 |
| Provider Name | Muhammad J Sethi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275762130 PECOS PAC ID: 5294970380 Enrollment ID: I20130320000310 |
| Provider Name | Aracelis Vonrueden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427034479 PECOS PAC ID: 9830186147 Enrollment ID: I20130511000113 |
| Provider Name | Neal P Bohnsack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245575430 PECOS PAC ID: 0143468017 Enrollment ID: I20130605000084 |
| Provider Name | Katie L Grund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265743835 PECOS PAC ID: 3375782352 Enrollment ID: I20130624000484 |
| Provider Name | Loan Tp Haase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659682490 PECOS PAC ID: 6709013139 Enrollment ID: I20131210002243 |
| Provider Name | Rachelle Usis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871914374 PECOS PAC ID: 0143450411 Enrollment ID: I20140306000602 |
| Provider Name | Jennifer Hb Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043633597 PECOS PAC ID: 3476786484 Enrollment ID: I20140428001612 |
| Provider Name | Marissa L Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730503855 PECOS PAC ID: 3476776170 Enrollment ID: I20140528000439 |
| Provider Name | Laura B Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396160966 PECOS PAC ID: 8729201330 Enrollment ID: I20140529002197 |
| Provider Name | Jennifer J Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396032652 PECOS PAC ID: 0244455996 Enrollment ID: I20140714000696 |
| Provider Name | Mary C Harrel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487882049 PECOS PAC ID: 5092933044 Enrollment ID: I20140904001132 |
| Provider Name | Narissa Joy Whitelaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023304250 PECOS PAC ID: 2860624319 Enrollment ID: I20140924000285 |
| Provider Name | Christiane M Sanburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518956523 PECOS PAC ID: 6800832361 Enrollment ID: I20141209002276 |
| Provider Name | Juan M Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619255007 PECOS PAC ID: 3678892023 Enrollment ID: I20150506000974 |
| Provider Name | Kelli J Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898940 PECOS PAC ID: 9032430020 Enrollment ID: I20150602002625 |
| Provider Name | Amy Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841448453 PECOS PAC ID: 3476734906 Enrollment ID: I20150617002560 |
| Provider Name | Claudia A Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912384116 PECOS PAC ID: 5799097952 Enrollment ID: I20150701001429 |
| Provider Name | Gustavo Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750644894 PECOS PAC ID: 0345553236 Enrollment ID: I20150721002713 |
| Provider Name | Juan Pablo Galvez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609050095 PECOS PAC ID: 4183757552 Enrollment ID: I20150810002924 |
| Provider Name | Joanna Lee Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598020463 PECOS PAC ID: 0345567715 Enrollment ID: I20150819009571 |
| Provider Name | Mary Glenda A Britanico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326414400 PECOS PAC ID: 0749598563 Enrollment ID: I20150929000022 |
| Provider Name | Sreenija Suryadevara |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073832564 PECOS PAC ID: 7416137518 Enrollment ID: I20150930002777 |
| Provider Name | Norma Ann Bracamonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851757603 PECOS PAC ID: 7911200613 Enrollment ID: I20160128002572 |
| Provider Name | Lisa A Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144507146 PECOS PAC ID: 1153625157 Enrollment ID: I20160211002437 |
| Provider Name | Janell L Merchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265807150 PECOS PAC ID: 4486950839 Enrollment ID: I20160310000840 |
| Provider Name | Perla R Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275900524 PECOS PAC ID: 5294032223 Enrollment ID: I20160318000535 |
| Provider Name | Natalie J Kollasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740644020 PECOS PAC ID: 8921399122 Enrollment ID: I20160617001946 |
| Provider Name | Kelsey P Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689012189 PECOS PAC ID: 3870885320 Enrollment ID: I20160701001681 |
| Provider Name | Emily M Sy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501814 PECOS PAC ID: 9335431436 Enrollment ID: I20160712000580 |
| Provider Name | Megumi Rubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740633825 PECOS PAC ID: 0244525004 Enrollment ID: I20160818001852 |
| Provider Name | Kelly A Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396120648 PECOS PAC ID: 1557656071 Enrollment ID: I20160824001840 |
| Provider Name | Jennifer Wurster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659740462 PECOS PAC ID: 6800183856 Enrollment ID: I20160920000889 |
| Provider Name | Chantelle Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346686037 PECOS PAC ID: 8628395589 Enrollment ID: I20160928001660 |
| Provider Name | Daphne M Rosales Barragan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952740862 PECOS PAC ID: 3678860939 Enrollment ID: I20160929002465 |
| Provider Name | Cynthia Carrillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245675537 PECOS PAC ID: 9638466931 Enrollment ID: I20160930001044 |
| Provider Name | Kristy D Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568915353 PECOS PAC ID: 8820386808 Enrollment ID: I20161006000878 |
| Provider Name | Stewart E Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093257172 PECOS PAC ID: 5991085441 Enrollment ID: I20161129002581 |
| Provider Name | Aluvia M Escalante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932461886 PECOS PAC ID: 1759663388 Enrollment ID: I20170116000669 |
| Provider Name | Amy M Singer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386089175 PECOS PAC ID: 7416240957 Enrollment ID: I20170130002198 |
| Provider Name | Connie Lynn Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255658126 PECOS PAC ID: 1153565577 Enrollment ID: I20170131001047 |
| Provider Name | Celia L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152631 PECOS PAC ID: 5496039356 Enrollment ID: I20170221002838 |
| Provider Name | Steven C Downing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336123199 PECOS PAC ID: 1658270772 Enrollment ID: I20170512002181 |
| Provider Name | Deepa Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215159322 PECOS PAC ID: 0840568929 Enrollment ID: I20170613002840 |
| Provider Name | Anna Marie Cosentino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982017026 PECOS PAC ID: 5395015234 Enrollment ID: I20170725003525 |
| Provider Name | Diana Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699922997 PECOS PAC ID: 0749551091 Enrollment ID: I20170803003508 |
| Provider Name | Melanie L Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891216164 PECOS PAC ID: 8921370008 Enrollment ID: I20170824001153 |
| Provider Name | David R Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854543 PECOS PAC ID: 6608149075 Enrollment ID: I20170906002956 |
| Provider Name | Michael R Spillane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750805040 PECOS PAC ID: 2466726310 Enrollment ID: I20170915003269 |
| Provider Name | Shannon M Morgenstern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164940557 PECOS PAC ID: 2860768512 Enrollment ID: I20171024002388 |
| Provider Name | Brian Shannon Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780686949 PECOS PAC ID: 8123094745 Enrollment ID: I20171114003105 |
| Provider Name | Serign Mass A Marong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386959989 PECOS PAC ID: 2466689732 Enrollment ID: I20171205003229 |
| Provider Name | Marie E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689177610 PECOS PAC ID: 7214291665 Enrollment ID: I20180510001975 |
| Provider Name | Kim M Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952801052 PECOS PAC ID: 3779848262 Enrollment ID: I20180604002959 |
| Provider Name | Megan Ann Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295225241 PECOS PAC ID: 7911253190 Enrollment ID: I20180629002204 |
| Provider Name | David E Mchorney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821073446 PECOS PAC ID: 0042566796 Enrollment ID: I20180710003791 |
| Provider Name | Vickey Sue Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306976311 PECOS PAC ID: 7719057371 Enrollment ID: I20180725004029 |
| Provider Name | Edward Charles Mulligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881060283 PECOS PAC ID: 3779833108 Enrollment ID: I20180906000746 |
| Provider Name | Acacia D Packer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275933178 PECOS PAC ID: 8426304148 Enrollment ID: I20180906001875 |
| Provider Name | Tatiana G Nieuwenhuys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831670181 PECOS PAC ID: 1951654284 Enrollment ID: I20181102000432 |
| Provider Name | Shawnna Lynn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316427388 PECOS PAC ID: 4183969330 Enrollment ID: I20181217003197 |
| Provider Name | Stephanie Ann Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750876587 PECOS PAC ID: 5395081814 Enrollment ID: I20190103003174 |
| Provider Name | Gina Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861969834 PECOS PAC ID: 4486994274 Enrollment ID: I20190313002528 |
| Provider Name | Elizabeth G Altomare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245546092 PECOS PAC ID: 0446496947 Enrollment ID: I20190424001242 |
| Provider Name | Jennifer L Aranas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497168231 PECOS PAC ID: 2668736158 Enrollment ID: I20190514000746 |
| Provider Name | Laura Joanna Kennicutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730646431 PECOS PAC ID: 7113260894 Enrollment ID: I20190521000876 |
| Provider Name | Lisa B Arrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508328097 PECOS PAC ID: 5991048316 Enrollment ID: I20190528000527 |
| Provider Name | Nisha C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917308 PECOS PAC ID: 6800104167 Enrollment ID: I20190802002454 |
| Provider Name | Angelita Lynnette Poston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063984029 PECOS PAC ID: 8527395888 Enrollment ID: I20190808002205 |
| Provider Name | Babitha Bijin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174974323 PECOS PAC ID: 9537423769 Enrollment ID: I20190819001929 |
| Provider Name | Mollie Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326606146 PECOS PAC ID: 0446588644 Enrollment ID: I20190827000442 |
| Provider Name | Christine M Poncavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549936 PECOS PAC ID: 0941531545 Enrollment ID: I20191014000262 |
| Provider Name | Abraham Rojo Librea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578119954 PECOS PAC ID: 8426481870 Enrollment ID: I20191126000860 |
| Provider Name | Emily A Ichikawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255988234 PECOS PAC ID: 7315370061 Enrollment ID: I20191210003075 |
| Provider Name | Jeremy Britt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578911996 PECOS PAC ID: 9335430073 Enrollment ID: I20191212000313 |
| Provider Name | Sarah M Severson-hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437508553 PECOS PAC ID: 4880988112 Enrollment ID: I20191226000274 |
| Provider Name | Stacee Lyders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548804206 PECOS PAC ID: 7618303330 Enrollment ID: I20200128002592 |
| Provider Name | Sarah Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790319523 PECOS PAC ID: 5698106870 Enrollment ID: I20200504002912 |
| Provider Name | Monica E M Eccles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134683071 PECOS PAC ID: 5890126874 Enrollment ID: I20200506002166 |
| Provider Name | George A Sayre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912435405 PECOS PAC ID: 1951665140 Enrollment ID: I20200630003546 |
| Provider Name | Vanessa Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468691 PECOS PAC ID: 1456775162 Enrollment ID: I20200727003616 |
| Provider Name | Alice Fay Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033733647 PECOS PAC ID: 0749606846 Enrollment ID: I20200820000160 |
| Provider Name | Jessica Tova Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902298748 PECOS PAC ID: 1456778505 Enrollment ID: I20200903001138 |
| Provider Name | Betty Sophia Glauberzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801411855 PECOS PAC ID: 1153749130 Enrollment ID: I20200909000286 |
| Provider Name | Iman M Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821539271 PECOS PAC ID: 9436406212 Enrollment ID: I20201005002569 |
| Provider Name | Monika Lilo Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588269732 PECOS PAC ID: 0244642916 Enrollment ID: I20201222001998 |
| Provider Name | Sadie Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720605231 PECOS PAC ID: 8527471036 Enrollment ID: I20201230000555 |
| Provider Name | Aryan Caire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841426186 PECOS PAC ID: 3274783618 Enrollment ID: I20210209000222 |
| Provider Name | Diana Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417554338 PECOS PAC ID: 5496162901 Enrollment ID: I20210330001352 |
| Provider Name | Junia Fils-aime Osier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265038558 PECOS PAC ID: 9830594852 Enrollment ID: I20210829000004 |
| Provider Name | Kathleen Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757363 PECOS PAC ID: 1052635950 Enrollment ID: I20211019002738 |
| Provider Name | Carolyn Elizabeth Cessna-vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942972336 PECOS PAC ID: 1850781584 Enrollment ID: I20211210002202 |
| Provider Name | Peter P Michalak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104321777 PECOS PAC ID: 9537417464 Enrollment ID: I20211216000936 |
| Provider Name | Kelsie Elizabeth Oatmen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316400583 PECOS PAC ID: 8820323256 Enrollment ID: I20220512000184 |
| Provider Name | Sara Beth Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700533296 PECOS PAC ID: 3375920648 Enrollment ID: I20220517002266 |
| Provider Name | Tyson Rian Polley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952862146 PECOS PAC ID: 1153700596 Enrollment ID: I20220615002254 |
| Provider Name | Amanda Marie Romaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932871837 PECOS PAC ID: 0345629457 Enrollment ID: I20220621001538 |
| Provider Name | Daniel J Luccock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295297430 PECOS PAC ID: 9032444948 Enrollment ID: I20220628001827 |
| Provider Name | Matthew David Michaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053045948 PECOS PAC ID: 0547636680 Enrollment ID: I20221014001775 |
| Provider Name | Erinn Rae Ayres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942435292 PECOS PAC ID: 4981910635 Enrollment ID: I20221201000714 |
| Provider Name | Angelica Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750097812 PECOS PAC ID: 7810369147 Enrollment ID: I20230214001214 |
| Provider Name | Ashley Dawn Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477989747 PECOS PAC ID: 3173752391 Enrollment ID: I20230222000710 |
| Provider Name | Stephanie Marie Ottusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255943775 PECOS PAC ID: 1951775873 Enrollment ID: I20230316000601 |
| Provider Name | Sarah Jane Krepps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588276034 PECOS PAC ID: 6709251762 Enrollment ID: I20230405002377 |
| Provider Name | Bosa Balesevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487360178 PECOS PAC ID: 8921473711 Enrollment ID: I20230410000564 |
| Provider Name | Courtney Elizabeth Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285332866 PECOS PAC ID: 4789040213 Enrollment ID: I20230525001084 |
| Provider Name | Shafia Saba Memon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609097773 PECOS PAC ID: 5698958429 Enrollment ID: I20230718003888 |
| Provider Name | Monica Schlitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821591868 PECOS PAC ID: 2264857556 Enrollment ID: I20230802002856 |
| Provider Name | Robert M Lystrup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679957427 PECOS PAC ID: 1557677465 Enrollment ID: I20230809001617 |
| Provider Name | Amy Rogers Filsoof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033508874 PECOS PAC ID: 9436482411 Enrollment ID: I20230822002696 |
| Provider Name | Amanda Ford Ceniceros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588340657 PECOS PAC ID: 3779938220 Enrollment ID: I20231018002695 |
| Provider Name | Michelle Renae Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828692 PECOS PAC ID: 4587076088 Enrollment ID: I20231213000417 |
| Provider Name | Catherine Laree Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013789189 PECOS PAC ID: 2860842192 Enrollment ID: I20231228000971 |
| Provider Name | Damon Suttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821786393 PECOS PAC ID: 2466895768 Enrollment ID: I20240202003016 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd, Suite 255, Tucson, AZ 85745 Phone: 520-722-3777 Fax: 520-296-6224 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |