| Arizona Primary Care Physicians, Llc | |
|
5620 W Thunderbird Rd Suite F-1 Glendale AZ 85306-4636 | |
| (623) 215-9432 | |
| (602) 735-3796 |
| Full Name | Arizona Primary Care Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5620 W Thunderbird Rd, Glendale, Arizona |
| Authorized Official Name and Position | Blue Beckham (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 6232159452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Primary Care Physicians, Llc 16155 N 83rd Ave Suite 201 Peoria AZ 85382-5815 Ph: (623) 215-9432 | Arizona Primary Care Physicians, Llc 5620 W Thunderbird Rd Suite F-1 Glendale AZ 85306-4636 Ph: (623) 215-9432 |
| NPI Number | 1033523949 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 8820316334 |
|---|---|
| Medicare Enrollment ID | O20150414000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033523949 | NPI | - | NPPES |
| DV5855 | Other | AZ | RAILROAD MEDICARE PTAN |
| Z174630 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Adrienne W Forstner-barthell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1033153994 PECOS PAC ID: 3274431770 Enrollment ID: I20031226000009 |
| Provider Name | Subhasis Maitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487673760 PECOS PAC ID: 4486544244 Enrollment ID: I20040330000650 |
| Provider Name | Jennifer Maitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619996535 PECOS PAC ID: 0840180600 Enrollment ID: I20040330000802 |
| Provider Name | Kent M Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386699502 PECOS PAC ID: 6002805967 Enrollment ID: I20040508000066 |
| Provider Name | Graeme M Tolson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518966860 PECOS PAC ID: 4284612359 Enrollment ID: I20040802000275 |
| Provider Name | Kim M Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816777 PECOS PAC ID: 0042284846 Enrollment ID: I20040830000229 |
| Provider Name | Heather A Killam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114914967 PECOS PAC ID: 3375507411 Enrollment ID: I20041117000971 |
| Provider Name | Vicky H Chen-yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033159207 PECOS PAC ID: 7113976192 Enrollment ID: I20050117000485 |
| Provider Name | Bingfen Grace Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023017381 PECOS PAC ID: 4789623109 Enrollment ID: I20050426000753 |
| Provider Name | Mindy T Taber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609878289 PECOS PAC ID: 7113958240 Enrollment ID: I20050829000164 |
| Provider Name | Allen M Germaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689658908 PECOS PAC ID: 4082629522 Enrollment ID: I20060221000777 |
| Provider Name | Darry S Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326088428 PECOS PAC ID: 8022023092 Enrollment ID: I20060310000259 |
| Provider Name | Ethiopia Gebeyehu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609845908 PECOS PAC ID: 7012928195 Enrollment ID: I20060606000277 |
| Provider Name | Joshua A Millstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376749721 PECOS PAC ID: 5092816652 Enrollment ID: I20070726000170 |
| Provider Name | Daniel B Schlosser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518953611 PECOS PAC ID: 7517057896 Enrollment ID: I20071227000087 |
| Provider Name | Thomas G Habiger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447326038 PECOS PAC ID: 3678658572 Enrollment ID: I20080317000093 |
| Provider Name | John Tassone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427043165 PECOS PAC ID: 2365434651 Enrollment ID: I20080708000327 |
| Provider Name | Robert A Swierupski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134143092 PECOS PAC ID: 6305873225 Enrollment ID: I20080827000137 |
| Provider Name | Elizabeth J Mcconnell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1952393761 PECOS PAC ID: 9739176595 Enrollment ID: I20090831000106 |
| Provider Name | Prineet K Tung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285849372 PECOS PAC ID: 6507998358 Enrollment ID: I20100714001017 |
| Provider Name | Daniel L Kessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891771861 PECOS PAC ID: 0446242960 Enrollment ID: I20100915001226 |
| Provider Name | David Warfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023018660 PECOS PAC ID: 0244356392 Enrollment ID: I20100925000232 |
| Provider Name | Trinh Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518966878 PECOS PAC ID: 9234329186 Enrollment ID: I20101005001228 |
| Provider Name | Narendra A Godbole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396745956 PECOS PAC ID: 7416147368 Enrollment ID: I20101011001154 |
| Provider Name | James Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073513131 PECOS PAC ID: 3870783723 Enrollment ID: I20101012000588 |
| Provider Name | Karen P Gonsalves Wetherell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033118393 PECOS PAC ID: 0941498059 Enrollment ID: I20101215001222 |
| Provider Name | Christina Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710228309 PECOS PAC ID: 6103062922 Enrollment ID: I20130424000618 |
| Provider Name | Kimberly Brandstetter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205134350 PECOS PAC ID: 6002057932 Enrollment ID: I20130718000590 |
| Provider Name | Jeremy Nebeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013208545 PECOS PAC ID: 9739327743 Enrollment ID: I20140904002681 |
| Provider Name | Satya D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952571341 PECOS PAC ID: 7517008766 Enrollment ID: I20150618002537 |
| Provider Name | Shraddha S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447408778 PECOS PAC ID: 6305003260 Enrollment ID: I20160202000159 |
| Provider Name | John Edgar Alan Hammonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518494020 PECOS PAC ID: 3870850571 Enrollment ID: I20171205003503 |
| Provider Name | Evelyn G Heigh-rosen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073933826 PECOS PAC ID: 6901171792 Enrollment ID: I20180629002580 |
| Provider Name | Ronald L Bauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215935952 PECOS PAC ID: 5698766681 Enrollment ID: I20181110000160 |
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