| Medcubed Pllc | |
|
7699 E Pinnacle Peak Rd Suite 115 Scottsdale AZ 85255-6322 | |
| (480) 300-4663 | |
| (480) 300-4888 |
| Full Name | Medcubed Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7699 E Pinnacle Peak Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Sam S Fereidouni (OWNER) |
| Authorized Official Contact | 4803004663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcubed Pllc 7699 E Pinnacle Peak Rd Suite 115 Scottsdale AZ 85255-6322 Ph: (480) 300-4663 | Medcubed Pllc 7699 E Pinnacle Peak Rd Suite 115 Scottsdale AZ 85255-6322 Ph: (480) 300-4663 |
| NPI Number | 1366854861 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 07/02/2025 |
| Medicare PECOS PAC ID | 9133349236 |
|---|---|
| Medicare Enrollment ID | O20141010002174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366854861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Milissa Ann Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598752164 PECOS PAC ID: 4981666419 Enrollment ID: I20041027001235 |
| Provider Name | Sam S Fereidouni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003007048 PECOS PAC ID: 5799873139 Enrollment ID: I20071119000021 |
| Provider Name | Mary K Benjamin Swonger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134109168 PECOS PAC ID: 2062326812 Enrollment ID: I20170307002660 |
| Provider Name | Keith A Goss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700860715 PECOS PAC ID: 3779540521 Enrollment ID: I20180208001527 |
| Provider Name | Steven Elias Tager |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285632000 PECOS PAC ID: 4486648334 Enrollment ID: I20180424000696 |
| Provider Name | Charissa Farris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023227733 PECOS PAC ID: 9638247463 Enrollment ID: I20201015002598 |
| Provider Name | Mara Scaramella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316240377 PECOS PAC ID: 1850702101 Enrollment ID: I20201118000988 |
| Provider Name | Kyle Van Schwickerath |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245857101 PECOS PAC ID: 1456700822 Enrollment ID: I20231211001136 |
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