| Banner Primary Care Physicians Arizona Llc | |
|
3336 E Chandler Heights Rd Ste A-101 Gilbert AZ 85298-4259 | |
| (480) 412-5900 | |
| Not Available |
| Full Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3336 E Chandler Heights Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Primary Care Physicians Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Primary Care Physicians Arizona Llc 3336 E Chandler Heights Rd Ste A-101 Gilbert AZ 85298-4259 Ph: (480) 412-5900 |
| NPI Number | 1417238908 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 12/27/2021 |
| Medicare PECOS PAC ID | 6406020155 |
|---|---|
| Medicare Enrollment ID | O20111115000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417238908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carla Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669422085 PECOS PAC ID: 2668376021 Enrollment ID: I20031126000323 |
| Provider Name | Diem Thuy N Kahlon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851365688 PECOS PAC ID: 9436050044 Enrollment ID: I20040121001021 |
| Provider Name | Nolawi M Mengesha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255309399 PECOS PAC ID: 8123913795 Enrollment ID: I20040220001059 |
| Provider Name | Jamil Razzaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265472443 PECOS PAC ID: 9032107297 Enrollment ID: I20040505000837 |
| Provider Name | Kelly F England |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679563282 PECOS PAC ID: 2264421478 Enrollment ID: I20040511001246 |
| Provider Name | David A Silberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083690119 PECOS PAC ID: 8325020324 Enrollment ID: I20040603000659 |
| Provider Name | Shannon M Forshey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780775395 PECOS PAC ID: 3577547637 Enrollment ID: I20040616000290 |
| Provider Name | Anupama K Mathew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164620811 PECOS PAC ID: 6406834555 Enrollment ID: I20040713001480 |
| Provider Name | Loren S Lasater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023098662 PECOS PAC ID: 2860463965 Enrollment ID: I20040803000789 |
| Provider Name | Richard A Worhacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801830542 PECOS PAC ID: 2365498797 Enrollment ID: I20050329000273 |
| Provider Name | Franklin H Baroi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710067608 PECOS PAC ID: 2264425446 Enrollment ID: I20050404000495 |
| Provider Name | Tina Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342812 PECOS PAC ID: 1052359734 Enrollment ID: I20050422000351 |
| Provider Name | Daryn N Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497827018 PECOS PAC ID: 8729063169 Enrollment ID: I20050422001070 |
| Provider Name | Steven R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083674154 PECOS PAC ID: 7517994130 Enrollment ID: I20050725001099 |
| Provider Name | Tisha K Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764843 PECOS PAC ID: 6901835834 Enrollment ID: I20050810000822 |
| Provider Name | Lorna F Honan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154395531 PECOS PAC ID: 6800811548 Enrollment ID: I20051014000396 |
| Provider Name | Minh Hoang Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295756369 PECOS PAC ID: 1355368945 Enrollment ID: I20051102000527 |
| Provider Name | Steven J Bowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639164650 PECOS PAC ID: 6709805989 Enrollment ID: I20051116000915 |
| Provider Name | Jason T Frye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598700189 PECOS PAC ID: 5698795037 Enrollment ID: I20051130000861 |
| Provider Name | Jonathan J Goodman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902845134 PECOS PAC ID: 8325008758 Enrollment ID: I20051223000231 |
| Provider Name | Jason J Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538129200 PECOS PAC ID: 3779598016 Enrollment ID: I20060208000298 |
| Provider Name | David M Valenzuela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235198607 PECOS PAC ID: 1759396096 Enrollment ID: I20060208000316 |
| Provider Name | Marcela Cristea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013999226 PECOS PAC ID: 8123033677 Enrollment ID: I20060220000553 |
| Provider Name | Gerald L Oldham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176207 PECOS PAC ID: 4789596040 Enrollment ID: I20060310000014 |
| Provider Name | Linda E Leech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174560494 PECOS PAC ID: 5991712283 Enrollment ID: I20060310000492 |
| Provider Name | Roberto R Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972557650 PECOS PAC ID: 7810907805 Enrollment ID: I20060508000003 |
| Provider Name | Cheryl A Villamor Nierva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447211602 PECOS PAC ID: 5395756589 Enrollment ID: I20060602000056 |
| Provider Name | Michael A Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356383483 PECOS PAC ID: 3870504830 Enrollment ID: I20060818000405 |
| Provider Name | David Podkameni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700967478 PECOS PAC ID: 7416958749 Enrollment ID: I20070129000600 |
| Provider Name | Albert Y Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922039601 PECOS PAC ID: 2567469190 Enrollment ID: I20070611000145 |
| Provider Name | Greta M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770788820 PECOS PAC ID: 9436250974 Enrollment ID: I20070727000096 |
| Provider Name | Kerry M Amstutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336217181 PECOS PAC ID: 5597861104 Enrollment ID: I20070828000536 |
| Provider Name | Swati B Kolpuru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487789848 PECOS PAC ID: 0042255507 Enrollment ID: I20071126000609 |
| Provider Name | Paul W Keiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982691994 PECOS PAC ID: 5698855179 Enrollment ID: I20080109000699 |
| Provider Name | Bradley C Downing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164414116 PECOS PAC ID: 9537246186 Enrollment ID: I20080407000136 |
| Provider Name | Michelle M Ballecer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841497526 PECOS PAC ID: 0042389991 Enrollment ID: I20080519000015 |
| Provider Name | Ginger D Akins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679505275 PECOS PAC ID: 9830268200 Enrollment ID: I20080528000052 |
| Provider Name | Lurlyn V Pero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023056728 PECOS PAC ID: 8820039050 Enrollment ID: I20080605000104 |
| Provider Name | Emily Marie Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306860630 PECOS PAC ID: 2062414667 Enrollment ID: I20080805000333 |
| Provider Name | John G Sarmiento |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598743478 PECOS PAC ID: 9133287238 Enrollment ID: I20081017000637 |
| Provider Name | Devin N Minior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386803088 PECOS PAC ID: 7214089085 Enrollment ID: I20090709000395 |
| Provider Name | Christina L Biliack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851553861 PECOS PAC ID: 0143373894 Enrollment ID: I20090729000159 |
| Provider Name | Shawn M Singleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891991253 PECOS PAC ID: 6901959071 Enrollment ID: I20090806000749 |
| Provider Name | Shelly Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417183542 PECOS PAC ID: 3971658543 Enrollment ID: I20090903000045 |
| Provider Name | Sharon L Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982776563 PECOS PAC ID: 8123926490 Enrollment ID: I20091013000534 |
| Provider Name | Candace M Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073567707 PECOS PAC ID: 2062550403 Enrollment ID: I20091105000281 |
| Provider Name | Sarah A Payne |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114145778 PECOS PAC ID: 8921146879 Enrollment ID: I20091112000646 |
| Provider Name | Jennifer L Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275731424 PECOS PAC ID: 5193864221 Enrollment ID: I20091203000393 |
| Provider Name | Gina D Montion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366435612 PECOS PAC ID: 2062551336 Enrollment ID: I20100111000771 |
| Provider Name | James W Schouten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093784712 PECOS PAC ID: 2961537246 Enrollment ID: I20100312000305 |
| Provider Name | Leslie A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740255181 PECOS PAC ID: 7214066455 Enrollment ID: I20100526000200 |
| Provider Name | David J. Lebeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983032 PECOS PAC ID: 8224168299 Enrollment ID: I20100617000753 |
| Provider Name | Thomas P Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023094141 PECOS PAC ID: 7618007618 Enrollment ID: I20100618000227 |
| Provider Name | Robert D Lundell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740441435 PECOS PAC ID: 0840322533 Enrollment ID: I20100715000581 |
| Provider Name | Vivek R Kesara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548420334 PECOS PAC ID: 5890832646 Enrollment ID: I20101008000895 |
| Provider Name | Thomas R Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620399 PECOS PAC ID: 2062609118 Enrollment ID: I20101215000395 |
| Provider Name | Casey M Golab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790011435 PECOS PAC ID: 1557541067 Enrollment ID: I20110215000697 |
| Provider Name | Leslie M Rach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629384284 PECOS PAC ID: 5395926182 Enrollment ID: I20110228000351 |
| Provider Name | Zafar Quadir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457371759 PECOS PAC ID: 7113943002 Enrollment ID: I20110421000613 |
| Provider Name | Andrea E Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013189166 PECOS PAC ID: 3072783356 Enrollment ID: I20110823000998 |
| Provider Name | Danielle G Wicklow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790946853 PECOS PAC ID: 0547430837 Enrollment ID: I20110824000044 |
| Provider Name | Sarah S Bannister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588828032 PECOS PAC ID: 0648440396 Enrollment ID: I20110907001037 |
| Provider Name | Tiffany N Graybill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679754592 PECOS PAC ID: 2062565906 Enrollment ID: I20111118000570 |
| Provider Name | Dawn M Sorenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821246091 PECOS PAC ID: 4385801554 Enrollment ID: I20120131000859 |
| Provider Name | Andrea W Mathiason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033489448 PECOS PAC ID: 7618136417 Enrollment ID: I20120314000784 |
| Provider Name | Parul Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396971586 PECOS PAC ID: 3173785946 Enrollment ID: I20120425000056 |
| Provider Name | Hiram A Rivera Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851392302 PECOS PAC ID: 3375684004 Enrollment ID: I20120523000363 |
| Provider Name | Debbie A Mcginn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285888420 PECOS PAC ID: 1850556614 Enrollment ID: I20120628000149 |
| Provider Name | Jason K Leubner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487881546 PECOS PAC ID: 2466618962 Enrollment ID: I20120727000674 |
| Provider Name | Tanya M Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700151271 PECOS PAC ID: 3870749211 Enrollment ID: I20120817000269 |
| Provider Name | Aaron Daniel Knudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447417951 PECOS PAC ID: 8426208083 Enrollment ID: I20121017000592 |
| Provider Name | Mark J Pyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053536805 PECOS PAC ID: 4284884222 Enrollment ID: I20121026000716 |
| Provider Name | Mary Ellen Radosevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245534726 PECOS PAC ID: 2365692134 Enrollment ID: I20121101000579 |
| Provider Name | Alyson Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772434 PECOS PAC ID: 8224289731 Enrollment ID: I20121109000472 |
| Provider Name | Michelle D Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902896590 PECOS PAC ID: 2466697503 Enrollment ID: I20130320000771 |
| Provider Name | Ruben O Espinoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164621470 PECOS PAC ID: 8022253186 Enrollment ID: I20130321000167 |
| Provider Name | Tracy Frausto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164527396 PECOS PAC ID: 3375788433 Enrollment ID: I20130321000198 |
| Provider Name | Brenda M Kronborg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801886163 PECOS PAC ID: 2264677228 Enrollment ID: I20130321000236 |
| Provider Name | Mehdi Salek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215903836 PECOS PAC ID: 2466697420 Enrollment ID: I20130321000323 |
| Provider Name | Joseph L Werther |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629096458 PECOS PAC ID: 5092950063 Enrollment ID: I20130321000345 |
| Provider Name | Manu Bhakoo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518952373 PECOS PAC ID: 9335195403 Enrollment ID: I20130325000381 |
| Provider Name | Wendy L Lorenzen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386634954 PECOS PAC ID: 5496990384 Enrollment ID: I20130325000520 |
| Provider Name | Matthew T Wellock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750316337 PECOS PAC ID: 1951308493 Enrollment ID: I20130424000227 |
| Provider Name | Suzanne J Nielsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457526030 PECOS PAC ID: 9537306782 Enrollment ID: I20130508000310 |
| Provider Name | Beno Sikand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578717146 PECOS PAC ID: 0143375238 Enrollment ID: I20130529000523 |
| Provider Name | Kothandapany S Shalini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255425641 PECOS PAC ID: 6709770357 Enrollment ID: I20130610000439 |
| Provider Name | Russell Horton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780996967 PECOS PAC ID: 9537308663 Enrollment ID: I20130620000196 |
| Provider Name | Jaclyn M Kepski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538484357 PECOS PAC ID: 3375782410 Enrollment ID: I20130620000406 |
| Provider Name | John Stuart Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598853939 PECOS PAC ID: 0143353029 Enrollment ID: I20130702000858 |
| Provider Name | David J Berrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568604593 PECOS PAC ID: 0446404842 Enrollment ID: I20130709000670 |
| Provider Name | Michael B Vergason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942524673 PECOS PAC ID: 2466693023 Enrollment ID: I20130724000129 |
| Provider Name | Monica Viteri-giordano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063491041 PECOS PAC ID: 8426012113 Enrollment ID: I20130724000210 |
| Provider Name | Nickey R O Coyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417275348 PECOS PAC ID: 6901047521 Enrollment ID: I20130801000554 |
| Provider Name | Carlos J Ventura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174842884 PECOS PAC ID: 4082856745 Enrollment ID: I20130808000176 |
| Provider Name | Frank Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649572546 PECOS PAC ID: 1254574163 Enrollment ID: I20130826000073 |
| Provider Name | Emil T Graf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225231434 PECOS PAC ID: 0749461747 Enrollment ID: I20130826000487 |
| Provider Name | Jessica Regnaert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077372 PECOS PAC ID: 1355584038 Enrollment ID: I20130828000218 |
| Provider Name | Jared Schwarting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770923708 PECOS PAC ID: 9032352489 Enrollment ID: I20130904000217 |
| Provider Name | Kristen J Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619319753 PECOS PAC ID: 3274776471 Enrollment ID: I20130906000320 |
| Provider Name | Marek Lukacik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225170780 PECOS PAC ID: 2961508965 Enrollment ID: I20140121000841 |
| Provider Name | Rebecca Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255697793 PECOS PAC ID: 4981834371 Enrollment ID: I20140304001910 |
| Provider Name | Flint C Hales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285910133 PECOS PAC ID: 4587812748 Enrollment ID: I20140519000001 |
| Provider Name | Tamara Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225443815 PECOS PAC ID: 1759500119 Enrollment ID: I20140917000308 |
| Provider Name | Heather Tinsdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730476417 PECOS PAC ID: 6305065061 Enrollment ID: I20140922002686 |
| Provider Name | Syerra Lea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396039798 PECOS PAC ID: 3678794500 Enrollment ID: I20141017002104 |
| Provider Name | Roshni Madappa Kundranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700955838 PECOS PAC ID: 8224036462 Enrollment ID: I20141029000137 |
| Provider Name | Natasa Vojvodic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164715751 PECOS PAC ID: 0446471627 Enrollment ID: I20141103000577 |
| Provider Name | Randy S Gelow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568755130 PECOS PAC ID: 6002038213 Enrollment ID: I20141103001854 |
| Provider Name | Heath A Spivey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902199581 PECOS PAC ID: 7810219383 Enrollment ID: I20141211001960 |
| Provider Name | Laura M Hellenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164779310 PECOS PAC ID: 8527217173 Enrollment ID: I20150106001049 |
| Provider Name | Christina Joyave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093110041 PECOS PAC ID: 2668797630 Enrollment ID: I20150214000034 |
| Provider Name | Anne Donos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750771861 PECOS PAC ID: 6103147202 Enrollment ID: I20150601002747 |
| Provider Name | Justin D Dufner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457619371 PECOS PAC ID: 9234386590 Enrollment ID: I20150817000397 |
| Provider Name | Brandon S Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972864775 PECOS PAC ID: 2668799669 Enrollment ID: I20150821013349 |
| Provider Name | Michael J Germain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245592922 PECOS PAC ID: 3678889052 Enrollment ID: I20150831001871 |
| Provider Name | Jonathan M Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982826855 PECOS PAC ID: 9537318209 Enrollment ID: I20150929000646 |
| Provider Name | Rishi Basnyat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609158799 PECOS PAC ID: 2567770159 Enrollment ID: I20150930003462 |
| Provider Name | Tamerut A Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346233921 PECOS PAC ID: 1153392386 Enrollment ID: I20151007002901 |
| Provider Name | Romana Zar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992978001 PECOS PAC ID: 6901098052 Enrollment ID: I20151008002745 |
| Provider Name | Sacha Loving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750750568 PECOS PAC ID: 6507167590 Enrollment ID: I20151216001788 |
| Provider Name | Melinda Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026167 PECOS PAC ID: 9638470511 Enrollment ID: I20151217002534 |
| Provider Name | Marina Permiakova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164763215 PECOS PAC ID: 6800198219 Enrollment ID: I20151231000552 |
| Provider Name | Joy M Caplette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255704797 PECOS PAC ID: 7911202205 Enrollment ID: I20160224001915 |
| Provider Name | Aaron Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932442712 PECOS PAC ID: 4981995875 Enrollment ID: I20160623002159 |
| Provider Name | Jessica M Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871956557 PECOS PAC ID: 9234422916 Enrollment ID: I20160719001766 |
| Provider Name | Kojasteh M Ghaziaskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881663441 PECOS PAC ID: 4385930742 Enrollment ID: I20160910000284 |
| Provider Name | Joann F Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881044147 PECOS PAC ID: 3274779574 Enrollment ID: I20160913002391 |
| Provider Name | Janna Hami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221589 PECOS PAC ID: 0143528687 Enrollment ID: I20160921002311 |
| Provider Name | Nurul Hariadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881875037 PECOS PAC ID: 1951699495 Enrollment ID: I20161016000001 |
| Provider Name | Ria Ghose Kundu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881037539 PECOS PAC ID: 2466763941 Enrollment ID: I20161104001997 |
| Provider Name | Vidya Surapaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851521785 PECOS PAC ID: 9931488210 Enrollment ID: I20161108002644 |
| Provider Name | Meliza Hio Salandanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851841605 PECOS PAC ID: 9830479344 Enrollment ID: I20161129001024 |
| Provider Name | Yumiko E Hoeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538422092 PECOS PAC ID: 9739339649 Enrollment ID: I20161219001665 |
| Provider Name | Jacquelyn Pichette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891161055 PECOS PAC ID: 9830470954 Enrollment ID: I20170104001550 |
| Provider Name | Meilani Jamias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104376920 PECOS PAC ID: 5294016283 Enrollment ID: I20170105002238 |
| Provider Name | Laura A Stager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710439773 PECOS PAC ID: 3577846831 Enrollment ID: I20170210001354 |
| Provider Name | Randi Michelle Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962947770 PECOS PAC ID: 4688958325 Enrollment ID: I20170224001640 |
| Provider Name | Mohammad Islam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306286158 PECOS PAC ID: 3274803838 Enrollment ID: I20170714001792 |
| Provider Name | Broderick C Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396183158 PECOS PAC ID: 2264673862 Enrollment ID: I20170717003032 |
| Provider Name | Maria Viadimir Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649388596 PECOS PAC ID: 2860428489 Enrollment ID: I20170807003307 |
| Provider Name | William Bottomley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023422532 PECOS PAC ID: 2062783186 Enrollment ID: I20170808003902 |
| Provider Name | David E Virgil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598175747 PECOS PAC ID: 8820360449 Enrollment ID: I20170816004229 |
| Provider Name | Sai Palakodety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629384888 PECOS PAC ID: 4183868607 Enrollment ID: I20170817003497 |
| Provider Name | Joseph Heller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467710293 PECOS PAC ID: 5395038137 Enrollment ID: I20170829001626 |
| Provider Name | Esther Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053840926 PECOS PAC ID: 1254697469 Enrollment ID: I20171103001310 |
| Provider Name | Selin Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316546 PECOS PAC ID: 6608134853 Enrollment ID: I20171218002096 |
| Provider Name | Deborah Kathleen Rupae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902867245 PECOS PAC ID: 8921095605 Enrollment ID: I20180201002401 |
| Provider Name | Sarah Elizabeth Mckenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356729594 PECOS PAC ID: 1658629944 Enrollment ID: I20180802001349 |
| Provider Name | Michelle O Prestoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831584044 PECOS PAC ID: 6002119666 Enrollment ID: I20180814003450 |
| Provider Name | Melissa D Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801380662 PECOS PAC ID: 0143570879 Enrollment ID: I20180830001034 |
| Provider Name | Stephanie A Wolz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033690912 PECOS PAC ID: 6305199670 Enrollment ID: I20181102001787 |
| Provider Name | Aaron Ray Stapley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427496918 PECOS PAC ID: 6507169653 Enrollment ID: I20190214000920 |
| Provider Name | Kevon P Mccarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063828135 PECOS PAC ID: 2062733868 Enrollment ID: I20190410000405 |
| Provider Name | Albert Hsia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518313196 PECOS PAC ID: 5890037295 Enrollment ID: I20190506001536 |
| Provider Name | Kimberly A Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558838896 PECOS PAC ID: 7315280781 Enrollment ID: I20190528002637 |
| Provider Name | Tien-ching Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041347 PECOS PAC ID: 4183958580 Enrollment ID: I20190618002661 |
| Provider Name | Krishna Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366913618 PECOS PAC ID: 0840524252 Enrollment ID: I20190618003333 |
| Provider Name | Adireddy Kamireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063646628 PECOS PAC ID: 1355580838 Enrollment ID: I20190712002234 |
| Provider Name | Angela Do Feng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144684036 PECOS PAC ID: 7315235231 Enrollment ID: I20190712002924 |
| Provider Name | Sana Ashtiani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821450925 PECOS PAC ID: 2264761394 Enrollment ID: I20190913002767 |
| Provider Name | Joseph Seelbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275997868 PECOS PAC ID: 0446520944 Enrollment ID: I20190917001165 |
| Provider Name | Kimberly Koike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316392624 PECOS PAC ID: 7517236300 Enrollment ID: I20190920003176 |
| Provider Name | Saisho Mangla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235543919 PECOS PAC ID: 6507083060 Enrollment ID: I20191006000018 |
| Provider Name | Ira Davis Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255987475 PECOS PAC ID: 6406187129 Enrollment ID: I20191010002803 |
| Provider Name | Virginia Burford Hatch-pigott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457325664 PECOS PAC ID: 0547227175 Enrollment ID: I20191016000566 |
| Provider Name | Nathan Andrew Tholl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124480165 PECOS PAC ID: 3072844364 Enrollment ID: I20191017002869 |
| Provider Name | Jean Kuo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508158262 PECOS PAC ID: 6204077605 Enrollment ID: I20191114000682 |
| Provider Name | Andrew P Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619314796 PECOS PAC ID: 8820232846 Enrollment ID: I20200109001766 |
| Provider Name | Susan Patricia Anduaga Bocanegra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316331259 PECOS PAC ID: 6305273640 Enrollment ID: I20200225002965 |
| Provider Name | Patrick Robert Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197164 PECOS PAC ID: 4789011909 Enrollment ID: I20200228001521 |
| Provider Name | Jennifer Stathopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447885702 PECOS PAC ID: 9830529767 Enrollment ID: I20200416003665 |
| Provider Name | Jamie Quintana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962675264 PECOS PAC ID: 5092882530 Enrollment ID: I20200520001548 |
| Provider Name | Steven Joel Schlink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699390039 PECOS PAC ID: 1850714544 Enrollment ID: I20200714002045 |
| Provider Name | Sarah Marie Strazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144731480 PECOS PAC ID: 8729401336 Enrollment ID: I20200714002941 |
| Provider Name | Nathan Edward Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205360237 PECOS PAC ID: 4587932322 Enrollment ID: I20200724000475 |
| Provider Name | Matthew Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114451986 PECOS PAC ID: 8729357868 Enrollment ID: I20200728002507 |
| Provider Name | Edward Hoang Nam Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689196891 PECOS PAC ID: 6002163466 Enrollment ID: I20200827001569 |
| Provider Name | Thomas Foss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194257089 PECOS PAC ID: 4284904129 Enrollment ID: I20200921000546 |
| Provider Name | Arielle Sanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619589652 PECOS PAC ID: 2769801760 Enrollment ID: I20200924001172 |
| Provider Name | Zaydee Montano Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427579754 PECOS PAC ID: 4385063577 Enrollment ID: I20201008000924 |
| Provider Name | Jacqueline Kristina Dumagpi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023622867 PECOS PAC ID: 6507126018 Enrollment ID: I20201013001759 |
| Provider Name | Renee A Mercer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467816058 PECOS PAC ID: 1153696877 Enrollment ID: I20201210000914 |
| Provider Name | Ilka Mayela Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396343430 PECOS PAC ID: 1951713791 Enrollment ID: I20201218001585 |
| Provider Name | Helene Christine Elizalde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698293 PECOS PAC ID: 7113332230 Enrollment ID: I20210222002969 |
| Provider Name | Allyson Duda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265028914 PECOS PAC ID: 7315353240 Enrollment ID: I20210301002166 |
| Provider Name | Shaun Brancheau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891019493 PECOS PAC ID: 1052554136 Enrollment ID: I20210302003216 |
| Provider Name | Francia Izmir Day |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952876377 PECOS PAC ID: 0840606406 Enrollment ID: I20210304002548 |
| Provider Name | Tony W Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497753123 PECOS PAC ID: 5698747491 Enrollment ID: I20210329001328 |
| Provider Name | Margaret Kenan Comford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750335394 PECOS PAC ID: 3274941786 Enrollment ID: I20210422001570 |
| Provider Name | Ashleigh Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295396273 PECOS PAC ID: 2264840628 Enrollment ID: I20210423000681 |
| Provider Name | Jarrett Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255623732 PECOS PAC ID: 5193941946 Enrollment ID: I20210423001808 |
| Provider Name | Noah Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922409846 PECOS PAC ID: 8628390333 Enrollment ID: I20210428002389 |
| Provider Name | Amanda J Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487244562 PECOS PAC ID: 0446669931 Enrollment ID: I20210513001624 |
| Provider Name | John Hembry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508844309 PECOS PAC ID: 8527972793 Enrollment ID: I20210625001109 |
| Provider Name | Adelaide Amini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437731247 PECOS PAC ID: 3274934120 Enrollment ID: I20210629002218 |
| Provider Name | Henna Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588160345 PECOS PAC ID: 4082019369 Enrollment ID: I20210825000854 |
| Provider Name | Meredith Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316434343 PECOS PAC ID: 5698027225 Enrollment ID: I20210826000530 |
| Provider Name | Bryan Paul Mahoney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033615901 PECOS PAC ID: 9537564745 Enrollment ID: I20210826002138 |
| Provider Name | Yuliya Pavlovna Vakulchik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538658596 PECOS PAC ID: 5890190912 Enrollment ID: I20210826002680 |
| Provider Name | Geny Augustine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083108401 PECOS PAC ID: 4082012240 Enrollment ID: I20211004000102 |
| Provider Name | Andrea Martinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417390824 PECOS PAC ID: 4981847399 Enrollment ID: I20211004001694 |
| Provider Name | Sneha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811322001 PECOS PAC ID: 1951606532 Enrollment ID: I20211004003246 |
| Provider Name | Shea Giaquinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962907873 PECOS PAC ID: 7810395969 Enrollment ID: I20211005000663 |
| Provider Name | Daniel James Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083141592 PECOS PAC ID: 4385042332 Enrollment ID: I20211006001466 |
| Provider Name | Thadbring Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942978663 PECOS PAC ID: 5092113688 Enrollment ID: I20211012003191 |
| Provider Name | Matthew S Balls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841784428 PECOS PAC ID: 5799118600 Enrollment ID: I20211020002855 |
| Provider Name | Ee-lynn Loi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174010300 PECOS PAC ID: 4981956521 Enrollment ID: I20211102002479 |
| Provider Name | Amanda Maureen Palazzolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689342461 PECOS PAC ID: 0749679959 Enrollment ID: I20211109002791 |
| Provider Name | Zabrina Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083389647 PECOS PAC ID: 0547659765 Enrollment ID: I20211109003380 |
| Provider Name | Kenneth Petersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912017104 PECOS PAC ID: 3173571973 Enrollment ID: I20211129002333 |
| Provider Name | Baljinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255716783 PECOS PAC ID: 9931416278 Enrollment ID: I20211130002311 |
| Provider Name | Jalisa Zinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598357147 PECOS PAC ID: 0143610444 Enrollment ID: I20211130002547 |
| Provider Name | Sean Rea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982098604 PECOS PAC ID: 0749572030 Enrollment ID: I20211130002965 |
| Provider Name | Julia Gray Farber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356873996 PECOS PAC ID: 1557752995 Enrollment ID: I20211220001650 |
| Provider Name | Cassidy Swartz Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033876024 PECOS PAC ID: 0446641369 Enrollment ID: I20220103000002 |
| Provider Name | Amita Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730344508 PECOS PAC ID: 4284895772 Enrollment ID: I20220126002126 |
| Provider Name | Amanda Toppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053078915 PECOS PAC ID: 2062807951 Enrollment ID: I20220310002126 |
| Provider Name | Krystle Fay Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144973405 PECOS PAC ID: 1658766548 Enrollment ID: I20220310002363 |
| Provider Name | Sarah Rose Sarandos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790446342 PECOS PAC ID: 9638564537 Enrollment ID: I20220310002552 |
| Provider Name | Brittany Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669128633 PECOS PAC ID: 6800281056 Enrollment ID: I20220324002471 |
| Provider Name | Ola-oluwakiti Deborah Alabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437718996 PECOS PAC ID: 4789910308 Enrollment ID: I20220427002735 |
| Provider Name | Sanaa Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245805761 PECOS PAC ID: 9638566185 Enrollment ID: I20220502000344 |
| Provider Name | Lauren M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841961893 PECOS PAC ID: 2860889243 Enrollment ID: I20220504000643 |
| Provider Name | Rebecca Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629403670 PECOS PAC ID: 5698903466 Enrollment ID: I20220512002696 |
| Provider Name | Crystal L Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316682727 PECOS PAC ID: 5890172837 Enrollment ID: I20220513001077 |
| Provider Name | Alexander Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487211132 PECOS PAC ID: 8123405701 Enrollment ID: I20220520000294 |
| Provider Name | Elizabeth Kathleen Fox-mtandika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205397288 PECOS PAC ID: 8527445030 Enrollment ID: I20220520001955 |
| Provider Name | Lucas Aidukaitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720646821 PECOS PAC ID: 4981934676 Enrollment ID: I20220523002293 |
| Provider Name | Tricia Ngo Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699234948 PECOS PAC ID: 7719365659 Enrollment ID: I20220603002128 |
| Provider Name | Stephan Anthony Zehring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033678420 PECOS PAC ID: 5698153187 Enrollment ID: I20220613001891 |
| Provider Name | Maria C Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720585805 PECOS PAC ID: 8123417755 Enrollment ID: I20220616002415 |
| Provider Name | Heather Laurelei Merchut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500687 PECOS PAC ID: 2961736632 Enrollment ID: I20220620001320 |
| Provider Name | Dena Arner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548772825 PECOS PAC ID: 7911260906 Enrollment ID: I20220624002269 |
| Provider Name | Gurvinder Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174979330 PECOS PAC ID: 2769740398 Enrollment ID: I20220628003735 |
| Provider Name | Debra Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508107087 PECOS PAC ID: 6507004652 Enrollment ID: I20220629001368 |
| Provider Name | Jasminder Bardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801546577 PECOS PAC ID: 8628458197 Enrollment ID: I20220630002639 |
| Provider Name | Brian Espiritu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679136543 PECOS PAC ID: 6800124611 Enrollment ID: I20220706001495 |
| Provider Name | Sahand Vafadary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760834204 PECOS PAC ID: 1153616438 Enrollment ID: I20220715001652 |
| Provider Name | Olivia Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922668938 PECOS PAC ID: 3870829377 Enrollment ID: I20220817000172 |
| Provider Name | Samantha Alisha Kakar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982351888 PECOS PAC ID: 1254714611 Enrollment ID: I20220817001983 |
| Provider Name | Tracy Cox Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386712560 PECOS PAC ID: 4981087343 Enrollment ID: I20220817001987 |
| Provider Name | Alexandre Efimov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518317031 PECOS PAC ID: 9133412711 Enrollment ID: I20220818001378 |
| Provider Name | Justin Glenn Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306372909 PECOS PAC ID: 9931582004 Enrollment ID: I20220823001115 |
| Provider Name | Carissa Jenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316665094 PECOS PAC ID: 1658756317 Enrollment ID: I20220915002544 |
| Provider Name | John Michael Benavidez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659686046 PECOS PAC ID: 5294967287 Enrollment ID: I20221005001145 |
| Provider Name | Megan K Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447863378 PECOS PAC ID: 7810316130 Enrollment ID: I20221115002563 |
| Provider Name | Kaitlin Ann Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003530635 PECOS PAC ID: 6204204357 Enrollment ID: I20221121001194 |
| Provider Name | Victoria Haun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265150957 PECOS PAC ID: 0840668695 Enrollment ID: I20221129000642 |
| Provider Name | Philip M Manzano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215596937 PECOS PAC ID: 0648649111 Enrollment ID: I20221206002246 |
| Provider Name | Julie Pugliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902537269 PECOS PAC ID: 8527437847 Enrollment ID: I20221208002018 |
| Provider Name | Jonida Krate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164963518 PECOS PAC ID: 0244658565 Enrollment ID: I20230307002223 |
| Provider Name | Jiaxi Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801359385 PECOS PAC ID: 2769872985 Enrollment ID: I20230516000737 |
| Provider Name | Lisl Karina Schultz Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881395416 PECOS PAC ID: 1052778248 Enrollment ID: I20230602000983 |
| Provider Name | Austin Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891222857 PECOS PAC ID: 1658705645 Enrollment ID: I20230614002201 |
| Provider Name | Misty Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083313761 PECOS PAC ID: 0648639047 Enrollment ID: I20230703001522 |
| Provider Name | Serenity G Sweet |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144849035 PECOS PAC ID: 9032532460 Enrollment ID: I20230712004202 |
| Provider Name | Sue Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356030902 PECOS PAC ID: 2668832221 Enrollment ID: I20230714002241 |
| Provider Name | Asta Brianna Jakobsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427685973 PECOS PAC ID: 5991167660 Enrollment ID: I20230811001052 |
| Provider Name | Shameal Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700561446 PECOS PAC ID: 5890157598 Enrollment ID: I20230811002495 |
| Provider Name | Justin Garrett Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366068413 PECOS PAC ID: 4880056456 Enrollment ID: I20230814002322 |
| Provider Name | Ann Therese Peer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710514963 PECOS PAC ID: 0042672644 Enrollment ID: I20230814003938 |
| Provider Name | Kathleen Juanita Normand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619669926 PECOS PAC ID: 6305208653 Enrollment ID: I20230817003126 |
| Provider Name | Donald Todd Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801418223 PECOS PAC ID: 4789046855 Enrollment ID: I20230822001296 |
| Provider Name | Ali A Etman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760011514 PECOS PAC ID: 6305268392 Enrollment ID: I20230825002381 |
| Provider Name | Chanel E Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023630597 PECOS PAC ID: 3577988617 Enrollment ID: I20230830000281 |
| Provider Name | Susan Lynn Stefanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720511645 PECOS PAC ID: 5698043669 Enrollment ID: I20230919001840 |
| Provider Name | Kristin J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255874335 PECOS PAC ID: 9234413808 Enrollment ID: I20231025000432 |
| Provider Name | Danielle Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659153070 PECOS PAC ID: 5395192538 Enrollment ID: I20231109003364 |
| Provider Name | Shannon Marie Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043827769 PECOS PAC ID: 6204247802 Enrollment ID: I20231116003094 |
| Provider Name | Shajeea Ajmal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942430780 PECOS PAC ID: 3779734389 Enrollment ID: I20240109004021 |
| Provider Name | Brittany Dannette Raffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578345666 PECOS PAC ID: 3375996515 Enrollment ID: I20240124002465 |
| Provider Name | Hayley Lauren Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841979135 PECOS PAC ID: 0446695449 Enrollment ID: I20240229002437 |
Leaps And Bounds Therapy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 E Arrowhead Trl, Gilbert, AZ 85297 Phone: 480-226-5497 | |
Elite Sports Therapy Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1184 N Gilbert Rd Ste 100, Gilbert, AZ 85234 Phone: 480-390-1962 | |
East Valley Serenity Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234 Phone: 480-770-4540 | |
Dba :all Ages Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Guadalupe Rd Ste 200, Gilbert, AZ 85233 Phone: 480-558-7078 Fax: 480-558-7081 | |
Jdv Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 S Val Vista Dr Ste 101, Gilbert, AZ 85295 Phone: 480-428-5367 | |
Excel Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3303 S Lindsay Rd, #115, Gilbert, AZ 85296 Phone: 480-507-0604 Fax: 480-507-0592 | |
A-z Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 E Ray Rd # 128, Gilbert, AZ 85296 Phone: 480-497-3946 |