| Camelback Mountain Medical Associates Pc | |
|
120 E Monterey Way Phoenix AZ 85012-2618 | |
| (602) 266-4383 | |
| (602) 266-4384 |
| Full Name | Camelback Mountain Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 120 E Monterey Way, Phoenix, Arizona |
| Authorized Official Name and Position | Edward Griffin Cipolla (OWNER/PRESIDENT) |
| Authorized Official Contact | 6022664383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camelback Mountain Medical Associates Pc 120 E Monterey Way Phoenix AZ 85012-2618 Ph: (602) 266-4383 | Camelback Mountain Medical Associates Pc 120 E Monterey Way Phoenix AZ 85012-2618 Ph: (602) 266-4383 |
| NPI Number | 1164776845 |
|---|---|
| Provider Enumeration Date | 11/02/2012 |
| Last Update Date | 11/02/2012 |
| Medicare PECOS PAC ID | 4486809779 |
|---|---|
| Medicare Enrollment ID | O20130313000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164776845 | NPI | - | NPPES |
| 341769 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2811 (Arizona) | Primary |
| Provider Name | Edward G Cipolla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144374281 PECOS PAC ID: 0042230476 Enrollment ID: I20051130000806 |
| Provider Name | Lucy Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215368964 PECOS PAC ID: 1052541364 Enrollment ID: I20140306001827 |
| Provider Name | Charlene F Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033546411 PECOS PAC ID: 2961628292 Enrollment ID: I20140730002884 |
| Provider Name | Janna Tobin Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033536362 PECOS PAC ID: 8729397245 Enrollment ID: I20151023002505 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |