| Carondelet Medical Group | |
|
395 N Silverbell Rd Ste 355 Tucson AZ 85745-2981 | |
| (520) 622-5912 | |
| (520) 791-2246 |
| Full Name | Carondelet Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 395 N Silverbell Rd Ste 355, Tucson, Arizona |
| Authorized Official Name and Position | Brian Rasmus (VP, CFO TPR TENET) |
| Authorized Official Contact | 4698932532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carondelet Medical Group Po Box 22224 Belfast ME 04915-4473 Ph: (520) 872-7000 | Carondelet Medical Group 395 N Silverbell Rd Ste 355 Tucson AZ 85745-2981 Ph: (520) 622-5912 |
| NPI Number | 1356726939 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 0547560070 |
|---|---|
| Medicare Enrollment ID | O20151204001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356726939 | NPI | - | NPPES |
| Provider Name | Diana V Benenati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871573493 PECOS PAC ID: 2062314412 Enrollment ID: I20040126000064 |
| Provider Name | Lisa M Castellano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144345810 PECOS PAC ID: 4183517428 Enrollment ID: I20040202001205 |
| Provider Name | Anthony A Nazaroff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235249251 PECOS PAC ID: 1052219565 Enrollment ID: I20040211000493 |
| Provider Name | Macantoine Louis Jacques |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790723773 PECOS PAC ID: 9032102702 Enrollment ID: I20040407000820 |
| Provider Name | Joseph J Hessel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306996228 PECOS PAC ID: 3173518974 Enrollment ID: I20040420000586 |
| Provider Name | Michael J Depaso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163726 PECOS PAC ID: 2961499900 Enrollment ID: I20040429001373 |
| Provider Name | Daniel Casto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930007 PECOS PAC ID: 0749277697 Enrollment ID: I20040430000603 |
| Provider Name | Ana Maria Teresa Longoria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174636005 PECOS PAC ID: 7315935111 Enrollment ID: I20040503000007 |
| Provider Name | Cristina D Popovici |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326024449 PECOS PAC ID: 1658361928 Enrollment ID: I20040518000015 |
| Provider Name | Kathryn Lynn Bates |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003818246 PECOS PAC ID: 8426031881 Enrollment ID: I20040608001053 |
| Provider Name | William C Kuo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760487706 PECOS PAC ID: 5092790824 Enrollment ID: I20040623001656 |
| Provider Name | Jeffrey Thomas Maudlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811930423 PECOS PAC ID: 1052397130 Enrollment ID: I20040629000211 |
| Provider Name | Kelly A Favre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801831201 PECOS PAC ID: 4486631918 Enrollment ID: I20040702000232 |
| Provider Name | Derek W Von Haag |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073507026 PECOS PAC ID: 8224009980 Enrollment ID: I20040804001856 |
| Provider Name | Edwin E Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952383143 PECOS PAC ID: 0547236416 Enrollment ID: I20040902000908 |
| Provider Name | Todd A Lefkowitz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649248709 PECOS PAC ID: 7012983851 Enrollment ID: I20040902001429 |
| Provider Name | Kevin W Olden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386682185 PECOS PAC ID: 4486622636 Enrollment ID: I20040924000242 |
| Provider Name | Ian Livingstone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275626939 PECOS PAC ID: 3779548631 Enrollment ID: I20041119001042 |
| Provider Name | Eric P Sipos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275513038 PECOS PAC ID: 3577529726 Enrollment ID: I20041208001097 |
| Provider Name | Leo G Stinnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306864145 PECOS PAC ID: 3476502352 Enrollment ID: I20050118000708 |
| Provider Name | Stephen K. Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821077298 PECOS PAC ID: 0244138576 Enrollment ID: I20050131000848 |
| Provider Name | Jerome K Steck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972540367 PECOS PAC ID: 5395718779 Enrollment ID: I20050511001011 |
| Provider Name | Timothy B Dixon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669435319 PECOS PAC ID: 0042281552 Enrollment ID: I20050606000599 |
| Provider Name | Howard J Rolins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114903242 PECOS PAC ID: 6204871213 Enrollment ID: I20050621000625 |
| Provider Name | John Powers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235120429 PECOS PAC ID: 1557306586 Enrollment ID: I20050621000737 |
| Provider Name | Lynn M Struthers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770562266 PECOS PAC ID: 4183669153 Enrollment ID: I20050621001117 |
| Provider Name | Moira E Wristen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689653024 PECOS PAC ID: 7618880964 Enrollment ID: I20050622000361 |
| Provider Name | Rosalia Kame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902881766 PECOS PAC ID: 0941245898 Enrollment ID: I20050622000421 |
| Provider Name | Michael Theisen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134167943 PECOS PAC ID: 7012906563 Enrollment ID: I20050630000011 |
| Provider Name | William C Ludt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922084094 PECOS PAC ID: 4688655384 Enrollment ID: I20050829000822 |
| Provider Name | Stuart Alan Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093797037 PECOS PAC ID: 0749179406 Enrollment ID: I20050902000329 |
| Provider Name | Merick S Kirshner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831183870 PECOS PAC ID: 8729011713 Enrollment ID: I20050912000101 |
| Provider Name | Joseph Chambers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578533238 PECOS PAC ID: 5193794568 Enrollment ID: I20050919000989 |
| Provider Name | Matthew P Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225018096 PECOS PAC ID: 3870527641 Enrollment ID: I20050921000461 |
| Provider Name | David P Los |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598741720 PECOS PAC ID: 7810921665 Enrollment ID: I20050921001048 |
| Provider Name | Brenda C Peart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700882651 PECOS PAC ID: 9234027152 Enrollment ID: I20050928000845 |
| Provider Name | Gonzalo M Celis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366425886 PECOS PAC ID: 1557386521 Enrollment ID: I20051008000236 |
| Provider Name | Daniel K Merrill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609895671 PECOS PAC ID: 1658398482 Enrollment ID: I20051031000664 |
| Provider Name | Lloyd R Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467432237 PECOS PAC ID: 0446277149 Enrollment ID: I20051101001034 |
| Provider Name | Kathlean Y Perrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124160197 PECOS PAC ID: 3678580107 Enrollment ID: I20060308000571 |
| Provider Name | Troy M Tompkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245219674 PECOS PAC ID: 9032121934 Enrollment ID: I20060614000182 |
| Provider Name | Katie S Artz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396781860 PECOS PAC ID: 6305849191 Enrollment ID: I20060816000580 |
| Provider Name | Mohammad Reza Movahed Shariat Panahi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578574232 PECOS PAC ID: 7719927243 Enrollment ID: I20060901000014 |
| Provider Name | Brian J Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881814549 PECOS PAC ID: 7113026485 Enrollment ID: I20070627000365 |
| Provider Name | Brett L Haywood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518174515 PECOS PAC ID: 5698874832 Enrollment ID: I20070628000352 |
| Provider Name | Navin Kedia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457319659 PECOS PAC ID: 0749221422 Enrollment ID: I20070910000159 |
| Provider Name | Yasir Shareef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336178235 PECOS PAC ID: 7911091749 Enrollment ID: I20071001000256 |
| Provider Name | Gina M Jansheski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619931425 PECOS PAC ID: 6002905817 Enrollment ID: I20071201000140 |
| Provider Name | Kristine L Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437327640 PECOS PAC ID: 9032293006 Enrollment ID: I20080228000719 |
| Provider Name | Hector J Varela |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760665194 PECOS PAC ID: 5092896647 Enrollment ID: I20080417000701 |
| Provider Name | Robert C Kersey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356304190 PECOS PAC ID: 6103832571 Enrollment ID: I20080506000341 |
| Provider Name | Maria T Sifontes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710958616 PECOS PAC ID: 1759451347 Enrollment ID: I20080609000710 |
| Provider Name | Sharon M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251343 PECOS PAC ID: 7719049287 Enrollment ID: I20081217000114 |
| Provider Name | Pamela D Laubscher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699911834 PECOS PAC ID: 6103988910 Enrollment ID: I20090102000188 |
| Provider Name | Kermit A Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700896719 PECOS PAC ID: 9537068366 Enrollment ID: I20090211000695 |
| Provider Name | Lana D Keesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750537353 PECOS PAC ID: 7517027030 Enrollment ID: I20090602000562 |
| Provider Name | Matthew D Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386827244 PECOS PAC ID: 3375697048 Enrollment ID: I20090814000066 |
| Provider Name | Richard J Seckinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679543771 PECOS PAC ID: 1254317258 Enrollment ID: I20091013000517 |
| Provider Name | Wajeeh Salah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144432444 PECOS PAC ID: 7810035730 Enrollment ID: I20091113000531 |
| Provider Name | Helen E Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215937883 PECOS PAC ID: 1759359532 Enrollment ID: I20100521000385 |
| Provider Name | Christine C Tardif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437133428 PECOS PAC ID: 2466581400 Enrollment ID: I20100528000664 |
| Provider Name | James L King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356392617 PECOS PAC ID: 3375541352 Enrollment ID: I20100602000952 |
| Provider Name | Craig M Palmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073694220 PECOS PAC ID: 3577694785 Enrollment ID: I20100703000030 |
| Provider Name | Kendra W Drake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780893750 PECOS PAC ID: 3577695410 Enrollment ID: I20100713000340 |
| Provider Name | Marvin Cabilangan Depas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306163258 PECOS PAC ID: 2860517182 Enrollment ID: I20100909001241 |
| Provider Name | Charles Gregory Blake |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851362792 PECOS PAC ID: 9830157015 Enrollment ID: I20101022000275 |
| Provider Name | Thomas H Strong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851360317 PECOS PAC ID: 8426242504 Enrollment ID: I20101102001436 |
| Provider Name | Laura Marie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437973 PECOS PAC ID: 5193910040 Enrollment ID: I20101117000693 |
| Provider Name | Angela M Paniagua-vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790933877 PECOS PAC ID: 1557558053 Enrollment ID: I20101209000923 |
| Provider Name | Joseph A Christiano |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609856475 PECOS PAC ID: 5294923199 Enrollment ID: I20101220000229 |
| Provider Name | Julie L Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710289889 PECOS PAC ID: 0042491094 Enrollment ID: I20110223000789 |
| Provider Name | Carolyn F Kenngott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659333078 PECOS PAC ID: 5294784252 Enrollment ID: I20110513000309 |
| Provider Name | Kapildeo Lotun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265510796 PECOS PAC ID: 1456349943 Enrollment ID: I20111114000697 |
| Provider Name | David Andrew Pedersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972569200 PECOS PAC ID: 8325030992 Enrollment ID: I20120119000446 |
| Provider Name | Jess A Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033178231 PECOS PAC ID: 4981637634 Enrollment ID: I20120223000548 |
| Provider Name | Lacey Rao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336342120 PECOS PAC ID: 4385891415 Enrollment ID: I20120824000576 |
| Provider Name | Ahmad Nizam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427368885 PECOS PAC ID: 0749437754 Enrollment ID: I20120827000706 |
| Provider Name | Vijay Arun Doraiswamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851622112 PECOS PAC ID: 6002097862 Enrollment ID: I20120912000113 |
| Provider Name | Ryan Michael Kretzer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861545766 PECOS PAC ID: 1254519655 Enrollment ID: I20120917000325 |
| Provider Name | Rajendrakumar M Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982780995 PECOS PAC ID: 2365457942 Enrollment ID: I20121015000161 |
| Provider Name | Deborah S Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235493297 PECOS PAC ID: 9931359429 Enrollment ID: I20121018000138 |
| Provider Name | Mohammad R Habibzadeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548469273 PECOS PAC ID: 0648422766 Enrollment ID: I20121218000145 |
| Provider Name | Asad Ehtisham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558366856 PECOS PAC ID: 2365412509 Enrollment ID: I20130904000965 |
| Provider Name | Tonya L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578904454 PECOS PAC ID: 3375787724 Enrollment ID: I20130925000158 |
| Provider Name | Talal Moukabary |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679788418 PECOS PAC ID: 6103084124 Enrollment ID: I20131017000327 |
| Provider Name | John J Modrzejewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831439413 PECOS PAC ID: 2769617612 Enrollment ID: I20131030000955 |
| Provider Name | Lydia H Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225479868 PECOS PAC ID: 7618102591 Enrollment ID: I20131031000003 |
| Provider Name | Sundeep Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730331364 PECOS PAC ID: 9133397342 Enrollment ID: I20140402002488 |
| Provider Name | Ranjith Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041270 PECOS PAC ID: 6507037454 Enrollment ID: I20140423002470 |
| Provider Name | Narissa Joy Whitelaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023304250 PECOS PAC ID: 2860624319 Enrollment ID: I20140924000285 |
| Provider Name | Esther H Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568753242 PECOS PAC ID: 0648490300 Enrollment ID: I20141030002625 |
| Provider Name | Arun V Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336107994 PECOS PAC ID: 9133172042 Enrollment ID: I20141118002698 |
| Provider Name | Arvie May Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447655527 PECOS PAC ID: 9133441819 Enrollment ID: I20141208002209 |
| Provider Name | Craig T White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003167925 PECOS PAC ID: 1052563699 Enrollment ID: I20141226000357 |
| Provider Name | Terra Karma Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914907 PECOS PAC ID: 4183940968 Enrollment ID: I20150313002277 |
| Provider Name | Jason Bradley Stanhibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668013 PECOS PAC ID: 0143540088 Enrollment ID: I20150518000775 |
| Provider Name | Machelle A Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336522283 PECOS PAC ID: 6709193410 Enrollment ID: I20150914000505 |
| Provider Name | Jammie E Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518234673 PECOS PAC ID: 3779890702 Enrollment ID: I20150923001674 |
| Provider Name | Billi Jo Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314420 PECOS PAC ID: 6204145923 Enrollment ID: I20151020003083 |
| Provider Name | Kristie W Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669673638 PECOS PAC ID: 4981901865 Enrollment ID: I20160318002218 |
| Provider Name | Cheryl Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326413121 PECOS PAC ID: 3173820966 Enrollment ID: I20160322001141 |
| Provider Name | Guadalupe Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539513 PECOS PAC ID: 7012206253 Enrollment ID: I20160511002174 |
| Provider Name | Loan D Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561519 PECOS PAC ID: 9032404439 Enrollment ID: I20160824002000 |
| Provider Name | Richard J Teff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982675104 PECOS PAC ID: 6305917543 Enrollment ID: I20161108000998 |
| Provider Name | Edgar Estaban Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467690701 PECOS PAC ID: 0143509216 Enrollment ID: I20161111001564 |
| Provider Name | Angelica M Lentner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497203350 PECOS PAC ID: 8628358512 Enrollment ID: I20161212001295 |
| Provider Name | John Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548369937 PECOS PAC ID: 2668555830 Enrollment ID: I20161221001912 |
| Provider Name | Carla Sue Rosenblum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376616151 PECOS PAC ID: 3274636477 Enrollment ID: I20170220001786 |
| Provider Name | John A Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528028537 PECOS PAC ID: 7810987138 Enrollment ID: I20170518000744 |
| Provider Name | Brandon Liebelt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477872398 PECOS PAC ID: 4082982954 Enrollment ID: I20170616002273 |
| Provider Name | Lauren Marissa Rittenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013203959 PECOS PAC ID: 7618260597 Enrollment ID: I20170705001517 |
| Provider Name | Akanksha Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124361712 PECOS PAC ID: 5991023624 Enrollment ID: I20170717002359 |
| Provider Name | Kahroba Jahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699063206 PECOS PAC ID: 3173893344 Enrollment ID: I20170720001050 |
| Provider Name | Robert Samuelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003881301 PECOS PAC ID: 0042201857 Enrollment ID: I20170809001641 |
| Provider Name | Sukeshi K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679980122 PECOS PAC ID: 4587974415 Enrollment ID: I20170817003477 |
| Provider Name | Katharine Anne Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912435009 PECOS PAC ID: 4981976339 Enrollment ID: I20170818001522 |
| Provider Name | Ian G Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576859 PECOS PAC ID: 9234491127 Enrollment ID: I20180312001486 |
| Provider Name | Ann B Mccombs |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1407029903 PECOS PAC ID: 5193070423 Enrollment ID: I20180608002297 |
| Provider Name | Virginia Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20180614001149 |
| Provider Name | Stacie Michelle Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167132 PECOS PAC ID: 0547517336 Enrollment ID: I20180725001821 |
| Provider Name | Chintan Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558659441 PECOS PAC ID: 0345544755 Enrollment ID: I20180814003952 |
| Provider Name | Winola Rachel Purushotham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294756 PECOS PAC ID: 3274782388 Enrollment ID: I20180919002505 |
| Provider Name | Guillermo Higa Sansone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871763540 PECOS PAC ID: 1557553674 Enrollment ID: I20181009002881 |
| Provider Name | Mylanie C Facelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639433691 PECOS PAC ID: 8325346224 Enrollment ID: I20181107000279 |
| Provider Name | Thomas E Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386753895 PECOS PAC ID: 9133016314 Enrollment ID: I20190222002699 |
| Provider Name | Abraham Kuruvilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881806255 PECOS PAC ID: 2163469263 Enrollment ID: I20190320000425 |
| Provider Name | Kim Wiggins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962419770 PECOS PAC ID: 8729040027 Enrollment ID: I20190325002128 |
| Provider Name | Janell Nicole Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575067 PECOS PAC ID: 3476893561 Enrollment ID: I20190328000372 |
| Provider Name | Alexander Lewis Coon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720124084 PECOS PAC ID: 0244361251 Enrollment ID: I20190612003240 |
| Provider Name | Melissa Dakkak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932543774 PECOS PAC ID: 1557676392 Enrollment ID: I20190717003002 |
| Provider Name | Sarah A Snoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543863 PECOS PAC ID: 7810204567 Enrollment ID: I20190719002905 |
| Provider Name | Jared Ryan Lunkenheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922418979 PECOS PAC ID: 4789804329 Enrollment ID: I20190729001303 |
| Provider Name | Jason Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669873220 PECOS PAC ID: 2567752488 Enrollment ID: I20190731002190 |
| Provider Name | Chioma A Ogala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528455391 PECOS PAC ID: 9133496987 Enrollment ID: I20190816001674 |
| Provider Name | Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245252444 PECOS PAC ID: 1850359530 Enrollment ID: I20190819003746 |
| Provider Name | Sarah Joan Sullivan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275199242 PECOS PAC ID: 5890024467 Enrollment ID: I20190906001078 |
| Provider Name | Amber N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038855 PECOS PAC ID: 7416389754 Enrollment ID: I20191107001442 |
| Provider Name | Ekokobe Fonkem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538359534 PECOS PAC ID: 2062678295 Enrollment ID: I20191108001540 |
| Provider Name | Cynthia Dawn Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128466 PECOS PAC ID: 6800228990 Enrollment ID: I20191111002021 |
| Provider Name | Kenneth Shauger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497788129 PECOS PAC ID: 1658367883 Enrollment ID: I20200206000617 |
| Provider Name | Harsh W Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20200227002325 |
| Provider Name | Luis Alejandro Asencio Magdaleno |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053541797 PECOS PAC ID: 5193006641 Enrollment ID: I20200316002340 |
| Provider Name | Bonnie Titre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215174032 PECOS PAC ID: 6901960673 Enrollment ID: I20200319001538 |
| Provider Name | Kristen Nicole Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730712373 PECOS PAC ID: 8123459906 Enrollment ID: I20200511003260 |
| Provider Name | Barbara Alva Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447879267 PECOS PAC ID: 4789015314 Enrollment ID: I20200514000225 |
| Provider Name | Michael L Ruppenthal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437131232 PECOS PAC ID: 7113980764 Enrollment ID: I20200518002591 |
| Provider Name | Li-mei Lin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538296785 PECOS PAC ID: 0345499935 Enrollment ID: I20200619000645 |
| Provider Name | Spencer Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680131 PECOS PAC ID: 9234551839 Enrollment ID: I20200629001619 |
| Provider Name | Rohit Kedia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497014641 PECOS PAC ID: 5597912741 Enrollment ID: I20200702002477 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20200728003931 |
| Provider Name | Hak Jin Ko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154398055 PECOS PAC ID: 2567435753 Enrollment ID: I20200812002005 |
| Provider Name | Jason Todd Smotherman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457315301 PECOS PAC ID: 6608863527 Enrollment ID: I20200915002896 |
| Provider Name | Anita B Venkataramana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003191 PECOS PAC ID: 6608807847 Enrollment ID: I20210203002414 |
| Provider Name | Jacqueline Debra Kieft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932799152 PECOS PAC ID: 4486063682 Enrollment ID: I20210428003216 |
| Provider Name | Yousef Mustafa Odeh |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912930629 PECOS PAC ID: 7911185061 Enrollment ID: I20210514000587 |
| Provider Name | Demetrios Mavroidis |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1184602914 PECOS PAC ID: 5092740548 Enrollment ID: I20210701001817 |
| Provider Name | Lisa Wong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598933475 PECOS PAC ID: 9436320470 Enrollment ID: I20210820002335 |
| Provider Name | Tiffany G Son |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114373388 PECOS PAC ID: 7810289238 Enrollment ID: I20210827000807 |
| Provider Name | Joseph N Devitis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720460769 PECOS PAC ID: 6800109893 Enrollment ID: I20210903000970 |
| Provider Name | Tisa Lynn Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928270 PECOS PAC ID: 4183021033 Enrollment ID: I20210921000850 |
| Provider Name | Amy Chan Matchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637184 PECOS PAC ID: 7719385244 Enrollment ID: I20211013001371 |
| Provider Name | Rachel Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509718 PECOS PAC ID: 7719375062 Enrollment ID: I20211019002994 |
| Provider Name | Misty S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639832553 PECOS PAC ID: 5193115194 Enrollment ID: I20211207000304 |
| Provider Name | M Lorraine Purino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023165750 PECOS PAC ID: 7315990520 Enrollment ID: I20220316001128 |
| Provider Name | Murad M Talahma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043534449 PECOS PAC ID: 8325333776 Enrollment ID: I20220412000765 |
| Provider Name | Marcus Paul Schmitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821071895 PECOS PAC ID: 7810899713 Enrollment ID: I20220517003247 |
| Provider Name | Hillary L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790427334 PECOS PAC ID: 1355729419 Enrollment ID: I20220601000962 |
| Provider Name | Paisley Lorice Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295093391 PECOS PAC ID: 0941688998 Enrollment ID: I20220602001606 |
| Provider Name | Kofi Kessey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427386895 PECOS PAC ID: 5496885105 Enrollment ID: I20220607001402 |
| Provider Name | Anirudha S Rathnam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700306537 PECOS PAC ID: 5991075996 Enrollment ID: I20220804000707 |
| Provider Name | Kerina Mariana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578294559 PECOS PAC ID: 7517340490 Enrollment ID: I20220810003459 |
| Provider Name | Felicia D Solis-cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245966308 PECOS PAC ID: 6507249158 Enrollment ID: I20220816000362 |
| Provider Name | Donald Hoffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396772059 PECOS PAC ID: 4688689151 Enrollment ID: I20220906002187 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861927386 PECOS PAC ID: 5193076420 Enrollment ID: I20221021001945 |
| Provider Name | Angelica Marie Granillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477285880 PECOS PAC ID: 4385013457 Enrollment ID: I20221212002123 |
| Provider Name | Clayton Timothy Pierce |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235691593 PECOS PAC ID: 6406182807 Enrollment ID: I20230119001978 |
| Provider Name | Jenny Lee Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265633218 PECOS PAC ID: 6800267295 Enrollment ID: I20230123001145 |
| Provider Name | Brian Kevin Madigan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730351644 PECOS PAC ID: 5395117287 Enrollment ID: I20230201002862 |
| Provider Name | Arun Kumar Nagabandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265797534 PECOS PAC ID: 2264766658 Enrollment ID: I20230216000353 |
| Provider Name | Kenneth Lipow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427083674 PECOS PAC ID: 3678537446 Enrollment ID: I20230411001988 |
| Provider Name | Fahad Laghari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750810404 PECOS PAC ID: 0648549006 Enrollment ID: I20230607001609 |
| Provider Name | Andrew Montoure |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407240641 PECOS PAC ID: 9335579713 Enrollment ID: I20230621002379 |
| Provider Name | Thomas Frank |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477908994 PECOS PAC ID: 6103105358 Enrollment ID: I20230626002373 |
| Provider Name | Juliya Cress |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821446048 PECOS PAC ID: 1658731781 Enrollment ID: I20230720001438 |
| Provider Name | Kimberlee Van Orden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447742127 PECOS PAC ID: 1658622360 Enrollment ID: I20230724003179 |
| Provider Name | Katherine Tan Lee Chuy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750780391 PECOS PAC ID: 7113223124 Enrollment ID: I20230920003573 |
| Provider Name | Dmitry Familtsev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194161174 PECOS PAC ID: 2466752050 Enrollment ID: I20231117001482 |
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 |