| Carr Clinic Internal Medicine Llc | |
|
3260 N Hayden Rd Ste 210 Scottsdale AZ 85251-6651 | |
| (808) 990-0357 | |
| Not Available |
| Full Name | Carr Clinic Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3260 N Hayden Rd Ste 210, Scottsdale, Arizona |
| Authorized Official Name and Position | Gregory Charles Carr (PRESIDENT) |
| Authorized Official Contact | 8089900357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carr Clinic Internal Medicine Llc 3260 N Hayden Rd Ste 210 Scottsdale AZ 85251-6651 Ph: (808) 990-0357 | Carr Clinic Internal Medicine Llc 3260 N Hayden Rd Ste 210 Scottsdale AZ 85251-6651 Ph: (808) 990-0357 |
| NPI Number | 1760152862 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/20/2021 |
| Medicare PECOS PAC ID | 1759779572 |
|---|---|
| Medicare Enrollment ID | O20211028000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760152862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Prevette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184642415 PECOS PAC ID: 1456356344 Enrollment ID: I20060927000607 |
| Provider Name | Michael A Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114004587 PECOS PAC ID: 2860671856 Enrollment ID: I20110124000205 |
| Provider Name | Nezar Dahdal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194977405 PECOS PAC ID: 7214093236 Enrollment ID: I20130121000063 |
| Provider Name | Michelle M Vidaure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114312006 PECOS PAC ID: 9335451384 Enrollment ID: I20150702002166 |
| Provider Name | Peter Teboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083000327 PECOS PAC ID: 6901119593 Enrollment ID: I20150727000732 |
| Provider Name | Spencer James Claussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854246 PECOS PAC ID: 5092081521 Enrollment ID: I20171026003548 |
| Provider Name | Pamela L Fazekas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964658 PECOS PAC ID: 4880955020 Enrollment ID: I20180302000849 |
| Provider Name | Caitlyn Procopio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233217 PECOS PAC ID: 0648514034 Enrollment ID: I20181212001908 |
| Provider Name | Vickey Star Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723465 PECOS PAC ID: 9234561820 Enrollment ID: I20191120001615 |
| Provider Name | Norbert Njatha Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277139 PECOS PAC ID: 8628404837 Enrollment ID: I20200206002961 |
| Provider Name | Amber Brasfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568000990 PECOS PAC ID: 6507293362 Enrollment ID: I20200218000275 |
| Provider Name | Jana Hollyann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184286809 PECOS PAC ID: 7113346867 Enrollment ID: I20200929002297 |
| Provider Name | Tatyana N Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743119 PECOS PAC ID: 4385058866 Enrollment ID: I20210125000350 |
| Provider Name | Valerie E Pong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538760921 PECOS PAC ID: 2466869243 Enrollment ID: I20210323000636 |
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