| Cave Creek Clinic, LLC | |
|
2920 E Mohawk Ln Ste 101 Phoenix AZ 85050-4773 | |
| (480) 401-1555 | |
| (800) 930-4408 |
| Full Name | Cave Creek Clinic, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2920 E Mohawk Ln Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | John Sherman Gilliam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4804011555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cave Creek Clinic, LLC 15029 N Thompson Peak Pkwy # B111-438 Scottsdale AZ 85260-2217 Ph: (480) 401-1555 | Cave Creek Clinic, LLC 2920 E Mohawk Ln Ste 101 Phoenix AZ 85050-4773 Ph: (480) 401-1555 |
| NPI Number | 1578028684 |
|---|---|
| Provider Enumeration Date | 02/02/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578028684 | NPI | - | NPPES |
| 388615 | Medicaid | AZ | |
| 600874 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (NU) | Secondary |
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 |
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 |