| Center For Executive Medicine | |
|
8757 E Bell Rd Scottsdale AZ 85260-1322 | |
| (480) 945-2494 | |
| (480) 323-2699 |
| Full Name | Center For Executive Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 8757 E Bell Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Eleanor C. Mariano (PRESIDENT) |
| Authorized Official Contact | 4809452494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Executive Medicine Po Box 30907 Phoenix AZ 85046-0907 Ph: (480) 945-2494 | Center For Executive Medicine 8757 E Bell Rd Scottsdale AZ 85260-1322 Ph: (480) 945-2494 |
| NPI Number | 1366493132 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0749299378 |
|---|---|
| Medicare Enrollment ID | O20060411000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366493132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eleanor C Mariano |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1588616734 PECOS PAC ID: 3476577685 Enrollment ID: I20060113000892 |
| Provider Name | Lauren Siniscalchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740688555 PECOS PAC ID: 5890011878 Enrollment ID: I20171117002183 |
| Provider Name | Patricia Vold Pepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886508 PECOS PAC ID: 4385818616 Enrollment ID: I20190610000158 |
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