| Century Care Inc | |
|
7227 E Baseline Rd Ste 126 Mesa AZ 85209-5006 | |
| (480) 868-9650 | |
| (480) 834-3606 |
| Full Name | Century Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7227 E Baseline Rd Ste 126, Mesa, Arizona |
| Authorized Official Name and Position | Gregory Chad Mangum (OWNER) |
| Authorized Official Contact | 4355145646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Century Care Inc 7227 E Baseline Rd Ste 126 Mesa AZ 85209-5006 Ph: (480) 868-9650 | Century Care Inc 7227 E Baseline Rd Ste 126 Mesa AZ 85209-5006 Ph: (480) 868-9650 |
| NPI Number | 1346499324 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 11/21/2024 |
| Medicare PECOS PAC ID | 3971665605 |
|---|---|
| Medicare Enrollment ID | O20090203000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346499324 | NPI | - | NPPES |
| Provider Name | Karyn L Sallus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598752396 PECOS PAC ID: 8325938053 Enrollment ID: I20040317000678 |
| Provider Name | Theresa A Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689667883 PECOS PAC ID: 1759323751 Enrollment ID: I20050601000158 |
| Provider Name | Jilanne Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912949041 PECOS PAC ID: 2062448699 Enrollment ID: I20050714000371 |
| Provider Name | Karen M Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760455018 PECOS PAC ID: 5991732521 Enrollment ID: I20050725001165 |
| Provider Name | Sadek R Ebeid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255340816 PECOS PAC ID: 6800815358 Enrollment ID: I20051115000203 |
| Provider Name | Patrick M Hand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710052154 PECOS PAC ID: 4880787373 Enrollment ID: I20070829000268 |
| Provider Name | Brooke L Mckane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679753560 PECOS PAC ID: 7416028410 Enrollment ID: I20080619000077 |
| Provider Name | Camille E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164611000 PECOS PAC ID: 9032285895 Enrollment ID: I20080903000231 |
| Provider Name | Lee W Pace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790772622 PECOS PAC ID: 3072502632 Enrollment ID: I20090205000470 |
| Provider Name | Leanne J Koleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209392 PECOS PAC ID: 0840328852 Enrollment ID: I20100512000978 |
| Provider Name | Michael P Dovico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023332186 PECOS PAC ID: 4284765009 Enrollment ID: I20100623000235 |
| Provider Name | Audrey M Bressor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942347554 PECOS PAC ID: 0345405742 Enrollment ID: I20120710000755 |
| Provider Name | Nicole Dianne Strutzenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396096293 PECOS PAC ID: 2365692449 Enrollment ID: I20121025000758 |
| Provider Name | Gina Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477521821 PECOS PAC ID: 4385650340 Enrollment ID: I20130129000603 |
| Provider Name | Delia Story |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831838 PECOS PAC ID: 8224250808 Enrollment ID: I20141114001899 |
| Provider Name | Darcel Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598168288 PECOS PAC ID: 6608190764 Enrollment ID: I20150120000801 |
| Provider Name | Jaree L Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730561408 PECOS PAC ID: 3870807761 Enrollment ID: I20150805009375 |
| Provider Name | Tyler C. Maxson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417399098 PECOS PAC ID: 3870801962 Enrollment ID: I20151009002139 |
| Provider Name | Susan Bast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851703862 PECOS PAC ID: 9335441484 Enrollment ID: I20160106000490 |
| Provider Name | Holley Ramnarine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508005521 PECOS PAC ID: 4082742853 Enrollment ID: I20170406001967 |
| Provider Name | Michael Tawadrous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972892339 PECOS PAC ID: 3577789163 Enrollment ID: I20170623001916 |
| Provider Name | Jenniffer Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120457 PECOS PAC ID: 2769740323 Enrollment ID: I20180103001914 |
| Provider Name | Shanna S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865350 PECOS PAC ID: 6507125903 Enrollment ID: I20180110001339 |
| Provider Name | Ellyn E Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700190873 PECOS PAC ID: 6709132285 Enrollment ID: I20180820002583 |
| Provider Name | Sarah L. Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164917589 PECOS PAC ID: 4486903374 Enrollment ID: I20180827001895 |
| Provider Name | Mary E Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467615872 PECOS PAC ID: 6406086636 Enrollment ID: I20180829004002 |
| Provider Name | Jessica A Civiello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790268936 PECOS PAC ID: 6204189723 Enrollment ID: I20181031001717 |
| Provider Name | Leslie Lucile Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881189223 PECOS PAC ID: 5799022406 Enrollment ID: I20190201002264 |
| Provider Name | Christopher Kyle Melcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992263461 PECOS PAC ID: 0749522811 Enrollment ID: I20190422001956 |
| Provider Name | Ashley L Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350271 PECOS PAC ID: 2365775699 Enrollment ID: I20190531000715 |
| Provider Name | Rachel C Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172260 PECOS PAC ID: 6002140423 Enrollment ID: I20190618003499 |
| Provider Name | Kristin Pauline Meharry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720583685 PECOS PAC ID: 3274861463 Enrollment ID: I20190826004034 |
| Provider Name | Tyler Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053964981 PECOS PAC ID: 9234469883 Enrollment ID: I20190924002028 |
| Provider Name | Amber N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038855 PECOS PAC ID: 7416389754 Enrollment ID: I20191107001442 |
| Provider Name | Sandra R Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761240 PECOS PAC ID: 7618302613 Enrollment ID: I20200122001090 |
| Provider Name | Renee Marie Rundle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457990913 PECOS PAC ID: 6204262033 Enrollment ID: I20200214000235 |
| Provider Name | Trey Dulaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073947933 PECOS PAC ID: 9032533583 Enrollment ID: I20200716003967 |
| Provider Name | Brittany L Cerasuolo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407139033 PECOS PAC ID: 1254503394 Enrollment ID: I20201103001852 |
| Provider Name | Preston Strebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584406 PECOS PAC ID: 8820400484 Enrollment ID: I20201224000039 |
| Provider Name | Charles Milton Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659991461 PECOS PAC ID: 9830506914 Enrollment ID: I20210408000866 |
| Provider Name | Cathryn Ann Griepentrog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104402114 PECOS PAC ID: 6709289564 Enrollment ID: I20210730002339 |
| Provider Name | Keith A Podolak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568138527 PECOS PAC ID: 9739579707 Enrollment ID: I20211206001953 |
| Provider Name | Stacy Rebecca Rummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235750258 PECOS PAC ID: 1153711122 Enrollment ID: I20211206002114 |
| Provider Name | Ashley Nicolette Squier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659251 PECOS PAC ID: 0042690950 Enrollment ID: I20220709000791 |
| Provider Name | Breanna Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760077093 PECOS PAC ID: 6305213679 Enrollment ID: I20221031001836 |
| Provider Name | Daniel Earl Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508211921 PECOS PAC ID: 2062708191 Enrollment ID: I20230119000317 |
| Provider Name | Mariana Mounir Tawadrous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881639029 PECOS PAC ID: 5294790283 Enrollment ID: I20230320000280 |
| Provider Name | Zakaria Tawadrous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336290444 PECOS PAC ID: 3577691757 Enrollment ID: I20230511003497 |
| Provider Name | Jennifer Bann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908121 PECOS PAC ID: 0244692069 Enrollment ID: I20230810003337 |
| Provider Name | George Oseko Nyakundi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760132369 PECOS PAC ID: 8921494238 Enrollment ID: I20240119001719 |
| Provider Name | Welton Wittwer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548522634 PECOS PAC ID: 4082879283 Enrollment ID: I20240305003310 |
| Provider Name | Michelle Rae Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174290910 PECOS PAC ID: 9931643269 Enrollment ID: I20240627003014 |
| Provider Name | Alana J Pilon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669247151 PECOS PAC ID: 1658815600 Enrollment ID: I20240701002932 |
| Provider Name | Jeffrey M Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245098961 PECOS PAC ID: 2264978832 Enrollment ID: I20240719002252 |
| Provider Name | Clay Bryant Shumway |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003346545 PECOS PAC ID: 2466852819 Enrollment ID: I20250128000326 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 | |
Michael J. Lucherini Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6828 E Brown Rd Ste 102, Mesa, AZ 85207 Phone: 480-981-8650 Fax: 480-981-1563 |