| Swan Gastroenterology, P.c. | |
|
1505 N Swan Rd 121 Tucson AZ 85712-4044 | |
| (520) 795-3090 | |
| (520) 795-3586 |
| Full Name | Swan Gastroenterology, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1505 N Swan Rd, Tucson, Arizona |
| Authorized Official Name and Position | Fadi Deeb (OWNER) |
| Authorized Official Contact | 5207953090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Gastroenterology, P.c. 1505 N Swan Rd 121 Tucson AZ 85712-4044 Ph: (520) 795-3090 | Swan Gastroenterology, P.c. 1505 N Swan Rd 121 Tucson AZ 85712-4044 Ph: (520) 795-3090 |
| NPI Number | 1619368891 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/18/2020 |
| Medicare PECOS PAC ID | 9133425903 |
|---|---|
| Medicare Enrollment ID | O20160304001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619368891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 38120 (Arizona) | Primary |
| Provider Name | Charles L Krone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497899173 PECOS PAC ID: 4284611328 Enrollment ID: I20040706001332 |
| Provider Name | Jaya H Maddur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316038136 PECOS PAC ID: 7618997123 Enrollment ID: I20051129000877 |
| Provider Name | Bassel Kisso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093918302 PECOS PAC ID: 5597856336 Enrollment ID: I20070808000082 |
| Provider Name | Fadi Deeb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497729248 PECOS PAC ID: 5496758062 Enrollment ID: I20080603000221 |
| Provider Name | Bechara Mezher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598751794 PECOS PAC ID: 7911184379 Enrollment ID: I20110613000038 |
| Provider Name | Catherynne Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346444148 PECOS PAC ID: 8123280047 Enrollment ID: I20120510000019 |
| Provider Name | Lisa A Musacchia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831120864 PECOS PAC ID: 8224073648 Enrollment ID: I20170329001732 |
| Provider Name | Alison Erway-brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548243132 PECOS PAC ID: 7517923576 Enrollment ID: I20180122003247 |
| Provider Name | Lana D Fretz-mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568960466 PECOS PAC ID: 0749544674 Enrollment ID: I20210125003086 |
| Provider Name | Carly M Asolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337907 PECOS PAC ID: 1052706793 Enrollment ID: I20220316002746 |
| Provider Name | Stephanie L Pettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124756218 PECOS PAC ID: 1254717671 Enrollment ID: I20221007000680 |
| Provider Name | Tina M Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144089038 PECOS PAC ID: 2961945159 Enrollment ID: I20240617000448 |
| Provider Name | Laura Kay Lesko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023010477 PECOS PAC ID: 1355315896 Enrollment ID: I20250128001677 |
| Provider Name | Holland R Archambault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235826371 PECOS PAC ID: 4082136031 Enrollment ID: I20250319001165 |
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