| Consultants in Internal Medicine, P.C. | |
|
5651 W Talavi Blvd Ste 170 Glendale AZ 85306-1893 | |
| (602) 843-1313 | |
| (602) 843-0191 |
| Full Name | Consultants in Internal Medicine, P.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5651 W Talavi Blvd Ste 170, Glendale, Arizona |
| Authorized Official Name and Position | Tina M Light (ADMIN) |
| Authorized Official Contact | 6028431313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultants in Internal Medicine, P.C. 5701 W Talavi Blvd Ste 110 Glendale AZ 85306-1887 Ph: (602) 843-1313 | Consultants in Internal Medicine, P.C. 5651 W Talavi Blvd Ste 170 Glendale AZ 85306-1893 Ph: (602) 843-1313 |
| NPI Number | 1568673499 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 1557352333 |
|---|---|
| Medicare Enrollment ID | O20040521000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568673499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19199 (Arizona) | Primary |
| Provider Name | Marsha M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245208172 PECOS PAC ID: 3577532654 Enrollment ID: I20040927000180 |
| Provider Name | James G Ames |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811998933 PECOS PAC ID: 7416985387 Enrollment ID: I20050801001259 |
| Provider Name | Samuel Jacob Stierman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164423273 PECOS PAC ID: 2769679539 Enrollment ID: I20101206000556 |
| Provider Name | Lee Alvin Frankel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585836 PECOS PAC ID: 3375731631 Enrollment ID: I20101230000694 |
| Provider Name | Shannalee Senior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073141529 PECOS PAC ID: 8527465368 Enrollment ID: I20210922000764 |
| Provider Name | Olivia Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629796255 PECOS PAC ID: 7416327234 Enrollment ID: I20230111002722 |
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