| Heritage Technologies, Llc | |
|
1855 N Stapley Dr Mesa AZ 85203-3002 | |
| (480) 834-7546 | |
| (480) 833-8313 |
| Full Name | Heritage Technologies, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1855 N Stapley Dr, Mesa, Arizona |
| Authorized Official Name and Position | Michelle Dinsdale (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4808347546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Technologies, Llc 1855 N Stapley Dr Mesa AZ 85203-3002 Ph: (480) 834-7546 | Heritage Technologies, Llc 1855 N Stapley Dr Mesa AZ 85203-3002 Ph: (480) 834-7546 |
| NPI Number | 1093764938 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 11/26/2024 |
| Medicare PECOS PAC ID | 5193628485 |
|---|---|
| Medicare Enrollment ID | O20040526000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093764938 | NPI | - | NPPES |
| 633795 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Allison K Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962463844 PECOS PAC ID: 9739175571 Enrollment ID: I20040426000369 |
| Provider Name | Richard J Dinsdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487617718 PECOS PAC ID: 7517948466 Enrollment ID: I20040630000452 |
| Provider Name | Linda L Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710940705 PECOS PAC ID: 9638101454 Enrollment ID: I20050901000129 |
| Provider Name | Denise R Sackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163361 PECOS PAC ID: 7113946187 Enrollment ID: I20051118000356 |
| Provider Name | Jeffrey A Levison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405894 PECOS PAC ID: 4486660974 Enrollment ID: I20060221000420 |
| Provider Name | Rachel S Erdmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437383874 PECOS PAC ID: 8022168293 Enrollment ID: I20090721000037 |
| Provider Name | Kent M Hatfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811938152 PECOS PAC ID: 2860473790 Enrollment ID: I20101029000403 |
| Provider Name | Mary M Winscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952324030 PECOS PAC ID: 8224080437 Enrollment ID: I20101102001134 |
| Provider Name | Lisa Marie Eckerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689981177 PECOS PAC ID: 2466640453 Enrollment ID: I20101216001041 |
| Provider Name | Kristen Lyn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447545645 PECOS PAC ID: 8527237569 Enrollment ID: I20110809000606 |
| Provider Name | Jennifer M Slonaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326310020 PECOS PAC ID: 8921256959 Enrollment ID: I20120918000216 |
| Provider Name | Donald J White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558504357 PECOS PAC ID: 5799934212 Enrollment ID: I20120927000172 |
| Provider Name | Heather M Hodnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932444304 PECOS PAC ID: 5799921177 Enrollment ID: I20130410000309 |
| Provider Name | Annette A Lusko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487918181 PECOS PAC ID: 9335394600 Enrollment ID: I20150819008305 |
| Provider Name | Robert M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902284599 PECOS PAC ID: 6608183637 Enrollment ID: I20150923001599 |
| Provider Name | Travis Warren Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366536732 PECOS PAC ID: 1153463997 Enrollment ID: I20161014001165 |
| Provider Name | Brian William Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497165732 PECOS PAC ID: 2668754722 Enrollment ID: I20170125000932 |
| Provider Name | Benjamin Ihms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588076046 PECOS PAC ID: 6002193448 Enrollment ID: I20170511002226 |
| Provider Name | Steven K Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730528688 PECOS PAC ID: 4284905860 Enrollment ID: I20170731002422 |
| Provider Name | Mohammad K Dardari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405357 PECOS PAC ID: 9436106572 Enrollment ID: I20180420000699 |
| Provider Name | Robert Babbel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134575384 PECOS PAC ID: 8426302498 Enrollment ID: I20181109000352 |
| Provider Name | Cooper S Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073992087 PECOS PAC ID: 3173861010 Enrollment ID: I20190219000818 |
| Provider Name | Dana S Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033214200 PECOS PAC ID: 3971609595 Enrollment ID: I20190329001670 |
| Provider Name | Albert Hsia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518313196 PECOS PAC ID: 5890037295 Enrollment ID: I20190506001536 |
| Provider Name | Sahan Joseph Emmanuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245686872 PECOS PAC ID: 3678816857 Enrollment ID: I20190510002107 |
| Provider Name | Tyler John Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801321344 PECOS PAC ID: 1658794003 Enrollment ID: I20200702000579 |
| Provider Name | Susan Kathleen Gerold-terraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115246 PECOS PAC ID: 8426441320 Enrollment ID: I20220623001450 |
| Provider Name | Katie Andrusaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922735521 PECOS PAC ID: 5597149724 Enrollment ID: I20221007001030 |
| Provider Name | Amanda Grace Sessions |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346709318 PECOS PAC ID: 0840694030 Enrollment ID: I20230530003462 |
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 |