| Digestive Health & Wellness, Llc | |
|
4110 N 108th Ave Ste. 105 Phoenix AZ 85037-5772 | |
| (623) 772-6999 | |
| (623) 772-6444 |
| Full Name | Digestive Health & Wellness, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4110 N 108th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Elizabeth Cruz (OWNER) |
| Authorized Official Contact | 6233984694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health & Wellness, Llc 4110 N 108th Ave Ste. 105 Phoenix AZ 85037-5772 Ph: (623) 772-6999 | Digestive Health & Wellness, Llc 4110 N 108th Ave Ste. 105 Phoenix AZ 85037-5772 Ph: (623) 772-6999 |
| NPI Number | 1881077279 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 07/02/2015 |
| Medicare PECOS PAC ID | 2466760137 |
|---|---|
| Medicare Enrollment ID | O20150929002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881077279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 32943 (Arizona) | Primary |
| Provider Name | Elizabeth Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891749313 PECOS PAC ID: 8628054574 Enrollment ID: I20040629001511 |
| Provider Name | Neil J Shernoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578543336 PECOS PAC ID: 0547205205 Enrollment ID: I20050622001363 |
| Provider Name | Patrick Lam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326095613 PECOS PAC ID: 5991710964 Enrollment ID: I20060313000258 |
| Provider Name | Hadi R Najafian |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1922136928 PECOS PAC ID: 8921109547 Enrollment ID: I20070726000731 |
| Provider Name | Anil Prasad Ramarao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659481661 PECOS PAC ID: 1153404165 Enrollment ID: I20080214000253 |
| Provider Name | Raquel Ivet Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154832574 PECOS PAC ID: 8123386232 Enrollment ID: I20171219002011 |
| Provider Name | Tracy E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346858925 PECOS PAC ID: 2062829963 Enrollment ID: I20210319001623 |
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