| Escalera Health Llc | |
|
2224 North Craycroft Road Ste 100 Tucson AZ 85712-2811 | |
| (520) 209-1919 | |
| (520) 207-6200 |
| Full Name | Escalera Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2224 North Craycroft Road, Tucson, Arizona |
| Authorized Official Name and Position | Edward J Hudson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5203226274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Escalera Health Llc 2850 North Country Club Road Tucson AZ 85716-1910 Ph: (520) 322-6274 | Escalera Health Llc 2224 North Craycroft Road Ste 100 Tucson AZ 85712-2811 Ph: (520) 209-1919 |
| NPI Number | 1487146171 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1951650985 |
|---|---|
| Medicare Enrollment ID | O20180823002099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487146171 | NPI | - | NPPES |
| 409263 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Christian J Moher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731582 PECOS PAC ID: 2961397161 Enrollment ID: I20040217000728 |
| Provider Name | Steven T Herron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295700953 PECOS PAC ID: 2264524461 Enrollment ID: I20070817000167 |
| Provider Name | Abram A Aguilar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700080900 PECOS PAC ID: 5496848012 Enrollment ID: I20070912000317 |
| Provider Name | Romina Lo Montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306165485 PECOS PAC ID: 9032396932 Enrollment ID: I20110601000700 |
| Provider Name | Stacey Stocks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558699843 PECOS PAC ID: 5698939262 Enrollment ID: I20120611000551 |
| Provider Name | David J Byron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831400597 PECOS PAC ID: 8921241241 Enrollment ID: I20130905000198 |
| Provider Name | Christine A Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480706 PECOS PAC ID: 8527361138 Enrollment ID: I20160114001165 |
| Provider Name | Peter Alexander Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225128135 PECOS PAC ID: 5395730634 Enrollment ID: I20170919002429 |
| Provider Name | Theresa Rogan Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811191414 PECOS PAC ID: 2062609993 Enrollment ID: I20171128003788 |
| Provider Name | Rachel N Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215410063 PECOS PAC ID: 0042557795 Enrollment ID: I20190204001113 |
| Provider Name | Christine M Poncavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549936 PECOS PAC ID: 0941531545 Enrollment ID: I20191014000262 |
| Provider Name | Amber N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038855 PECOS PAC ID: 7416389754 Enrollment ID: I20191107001442 |
| Provider Name | Emily A Ichikawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255988234 PECOS PAC ID: 7315370061 Enrollment ID: I20191210003075 |
| Provider Name | Jo-ann H Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437630555 PECOS PAC ID: 9234564246 Enrollment ID: I20200210001435 |
| Provider Name | Aimee K Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922631209 PECOS PAC ID: 3173940046 Enrollment ID: I20200825000430 |
| Provider Name | Kasandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454655 PECOS PAC ID: 5092123356 Enrollment ID: I20210426002812 |
| Provider Name | Dara Ulibarri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962885160 PECOS PAC ID: 3375925977 Enrollment ID: I20220728002863 |
| Provider Name | Brittany Cabezas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942924204 PECOS PAC ID: 1850767633 Enrollment ID: I20221019001696 |
| Provider Name | Vanessa Aulet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033731484 PECOS PAC ID: 2769898030 Enrollment ID: I20221031001482 |
| Provider Name | Cristie M Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609276377 PECOS PAC ID: 4082091939 Enrollment ID: I20221104000902 |
| Provider Name | Christin Munchoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427632066 PECOS PAC ID: 3870958085 Enrollment ID: I20230421002404 |
| Provider Name | Demarie A Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477191880 PECOS PAC ID: 0042670200 Enrollment ID: I20230719002370 |
| Provider Name | Sarah Herndon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023403276 PECOS PAC ID: 4880040195 Enrollment ID: I20231023003018 |
| Provider Name | Karen Diane Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942082268 PECOS PAC ID: 6305293721 Enrollment ID: I20231107001758 |
| Provider Name | Brittany Nicole Griebling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730769217 PECOS PAC ID: 9133578636 Enrollment ID: I20231208003008 |
| Provider Name | Bianca Angelica Aguilar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083026603 PECOS PAC ID: 9133570021 Enrollment ID: I20240104002315 |
| Provider Name | Evan Carson Bush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437729563 PECOS PAC ID: 1557712940 Enrollment ID: I20240110002400 |
| Provider Name | Elsa Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467169532 PECOS PAC ID: 0941652002 Enrollment ID: I20240115000857 |
| Provider Name | Francis Donald Fountain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710676978 PECOS PAC ID: 6204288228 Enrollment ID: I20240116000861 |
| Provider Name | Bruce E Kahler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699001875 PECOS PAC ID: 2668824145 Enrollment ID: I20240119003197 |
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