| Susan Del Sordi Staats, Do Pllc | |
|
11209 N Tatum Blvd Ste 160 Phoenix AZ 85028-3092 | |
| (480) 285-2180 | |
| (480) 285-2182 |
| Full Name | Susan Del Sordi Staats, Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11209 N Tatum Blvd Ste 160, Phoenix, Arizona |
| Authorized Official Name and Position | Susan Del Sordi Staats (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4802852180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Del Sordi Staats, Do Pllc 11209 N Tatum Blvd Ste 160 Phoenix AZ 85028-3092 Ph: (480) 285-2180 | Susan Del Sordi Staats, Do Pllc 11209 N Tatum Blvd Ste 160 Phoenix AZ 85028-3092 Ph: (480) 285-2180 |
| NPI Number | 1649776105 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 1052674090 |
|---|---|
| Medicare Enrollment ID | O20180404002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649776105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 4490 (Arizona) | Primary |
| Provider Name | Sara H Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508887670 PECOS PAC ID: 5991771651 Enrollment ID: I20040903000943 |
| Provider Name | Susan Del Sordi Staats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902096092 PECOS PAC ID: 0547348633 Enrollment ID: I20080415000190 |
| Provider Name | Kathleen B Rickard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922003250 PECOS PAC ID: 7416024484 Enrollment ID: I20080917000758 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |