| Ez Health Medical Group Pa | |
|
1910 S Stapley Dr Ste 120 Mesa AZ 85204-6676 | |
| (385) 327-2541 | |
| (239) 232-2567 |
| Full Name | Ez Health Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1910 S Stapley Dr Ste 120, Mesa, Arizona |
| Authorized Official Name and Position | Nikhil Jhunjhnuwala (OPERATIONS MANAGER) |
| Authorized Official Contact | 3853272541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Health Medical Group Pa 1801 Ne 123rd St Ste 314 North Miami FL 33181-2883 Ph: (385) 327-2541 | Ez Health Medical Group Pa 1910 S Stapley Dr Ste 120 Mesa AZ 85204-6676 Ph: (385) 327-2541 |
| NPI Number | 1790511442 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 7214469816 |
|---|---|
| Medicare Enrollment ID | O20241021004120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790511442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Caroline R Mcknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093942633 PECOS PAC ID: 7911047410 Enrollment ID: I20120427000676 |
| Provider Name | Sheeraz Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730429762 PECOS PAC ID: 3476848151 Enrollment ID: I20160819000238 |
| Provider Name | Vicky Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861748717 PECOS PAC ID: 8224396395 Enrollment ID: I20180106000033 |
| Provider Name | Lara S Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068490 PECOS PAC ID: 9234487976 Enrollment ID: I20220418001352 |
| Provider Name | Vanessa Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780127720 PECOS PAC ID: 1850674276 Enrollment ID: I20230125000235 |
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