| True Precision Medical | |
|
6036 N 19th Ave Ste 204 Phoenix AZ 85015-2104 | |
| (480) 626-1746 | |
| Not Available |
| Full Name | True Precision Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 6036 N 19th Ave Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Matt Perez (CEO) |
| Authorized Official Contact | 4806261746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Precision Medical Dept# 880391 P.o Box 29650 Phoenix AZ 85038-9650 Ph: (480) 626-1746 | True Precision Medical 6036 N 19th Ave Ste 204 Phoenix AZ 85015-2104 Ph: (480) 626-1746 |
| NPI Number | 1508364860 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/29/2026 |
| Medicare PECOS PAC ID | 8325309347 |
|---|---|
| Medicare Enrollment ID | O20180307001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508364860 | NPI | - | NPPES |
| 433456 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Govind Acharya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487716692 PECOS PAC ID: 0840275574 Enrollment ID: I20040621000451 |
| Provider Name | Stacey Mcclure |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700814639 PECOS PAC ID: 0547298606 Enrollment ID: I20050729000676 |
| Provider Name | Drew Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649415308 PECOS PAC ID: 7416125562 Enrollment ID: I20110718000071 |
| Provider Name | James P Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578871026 PECOS PAC ID: 9133385289 Enrollment ID: I20120718000444 |
| Provider Name | Charles V Piermarini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881076354 PECOS PAC ID: 9335452952 Enrollment ID: I20150724011126 |
| Provider Name | Douglas B Masson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114901238 PECOS PAC ID: 2961664750 Enrollment ID: I20160721001265 |
| Provider Name | Cole Mendenhall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891958351 PECOS PAC ID: 1153549902 Enrollment ID: I20161026001142 |
| Provider Name | Sandeep Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992905095 PECOS PAC ID: 1759554991 Enrollment ID: I20170418002024 |
| Provider Name | Samuel C Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215917091 PECOS PAC ID: 1759317720 Enrollment ID: I20200602002929 |
| Provider Name | Kristen Tyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942806021 PECOS PAC ID: 3678973856 Enrollment ID: I20210609001558 |
| Provider Name | Gautam Rao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962934547 PECOS PAC ID: 7810264355 Enrollment ID: I20231005003624 |
| Provider Name | Abhinav Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013447820 PECOS PAC ID: 0244581072 Enrollment ID: I20240216003994 |
| Provider Name | Kelly Marie Mulholland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700640885 PECOS PAC ID: 9931540879 Enrollment ID: I20240509002821 |
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