| Gartenberg Family Medicine, Pllc | |
|
8575 E Princess Dr Suite # 107 Scottsdale AZ 85255-5483 | |
| (602) 363-1631 | |
| (888) 360-8644 |
| Full Name | Gartenberg Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8575 E Princess Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Elissa B. Gartenberg (OWNER) |
| Authorized Official Contact | 6023631631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gartenberg Family Medicine, Pllc 16211 N Scottsdale Rd Suite A6a-213 Scottsdale AZ 85254-1584 Ph: (602) 363-1631 | Gartenberg Family Medicine, Pllc 8575 E Princess Dr Suite # 107 Scottsdale AZ 85255-5483 Ph: (602) 363-1631 |
| NPI Number | 1295095883 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 10/01/2012 |
| Medicare PECOS PAC ID | 3779748249 |
|---|---|
| Medicare Enrollment ID | O20120707000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295095883 | NPI | - | NPPES |
| Z154006 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4155 (Arizona) | Primary |
| Provider Name | Elissa B Gartenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639152291 PECOS PAC ID: 2466464839 Enrollment ID: I20080818000397 |
| Provider Name | Christen Marissa Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700540697 PECOS PAC ID: 4082001698 Enrollment ID: I20220429001356 |
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