| One Medical | |
|
3137 W Indian School Rd Phoenix AZ 85017-4069 | |
| (888) 663-6331 | |
| (415) 252-7176 |
| Full Name | One Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 3137 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Suzanne Hansen (DIRECTOR, CLINICAL OPS & PERF) |
| Authorized Official Contact | 8886636331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical 1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: (888) 663-6331 | One Medical 3137 W Indian School Rd Phoenix AZ 85017-4069 Ph: (888) 663-6331 |
| NPI Number | 1619376456 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Medicare PECOS PAC ID | 0143520189 |
|---|---|
| Medicare Enrollment ID | O20151124001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619376456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Melanie Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720062953 PECOS PAC ID: 0446159958 Enrollment ID: I20040105000225 |
| Provider Name | Brett E Willden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174515134 PECOS PAC ID: 9830082510 Enrollment ID: I20040206000836 |
| Provider Name | Anne Marie Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553927 PECOS PAC ID: 3971593062 Enrollment ID: I20040512000874 |
| Provider Name | Sean K Sackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972595940 PECOS PAC ID: 6800869678 Enrollment ID: I20040818001411 |
| Provider Name | Rakeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568436673 PECOS PAC ID: 1052389285 Enrollment ID: I20040924000109 |
| Provider Name | Hemasree G Chaliki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356333454 PECOS PAC ID: 0941257471 Enrollment ID: I20050407000846 |
| Provider Name | Landon S Hoecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740260561 PECOS PAC ID: 3870523814 Enrollment ID: I20050818000741 |
| Provider Name | Carlton a Richie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699770925 PECOS PAC ID: 2668407313 Enrollment ID: I20050930000370 |
| Provider Name | Christina K Cousins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922022813 PECOS PAC ID: 6305851270 Enrollment ID: I20060214000304 |
| Provider Name | Christian Daniel Long |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336169077 PECOS PAC ID: 3577567031 Enrollment ID: I20060914000362 |
| Provider Name | Jeffrey T Dare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679538839 PECOS PAC ID: 5395742027 Enrollment ID: I20061023000139 |
| Provider Name | Thomas Y Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912010992 PECOS PAC ID: 7416954060 Enrollment ID: I20061025000092 |
| Provider Name | Mary Louise Froehlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023222551 PECOS PAC ID: 0648222166 Enrollment ID: I20070822000445 |
| Provider Name | John Leander Zapanta Po |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366638561 PECOS PAC ID: 9830269323 Enrollment ID: I20080610000760 |
| Provider Name | Laila I Sajwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629196225 PECOS PAC ID: 7517032535 Enrollment ID: I20080826000301 |
| Provider Name | Yvonne Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497900450 PECOS PAC ID: 9830250562 Enrollment ID: I20081212000316 |
| Provider Name | Giovani I Michieli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508042334 PECOS PAC ID: 0840345856 Enrollment ID: I20090827000094 |
| Provider Name | Aneta Wiejski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376729111 PECOS PAC ID: 5294880126 Enrollment ID: I20090828000387 |
| Provider Name | Chrystal D Lemaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114155140 PECOS PAC ID: 6103972286 Enrollment ID: I20090915000004 |
| Provider Name | Usha Tatini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376526376 PECOS PAC ID: 0749322428 Enrollment ID: I20100119000142 |
| Provider Name | Paul S Laven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396718102 PECOS PAC ID: 7618960857 Enrollment ID: I20110202000242 |
| Provider Name | Fatima Tagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033201405 PECOS PAC ID: 0143277392 Enrollment ID: I20110302000796 |
| Provider Name | Maria Boritas Morton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720395908 PECOS PAC ID: 2062695786 Enrollment ID: I20110317000654 |
| Provider Name | Sarah E Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487944799 PECOS PAC ID: 8224204508 Enrollment ID: I20120109000526 |
| Provider Name | Patrick a Tafoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265696702 PECOS PAC ID: 7012175011 Enrollment ID: I20120222000480 |
| Provider Name | Seth J Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659651172 PECOS PAC ID: 4789855610 Enrollment ID: I20121107000656 |
| Provider Name | Hilda M Defoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470402 PECOS PAC ID: 0446493191 Enrollment ID: I20130827000789 |
| Provider Name | Pilar M Hoffsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386074284 PECOS PAC ID: 9032347075 Enrollment ID: I20140120000738 |
| Provider Name | Lee Allen Akerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073928180 PECOS PAC ID: 9638395320 Enrollment ID: I20140804000003 |
| Provider Name | Darenie Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992527 PECOS PAC ID: 3173679826 Enrollment ID: I20140812000253 |
| Provider Name | Shilpa Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669751848 PECOS PAC ID: 1456575984 Enrollment ID: I20140909001853 |
| Provider Name | Jody L Druhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417284985 PECOS PAC ID: 3375685522 Enrollment ID: I20150206000009 |
| Provider Name | Nili Azhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609988641 PECOS PAC ID: 2365693066 Enrollment ID: I20150526000196 |
| Provider Name | Chidinma F Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154718328 PECOS PAC ID: 3971824087 Enrollment ID: I20150602000013 |
| Provider Name | Kara B Koelbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295125946 PECOS PAC ID: 2264753532 Enrollment ID: I20150611002665 |
| Provider Name | Tara Debardeleben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265828230 PECOS PAC ID: 6305157900 Enrollment ID: I20150624000275 |
| Provider Name | David E Nagata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750371324 PECOS PAC ID: 3476549585 Enrollment ID: I20150730012870 |
| Provider Name | Janet D Tate Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215360854 PECOS PAC ID: 9133352024 Enrollment ID: I20150803001111 |
| Provider Name | Cory a Callister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982094728 PECOS PAC ID: 1850606971 Enrollment ID: I20150819007595 |
| Provider Name | Natasha Bhuyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154682664 PECOS PAC ID: 7315252111 Enrollment ID: I20150821013580 |
| Provider Name | Zachary David Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942561451 PECOS PAC ID: 8022323823 Enrollment ID: I20150821013641 |
| Provider Name | Christina Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20150918001455 |
| Provider Name | Sarah Stookey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659337558 PECOS PAC ID: 6305749938 Enrollment ID: I20160118000199 |
| Provider Name | Christina Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043684012 PECOS PAC ID: 8224331525 Enrollment ID: I20160120001818 |
| Provider Name | Donald R Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861867301 PECOS PAC ID: 5092019232 Enrollment ID: I20160208001856 |
| Provider Name | Lisa Marie Warren-heft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326429143 PECOS PAC ID: 2769781020 Enrollment ID: I20160509001228 |
| Provider Name | Sarah Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164873907 PECOS PAC ID: 5395039416 Enrollment ID: I20160811001304 |
| Provider Name | Elle Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976706 PECOS PAC ID: 4587958426 Enrollment ID: I20160816000415 |
| Provider Name | Amanda N Kwilosz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770034787 PECOS PAC ID: 4981984465 Enrollment ID: I20161130000509 |
| Provider Name | Rebecca M Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801248596 PECOS PAC ID: 0941583736 Enrollment ID: I20170201000749 |
| Provider Name | Susan M Sarabia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606439 PECOS PAC ID: 5395028211 Enrollment ID: I20170220000458 |
| Provider Name | Giao Quach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114364361 PECOS PAC ID: 4082901707 Enrollment ID: I20170315001874 |
| Provider Name | Maria Antonieta Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801196175 PECOS PAC ID: 0941587786 Enrollment ID: I20170504002064 |
| Provider Name | Morgan Lobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093125593 PECOS PAC ID: 0244504157 Enrollment ID: I20170915001602 |
| Provider Name | Kyle Alexander Hunsaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114446630 PECOS PAC ID: 3476829623 Enrollment ID: I20171016003574 |
| Provider Name | Taylor C Baggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194245746 PECOS PAC ID: 5496021883 Enrollment ID: I20171031000835 |
| Provider Name | John Lee Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760826796 PECOS PAC ID: 6406172857 Enrollment ID: I20171109000886 |
| Provider Name | Amber Marie Robers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770021735 PECOS PAC ID: 0941567861 Enrollment ID: I20171201001034 |
| Provider Name | Jenniffer Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120457 PECOS PAC ID: 2769740323 Enrollment ID: I20180103001914 |
| Provider Name | Audrey Marie Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083158067 PECOS PAC ID: 2567721046 Enrollment ID: I20180108001803 |
| Provider Name | Christal Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922523547 PECOS PAC ID: 8224394770 Enrollment ID: I20180116000964 |
| Provider Name | Mohammad K Dardari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405357 PECOS PAC ID: 9436106572 Enrollment ID: I20180420000699 |
| Provider Name | Vickey Sue Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306976311 PECOS PAC ID: 7719057371 Enrollment ID: I20180725004029 |
| Provider Name | Rupa Krishna Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487915294 PECOS PAC ID: 6002112752 Enrollment ID: I20180815001605 |
| Provider Name | Shin Jung Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801278981 PECOS PAC ID: 8426361759 Enrollment ID: I20180817001870 |
| Provider Name | Casandra Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962823 PECOS PAC ID: 5991040495 Enrollment ID: I20190102000818 |
| Provider Name | Johnathon Creighton Swierski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558831412 PECOS PAC ID: 5597004291 Enrollment ID: I20190225000729 |
| Provider Name | Maria Angelica Mendoza Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144735937 PECOS PAC ID: 3779822655 Enrollment ID: I20190312001145 |
| Provider Name | Tricia Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477033900 PECOS PAC ID: 3072853258 Enrollment ID: I20190326001683 |
| Provider Name | Dana Michael Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023760 PECOS PAC ID: 4486954625 Enrollment ID: I20190612002752 |
| Provider Name | Lauren Kimberly Poling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336501170 PECOS PAC ID: 4688904451 Enrollment ID: I20190920000137 |
| Provider Name | Joshua Daniel Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285288456 PECOS PAC ID: 2668702150 Enrollment ID: I20190926000214 |
| Provider Name | Jorge Omar Flores Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437507654 PECOS PAC ID: 8325379332 Enrollment ID: I20191004002785 |
| Provider Name | Rakhi Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396203113 PECOS PAC ID: 3375874043 Enrollment ID: I20191010000569 |
| Provider Name | Modupeola Abiodun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225326853 PECOS PAC ID: 5597983551 Enrollment ID: I20191204001309 |
| Provider Name | Sharon L Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053508838 PECOS PAC ID: 0941482111 Enrollment ID: I20191216001163 |
| Provider Name | Lisa L Steinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255975082 PECOS PAC ID: 2668806514 Enrollment ID: I20200107002018 |
| Provider Name | Patricia Nwakaego Ayemoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689218042 PECOS PAC ID: 3971938366 Enrollment ID: I20200113001188 |
| Provider Name | Chekena Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558651869 PECOS PAC ID: 5799949160 Enrollment ID: I20200416000449 |
| Provider Name | Sheila Miriam Antony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083989339 PECOS PAC ID: 7810281003 Enrollment ID: I20200728004059 |
| Provider Name | Justin Scott Welsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861933871 PECOS PAC ID: 1557786563 Enrollment ID: I20200807002845 |
| Provider Name | Rima Shah Leclere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619330982 PECOS PAC ID: 9931457058 Enrollment ID: I20200910003513 |
| Provider Name | Danielle Fairbanks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083232177 PECOS PAC ID: 3173943636 Enrollment ID: I20201021003437 |
| Provider Name | Mark Schulke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922211341 PECOS PAC ID: 1951576099 Enrollment ID: I20201105000742 |
| Provider Name | Rebecca Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952000 PECOS PAC ID: 2769896067 Enrollment ID: I20210127003582 |
| Provider Name | Matthew Coldagelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962090910 PECOS PAC ID: 1052726759 Enrollment ID: I20210210001165 |
| Provider Name | Oluwakemi Osholake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174044796 PECOS PAC ID: 9335411586 Enrollment ID: I20210421002364 |
| Provider Name | Stephanie Joy Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508439449 PECOS PAC ID: 6800291485 Enrollment ID: I20210819001662 |
| Provider Name | Austin Thomas Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083678650 PECOS PAC ID: 9032175146 Enrollment ID: I20210826002577 |
| Provider Name | Kimberly Chipetine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922590629 PECOS PAC ID: 6608121249 Enrollment ID: I20210908002053 |
| Provider Name | Jeffrey Daniel Hurwitz Wessler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891053625 PECOS PAC ID: 6406169382 Enrollment ID: I20210922002115 |
| Provider Name | Britney Nichol Ferrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962096610 PECOS PAC ID: 7810386539 Enrollment ID: I20211117002569 |
| Provider Name | Donna Suzanne Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619636628 PECOS PAC ID: 0840682514 Enrollment ID: I20220110002286 |
| Provider Name | Martin Cerda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952644312 PECOS PAC ID: 1951617018 Enrollment ID: I20220419001916 |
| Provider Name | Christen Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700540697 PECOS PAC ID: 4082001698 Enrollment ID: I20220429001356 |
| Provider Name | Sarah Holz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043575137 PECOS PAC ID: 0345499851 Enrollment ID: I20220608000368 |
| Provider Name | Nicole Abdullah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285032268 PECOS PAC ID: 0941523682 Enrollment ID: I20220708001508 |
| Provider Name | Michael Medrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386382372 PECOS PAC ID: 7214318823 Enrollment ID: I20220713003566 |
| Provider Name | Imren Ozturk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982066528 PECOS PAC ID: 2961753116 Enrollment ID: I20220719000572 |
| Provider Name | Jana M Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477873768 PECOS PAC ID: 5799075933 Enrollment ID: I20220719003450 |
| Provider Name | Chelsea Jo Mohn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417690629 PECOS PAC ID: 5092197194 Enrollment ID: I20220805002950 |
| Provider Name | Esther Lynn Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609508126 PECOS PAC ID: 8527440585 Enrollment ID: I20220808001507 |
| Provider Name | Amanda Jones Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467185900 PECOS PAC ID: 3274915244 Enrollment ID: I20220808001972 |
| Provider Name | Bijan Mossadeghi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1518313881 PECOS PAC ID: 5991060857 Enrollment ID: I20220817001532 |
| Provider Name | Stacey Pratt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619200128 PECOS PAC ID: 2961549779 Enrollment ID: I20220927002503 |
| Provider Name | Lawanda Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346699188 PECOS PAC ID: 3072809623 Enrollment ID: I20221110001814 |
| Provider Name | Lindsey Mandrayar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356878003 PECOS PAC ID: 0042572604 Enrollment ID: I20230119001102 |
| Provider Name | Pei-chun Mcgregor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20230302002686 |
| Provider Name | Nicole Menefee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407122880 PECOS PAC ID: 6002054632 Enrollment ID: I20230421001954 |
| Provider Name | Shalena Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245928563 PECOS PAC ID: 1153789672 Enrollment ID: I20230615001112 |
| Provider Name | Rebecca Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043900491 PECOS PAC ID: 9234598871 Enrollment ID: I20230629003514 |
| Provider Name | Saori Schmal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20230721002636 |
| Provider Name | Gabriel Alarcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336194695 PECOS PAC ID: 2860485612 Enrollment ID: I20230731002944 |
| Provider Name | Trisha Lynn Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881378172 PECOS PAC ID: 8820450711 Enrollment ID: I20230809001406 |
| Provider Name | Alexa Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063276970 PECOS PAC ID: 0042657470 Enrollment ID: I20240321001176 |
| Provider Name | Kariessa Taylor Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669234589 PECOS PAC ID: 1456799261 Enrollment ID: I20240328004010 |
| Provider Name | David Sly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255387148 PECOS PAC ID: 9032358379 Enrollment ID: I20240404000888 |
| Provider Name | Daryl Greenhall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780283580 PECOS PAC ID: 9537509302 Enrollment ID: I20240426000249 |
| Provider Name | Jason Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386870376 PECOS PAC ID: 3577728740 Enrollment ID: I20240513003272 |
| Provider Name | Lori Barbula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076412 PECOS PAC ID: 9436591484 Enrollment ID: I20240522003989 |
| Provider Name | Jamie Elizabeth Conigliaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356909584 PECOS PAC ID: 4688016322 Enrollment ID: I20240524003169 |
| Provider Name | Angela Poppe Ries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346458197 PECOS PAC ID: 6608961081 Enrollment ID: I20240612003692 |
| Provider Name | Safia L Hussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124805270 PECOS PAC ID: 3870938616 Enrollment ID: I20240823002544 |
| Provider Name | Aarti Surti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114284742 PECOS PAC ID: 6103133350 Enrollment ID: I20241111002092 |
| Provider Name | Karen Hye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710348511 PECOS PAC ID: 1456648179 Enrollment ID: I20241111003213 |
| Provider Name | Leah Coburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962978957 PECOS PAC ID: 5991049397 Enrollment ID: I20241115001007 |
| Provider Name | Marja Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893253 PECOS PAC ID: 4486714771 Enrollment ID: I20241205003029 |
| Provider Name | Halary Patch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255631248 PECOS PAC ID: 0840461018 Enrollment ID: I20241219002764 |
| Provider Name | Dana Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686908 PECOS PAC ID: 7911332887 Enrollment ID: I20241219003952 |
| Provider Name | Alexander Kazberouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831694660 PECOS PAC ID: 9436559929 Enrollment ID: I20250305003636 |
| Provider Name | Loveline Ozioma Imanatue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467022004 PECOS PAC ID: 4082009964 Enrollment ID: I20250319002712 |
| Provider Name | Mona Ghavami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164046553 PECOS PAC ID: 8921468554 Enrollment ID: I20250703002322 |
| Provider Name | Ann Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063871614 PECOS PAC ID: 9436453289 Enrollment ID: I20250725004184 |
| Provider Name | Charles Henry Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891565669 PECOS PAC ID: 8921450602 Enrollment ID: I20250916000549 |
| Provider Name | George Adesina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457642647 PECOS PAC ID: 4981912086 Enrollment ID: I20251022002377 |
| Provider Name | Ashley Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255118824 PECOS PAC ID: 1456791631 Enrollment ID: I20251231003916 |
| Provider Name | Hira Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790427227 PECOS PAC ID: 3870089337 Enrollment ID: I20260105002136 |
| Provider Name | Jessica Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695497 PECOS PAC ID: 1557618014 Enrollment ID: I20260115003110 |
| Provider Name | Aditi Ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255780276 PECOS PAC ID: 0547682312 Enrollment ID: I20260116003883 |
| Provider Name | Catherine Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477907400 PECOS PAC ID: 6204185291 Enrollment ID: I20260127004066 |
| Provider Name | Hannah Kaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740700384 PECOS PAC ID: 3577894922 Enrollment ID: I20260220003109 |
| Provider Name | Anjori Dunbar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720387269 PECOS PAC ID: 4587962329 Enrollment ID: I20260302000549 |
| Provider Name | Jennifer Madsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417615188 PECOS PAC ID: 3779947650 Enrollment ID: I20260406003213 |
| Provider Name | Melissa Brands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518303957 PECOS PAC ID: 2264671031 Enrollment ID: I20260501002825 |
| Provider Name | Helene Glassberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245228139 PECOS PAC ID: 2668378449 Enrollment ID: I20260505001427 |
| Provider Name | Victorya Khary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588690820 PECOS PAC ID: 8527195890 Enrollment ID: I20260521003066 |
| Provider Name | Brian Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316213234 PECOS PAC ID: 3375858467 Enrollment ID: I20260528000221 |
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 270, Phoenix, AZ 85029 Phone: 623-404-8505 Fax: 602-429-8475 |