| Jarvis Tzeng DO P a | |
|
108 10 N Tatum Blvd 102-132 Phoenix AZ 85028 | |
| (480) 389-6863 | |
| (888) 819-9648 |
| Full Name | Jarvis Tzeng DO P a |
|---|---|
| Speciality | Internal Medicine |
| Location | 108 10 N Tatum Blvd 102-132, Phoenix, Arizona |
| Authorized Official Name and Position | Jarvis Arthur Tzeng (PRESIDENT) |
| Authorized Official Contact | 4803896863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jarvis Tzeng DO P a 428 Childers St Ste 23343 Pensacola FL 32534-9630 Ph: (480) 389-6863 | Jarvis Tzeng DO P a 108 10 N Tatum Blvd 102-132 Phoenix AZ 85028 Ph: (480) 389-6863 |
| NPI Number | 1104104488 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 10/09/2026 |
| Certification Date | 10/09/2026 |
| Medicare PECOS PAC ID | 8325210917 |
|---|---|
| Medicare Enrollment ID | O20111003000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104104488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Jarvis a Tzeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811137722 PECOS PAC ID: 4587858956 Enrollment ID: I20111003000703 |
| Provider Name | Angela M Bribiescas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435506 PECOS PAC ID: 0648446039 Enrollment ID: I20120106000276 |
| Provider Name | Jeanne Esther Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619395399 PECOS PAC ID: 3476865460 Enrollment ID: I20150706000444 |
| Provider Name | Leilani Mcglynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912180746 PECOS PAC ID: 9133305378 Enrollment ID: I20150819007289 |
| Provider Name | Andrea R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669274 PECOS PAC ID: 2062715998 Enrollment ID: I20160126002205 |
| Provider Name | Bernadette Marie Esquibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569383 PECOS PAC ID: 8022312172 Enrollment ID: I20160210000558 |
| Provider Name | Hans J Hulsebos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619244704 PECOS PAC ID: 7416262258 Enrollment ID: I20171020002632 |
| Provider Name | Serena C Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306357397 PECOS PAC ID: 7517224306 Enrollment ID: I20171204001540 |
| Provider Name | Svetlana Serebryanaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952870628 PECOS PAC ID: 0840531489 Enrollment ID: I20190409002726 |
| Provider Name | Mariah Campoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952863011 PECOS PAC ID: 1557796612 Enrollment ID: I20200117000582 |
| Provider Name | Lebron Wesley Dennis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174142046 PECOS PAC ID: 8527488741 Enrollment ID: I20201008002865 |
| Provider Name | Liani K. Mccline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184243057 PECOS PAC ID: 3678993680 Enrollment ID: I20201013002273 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
| Provider Name | Joshua P Bauernfeind |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346746039 PECOS PAC ID: 3971921164 Enrollment ID: I20201217002247 |
| Provider Name | Brant E Kirk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477843605 PECOS PAC ID: 0749578912 Enrollment ID: I20210412001770 |
| Provider Name | Jennifer S Heeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487114054 PECOS PAC ID: 2769876473 Enrollment ID: I20220223000963 |
| Provider Name | Elena Nickolaevna Klimova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790346443 PECOS PAC ID: 8820482177 Enrollment ID: I20220302000864 |
| Provider Name | Anthony Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186419 PECOS PAC ID: 5496142051 Enrollment ID: I20220428002275 |
| Provider Name | Brittany Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861132235 PECOS PAC ID: 3971982174 Enrollment ID: I20220617001980 |
| Provider Name | Jasmine Atchison-saari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205584992 PECOS PAC ID: 7315326469 Enrollment ID: I20220620001145 |
| Provider Name | Stevenson Dominique |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912536301 PECOS PAC ID: 2365897840 Enrollment ID: I20231018004003 |
| Provider Name | Emily D Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134970965 PECOS PAC ID: 5294176095 Enrollment ID: I20240510001429 |
| Provider Name | Gillian M Brailsford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861215576 PECOS PAC ID: 9234668088 Enrollment ID: I20250123003861 |
| Provider Name | Thomas Edwin Mccrorey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972535334 PECOS PAC ID: 4587683610 Enrollment ID: I20250221003073 |
| Provider Name | Tiffany L Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598375800 PECOS PAC ID: 7618356098 Enrollment ID: I20250708003413 |
| Provider Name | Lonna B Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982565693 PECOS PAC ID: 6507342508 Enrollment ID: I20260109000410 |
| Provider Name | Melisa a Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982576468 PECOS PAC ID: 9830675206 Enrollment ID: I20260115002287 |
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