| Kelly H. Roy, MD, PC | |
|
1008 E Mcdowell Rd Phoenix AZ 85006 | |
| (602) 358-8588 | |
| (602) 688-6991 |
| Full Name | Kelly H. Roy, MD, PC |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1008 E Mcdowell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Tracey Vega (CREDENTIALING) |
| Authorized Official Contact | 6023588588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly H. Roy, MD, PC 1008 E Mcdowell Rd Ste A Phoenix AZ 85006-2603 Ph: (602) 358-8588 | Kelly H. Roy, MD, PC 1008 E Mcdowell Rd Phoenix AZ 85006 Ph: (602) 358-8588 |
| NPI Number | 1003099367 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Medicare PECOS PAC ID | 3476526724 |
|---|---|
| Medicare Enrollment ID | O20040816000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003099367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | () | Primary |
| Provider Name | Kelly H Roy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891787693 PECOS PAC ID: 8527031772 Enrollment ID: I20040817000398 |
| Provider Name | Thomas J Waliser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639190572 PECOS PAC ID: 1355444712 Enrollment ID: I20080911000137 |
| Provider Name | Alexandra E. Kidd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184717845 PECOS PAC ID: 5395700991 Enrollment ID: I20110504000148 |
| Provider Name | Cynthia E Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245263680 PECOS PAC ID: 5193948255 Enrollment ID: I20140519002198 |
| Provider Name | Casandra a Liggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073873774 PECOS PAC ID: 4183918105 Enrollment ID: I20160812001518 |
| Provider Name | Heather M Zechman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649245762 PECOS PAC ID: 7315047529 Enrollment ID: I20170722000298 |
| Provider Name | Nikkeya Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831662469 PECOS PAC ID: 7618216375 Enrollment ID: I20190225003036 |
| Provider Name | Nikala Nechelle Lighty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326511221 PECOS PAC ID: 8527309384 Enrollment ID: I20190404002702 |
| Provider Name | John Mather Davitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730576927 PECOS PAC ID: 1052645660 Enrollment ID: I20190701001489 |
| Provider Name | Ashley N Deyoung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962977538 PECOS PAC ID: 4587086517 Enrollment ID: I20200622001055 |
| Provider Name | Dana Mckee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699138248 PECOS PAC ID: 3173816535 Enrollment ID: I20200713003554 |
| Provider Name | Skylar K Ryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639729247 PECOS PAC ID: 3173936622 Enrollment ID: I20201230002557 |
| Provider Name | Jacqueline M Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760088009 PECOS PAC ID: 4688075047 Enrollment ID: I20210623002635 |
| Provider Name | Thi Thi Kim Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942737838 PECOS PAC ID: 4688076953 Enrollment ID: I20210708002295 |
| Provider Name | Tessa L Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689243487 PECOS PAC ID: 2264822634 Enrollment ID: I20211130001080 |
| Provider Name | Elizabeth D Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073275418 PECOS PAC ID: 9830583442 Enrollment ID: I20220224002169 |
| Provider Name | Nisha Garg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164876256 PECOS PAC ID: 4981955846 Enrollment ID: I20220906002139 |
| Provider Name | Esosa J Nwambuonwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760147755 PECOS PAC ID: 0941686695 Enrollment ID: I20221003002718 |
| Provider Name | Shabnam Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326401696 PECOS PAC ID: 0648675199 Enrollment ID: I20221025000559 |
| Provider Name | Kylie Truncellito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144969320 PECOS PAC ID: 5092187708 Enrollment ID: I20230206002989 |
| Provider Name | Erin Ferrigni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386104800 PECOS PAC ID: 8628303930 Enrollment ID: I20230531002443 |
| Provider Name | Rochelle Patraea Flores |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619601929 PECOS PAC ID: 6901242122 Enrollment ID: I20240312001267 |
| Provider Name | Lesley N Myrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134868193 PECOS PAC ID: 7315386430 Enrollment ID: I20240422001771 |
| Provider Name | Ophelia Luu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407577737 PECOS PAC ID: 9739555905 Enrollment ID: I20240812003966 |
| Provider Name | Georgina Alaniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235939083 PECOS PAC ID: 6608391230 Enrollment ID: I20250416002338 |
| Provider Name | Jasmine Rose Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538950464 PECOS PAC ID: 5294247490 Enrollment ID: I20250624001642 |
| Provider Name | Farin Shiehzadegan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598447674 PECOS PAC ID: 1052828704 Enrollment ID: I20250728002144 |
| Provider Name | Avery Tosto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801681192 PECOS PAC ID: 4981189032 Enrollment ID: I20260326003703 |
| Provider Name | Alexis English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417884412 PECOS PAC ID: 7012489008 Enrollment ID: I20260610002454 |
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