| Midwestern University Multispecialty Clinic | |
|
19389 N 59th Ave Glendale AZ 85308-6500 | |
| (623) 537-6000 | |
| (623) 806-7689 |
| Full Name | Midwestern University Multispecialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 19389 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Matthew J Sweeney (VP & CFO) |
| Authorized Official Contact | 6305157307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern University Multispecialty Clinic 26520 Network Pl Chicago IL 60673-1265 Ph: (623) 537-6000 | Midwestern University Multispecialty Clinic 19389 N 59th Ave Glendale AZ 85308-6500 Ph: (623) 537-6000 |
| NPI Number | 1932206414 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 07/17/2026 |
| Certification Date | 07/17/2026 |
| Medicare PECOS PAC ID | 6305734773 |
|---|---|
| Medicare Enrollment ID | O20040308000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932206414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
| Provider Name | Linda M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396709192 PECOS PAC ID: 8426960709 Enrollment ID: I20040701000236 |
| Provider Name | Michelle D Mifflin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598875387 PECOS PAC ID: 4688629009 Enrollment ID: I20050318000466 |
| Provider Name | Kevin L Helmuth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699971739 PECOS PAC ID: 8729018403 Enrollment ID: I20050813000092 |
| Provider Name | Sean C Reeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437115599 PECOS PAC ID: 8325068604 Enrollment ID: I20051201000316 |
| Provider Name | Gwen a Wodiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467433839 PECOS PAC ID: 9830119809 Enrollment ID: I20051206000267 |
| Provider Name | Erik S Ornstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699764704 PECOS PAC ID: 2567483431 Enrollment ID: I20051207001043 |
| Provider Name | Donald R Curtis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902847577 PECOS PAC ID: 3678553351 Enrollment ID: I20070810000035 |
| Provider Name | Shannon C Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972702199 PECOS PAC ID: 6103911276 Enrollment ID: I20071004000116 |
| Provider Name | Lisa B Chiles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922077189 PECOS PAC ID: 7810975356 Enrollment ID: I20071210000418 |
| Provider Name | Lori a Kemper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659378651 PECOS PAC ID: 8022118330 Enrollment ID: I20080814000488 |
| Provider Name | Celeste M Delap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114171329 PECOS PAC ID: 1759442239 Enrollment ID: I20081202000554 |
| Provider Name | Corinne E Jedynak-bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326287285 PECOS PAC ID: 2163573098 Enrollment ID: I20090831000443 |
| Provider Name | Adam B Blacker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235361197 PECOS PAC ID: 9830237817 Enrollment ID: I20091111000612 |
| Provider Name | Jennifer L Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275731424 PECOS PAC ID: 5193864221 Enrollment ID: I20091203000393 |
| Provider Name | Robert E Fintelmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497971535 PECOS PAC ID: 9032269931 Enrollment ID: I20100219000509 |
| Provider Name | Julie J Browne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730419060 PECOS PAC ID: 7113052234 Enrollment ID: I20100315000750 |
| Provider Name | Janna L Kroleski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023282100 PECOS PAC ID: 5597958652 Enrollment ID: I20101021000211 |
| Provider Name | Vladimir V Yevseyenkov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881822898 PECOS PAC ID: 9830241397 Enrollment ID: I20110105000121 |
| Provider Name | Jesse V Dominguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669789814 PECOS PAC ID: 8022293547 Enrollment ID: I20110427000588 |
| Provider Name | Michael R Kozlowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407142375 PECOS PAC ID: 4981873122 Enrollment ID: I20110804000644 |
| Provider Name | Alicia E Feis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346403094 PECOS PAC ID: 7810061140 Enrollment ID: I20111024000099 |
| Provider Name | Gary C Gailius |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992087506 PECOS PAC ID: 6002072790 Enrollment ID: I20120725000019 |
| Provider Name | Christina M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730318387 PECOS PAC ID: 1052563574 Enrollment ID: I20121210000050 |
| Provider Name | Megan G Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699765792 PECOS PAC ID: 6002909983 Enrollment ID: I20130826000043 |
| Provider Name | Renee M Gazda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558591644 PECOS PAC ID: 9335382167 Enrollment ID: I20130827000530 |
| Provider Name | Margaret R Klausing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366874141 PECOS PAC ID: 5193969624 Enrollment ID: I20130923000608 |
| Provider Name | Anna L Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013330745 PECOS PAC ID: 0042436255 Enrollment ID: I20140724000977 |
| Provider Name | Christina a Esposito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467887786 PECOS PAC ID: 9234365073 Enrollment ID: I20140730001294 |
| Provider Name | Christopher Brown Lowe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659680734 PECOS PAC ID: 3274759030 Enrollment ID: I20140731000494 |
| Provider Name | Florencia J Yeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053751701 PECOS PAC ID: 4385878008 Enrollment ID: I20140821001352 |
| Provider Name | Danielle L Barnett-trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043507718 PECOS PAC ID: 1153643895 Enrollment ID: I20141208000466 |
| Provider Name | Mark a Kargela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992991848 PECOS PAC ID: 0244328201 Enrollment ID: I20150617000104 |
| Provider Name | Sabrina K Rocke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086611 PECOS PAC ID: 3870806029 Enrollment ID: I20150717000863 |
| Provider Name | Justin B Macklin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669864641 PECOS PAC ID: 1153635685 Enrollment ID: I20150728006183 |
| Provider Name | Laura K Addy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477969947 PECOS PAC ID: 0143536474 Enrollment ID: I20150902000150 |
| Provider Name | Brianna H Ryff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356759195 PECOS PAC ID: 6406076322 Enrollment ID: I20150921003010 |
| Provider Name | Amanda Christie Rapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104192525 PECOS PAC ID: 2163739137 Enrollment ID: I20150923003182 |
| Provider Name | Caitlin C Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144637844 PECOS PAC ID: 0941428536 Enrollment ID: I20151026000659 |
| Provider Name | Sharon P Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992141899 PECOS PAC ID: 5294036281 Enrollment ID: I20151216001532 |
| Provider Name | Eileen M Tokarz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194868711 PECOS PAC ID: 7416192885 Enrollment ID: I20160328000924 |
| Provider Name | Holly Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497109011 PECOS PAC ID: 3375834070 Enrollment ID: I20160628001935 |
| Provider Name | Sarah Y Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962888578 PECOS PAC ID: 4385953983 Enrollment ID: I20160822002067 |
| Provider Name | Stephanie C Christensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417401217 PECOS PAC ID: 4981990306 Enrollment ID: I20160912001788 |
| Provider Name | Jenna Sangkam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043659998 PECOS PAC ID: 5395032411 Enrollment ID: I20160916002107 |
| Provider Name | Patricia R Bogaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255378279 PECOS PAC ID: 7911891254 Enrollment ID: I20170213002373 |
| Provider Name | Pierce Eliason Kenworthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447668553 PECOS PAC ID: 3274755467 Enrollment ID: I20170310000405 |
| Provider Name | Ethan Wash |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588192033 PECOS PAC ID: 1052689726 Enrollment ID: I20170621002111 |
| Provider Name | Suzanne K O'neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609082205 PECOS PAC ID: 5698043396 Enrollment ID: I20170621002901 |
| Provider Name | Carly Anne Ernst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891112900 PECOS PAC ID: 5294030474 Enrollment ID: I20170725001581 |
| Provider Name | David E Virgil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598175747 PECOS PAC ID: 8820360449 Enrollment ID: I20170816004229 |
| Provider Name | Sabrina Nicole Wade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053824490 PECOS PAC ID: 8921364456 Enrollment ID: I20171115003385 |
| Provider Name | Kelly D Varney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982056750 PECOS PAC ID: 9032402011 Enrollment ID: I20171116001589 |
| Provider Name | Matthew K Roe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659722957 PECOS PAC ID: 7113214321 Enrollment ID: I20171116002554 |
| Provider Name | Sarah E Huff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275054470 PECOS PAC ID: 9537426952 Enrollment ID: I20171120001778 |
| Provider Name | Stephanie P Sanchez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780194670 PECOS PAC ID: 9739446402 Enrollment ID: I20171205002171 |
| Provider Name | Grace Liao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699127225 PECOS PAC ID: 6800182700 Enrollment ID: I20171206000123 |
| Provider Name | Wendy W Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952564114 PECOS PAC ID: 8820244437 Enrollment ID: I20171208001505 |
| Provider Name | Evelyn G Heigh-rosen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073933826 PECOS PAC ID: 6901171792 Enrollment ID: I20180629002580 |
| Provider Name | Elizabeth Escobedo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235652553 PECOS PAC ID: 2860766391 Enrollment ID: I20180911003712 |
| Provider Name | Eric a Woo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548524143 PECOS PAC ID: 9436307014 Enrollment ID: I20181213000025 |
| Provider Name | Jasandeep Uppal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952780223 PECOS PAC ID: 6608189980 Enrollment ID: I20181218000294 |
| Provider Name | Johanna Marie M Richey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043579162 PECOS PAC ID: 3779732763 Enrollment ID: I20181227001597 |
| Provider Name | Rita Denise Ator |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205893682 PECOS PAC ID: 5395733893 Enrollment ID: I20190410002814 |
| Provider Name | Nancy Horlick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396745337 PECOS PAC ID: 1759612716 Enrollment ID: I20191007001645 |
| Provider Name | Paige S Reasor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881256980 PECOS PAC ID: 1759613532 Enrollment ID: I20191028002739 |
| Provider Name | Elaine Ramos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780035584 PECOS PAC ID: 9133416340 Enrollment ID: I20200326002972 |
| Provider Name | Carl B Bryce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619315074 PECOS PAC ID: 4183867633 Enrollment ID: I20200408000345 |
| Provider Name | Marissa K Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821522632 PECOS PAC ID: 2567885650 Enrollment ID: I20200708001084 |
| Provider Name | Hadass Fuerst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306370176 PECOS PAC ID: 6305262023 Enrollment ID: I20200812001931 |
| Provider Name | Cindy L Hum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679199434 PECOS PAC ID: 4486072204 Enrollment ID: I20200910002536 |
| Provider Name | Sydni Davis Farhat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114554045 PECOS PAC ID: 8123446457 Enrollment ID: I20200911001231 |
| Provider Name | Theron Liddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528515939 PECOS PAC ID: 2668744673 Enrollment ID: I20200921001545 |
| Provider Name | Mikaela L Lyding |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306237565 PECOS PAC ID: 8729407275 Enrollment ID: I20201001002276 |
| Provider Name | Joshua a Subialka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700294204 PECOS PAC ID: 3375765415 Enrollment ID: I20210107002292 |
| Provider Name | Kylie B Prehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982100756 PECOS PAC ID: 6002210382 Enrollment ID: I20210810001825 |
| Provider Name | Mahsa Agha Jafari |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023515962 PECOS PAC ID: 9436553476 Enrollment ID: I20210812001529 |
| Provider Name | Lisa Ann Naylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891003695 PECOS PAC ID: 8325444805 Enrollment ID: I20210908003523 |
| Provider Name | Lyle J Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215238688 PECOS PAC ID: 6406008408 Enrollment ID: I20220309002684 |
| Provider Name | Jamie L Ybarra |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073820601 PECOS PAC ID: 7911392329 Enrollment ID: I20220322002371 |
| Provider Name | Shanyn C Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790858462 PECOS PAC ID: 1557363827 Enrollment ID: I20220329001920 |
| Provider Name | Kimberly Klatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144887134 PECOS PAC ID: 3678956414 Enrollment ID: I20220811002451 |
| Provider Name | Angela D Reed |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407199516 PECOS PAC ID: 4486030079 Enrollment ID: I20221005001791 |
| Provider Name | Laura J Weinrich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306192711 PECOS PAC ID: 0840676441 Enrollment ID: I20221005002344 |
| Provider Name | Kamrie E Wolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669195517 PECOS PAC ID: 9436526886 Enrollment ID: I20221027003199 |
| Provider Name | Stephanie Z Brown |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1992363816 PECOS PAC ID: 6608246004 Enrollment ID: I20221229001336 |
| Provider Name | Noelle M Sahhar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417670928 PECOS PAC ID: 6406228196 Enrollment ID: I20230206002202 |
| Provider Name | Charles W Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811602865 PECOS PAC ID: 2163887209 Enrollment ID: I20230425002433 |
| Provider Name | Jordan Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760166433 PECOS PAC ID: 9032577168 Enrollment ID: I20230622001821 |
| Provider Name | Rachel L Stephan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215283668 PECOS PAC ID: 2860640620 Enrollment ID: I20230713002503 |
| Provider Name | Eren R Ural |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1376992693 PECOS PAC ID: 9537594460 Enrollment ID: I20230804001950 |
| Provider Name | Lisa Dawn Bunker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831567197 PECOS PAC ID: 8224487210 Enrollment ID: I20231215002861 |
| Provider Name | Ashley Olson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326739012 PECOS PAC ID: 9638529217 Enrollment ID: I20231221003573 |
| Provider Name | Michael S Bogaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083607535 PECOS PAC ID: 5294170775 Enrollment ID: I20240225000102 |
| Provider Name | Kathryn R Neuer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1558717082 PECOS PAC ID: 0749629988 Enrollment ID: I20240419002619 |
| Provider Name | Melissa N Sacchetta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437670197 PECOS PAC ID: 5698114841 Enrollment ID: I20240419002881 |
| Provider Name | Taylor Bosch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932951597 PECOS PAC ID: 6103366026 Enrollment ID: I20240906000599 |
| Provider Name | Cole Ryan Hauck-wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538901269 PECOS PAC ID: 1355881277 Enrollment ID: I20240906000696 |
| Provider Name | Sylvia J Panora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275917585 PECOS PAC ID: 6406145408 Enrollment ID: I20240918002679 |
| Provider Name | Krupa J Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013604594 PECOS PAC ID: 2466810403 Enrollment ID: I20241028003494 |
| Provider Name | Jennifer L Shuey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891373692 PECOS PAC ID: 9739612540 Enrollment ID: I20241101000416 |
| Provider Name | Alisha M Kleindel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992176713 PECOS PAC ID: 7214463066 Enrollment ID: I20241204001220 |
| Provider Name | Candace B Ortiz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093574048 PECOS PAC ID: 8022521962 Enrollment ID: I20250702002875 |
| Provider Name | Christine Michelle Meyer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497599765 PECOS PAC ID: 7416457866 Enrollment ID: I20250821001097 |
| Provider Name | Charnjot Bassi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629864855 PECOS PAC ID: 1951898394 Enrollment ID: I20251017002003 |
| Provider Name | Renee E Doss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255708251 PECOS PAC ID: 2163714239 Enrollment ID: I20251031003098 |
| Provider Name | Michelle Kimiko Sakuda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912893454 PECOS PAC ID: 6901395516 Enrollment ID: I20251031003831 |
| Provider Name | Zachary Lindy Whitaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205457603 PECOS PAC ID: 5890118350 Enrollment ID: I20251111002489 |
| Provider Name | Gavin Trent Jaime |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548157548 PECOS PAC ID: 2062904725 Enrollment ID: I20251120003603 |
| Provider Name | Shaye Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881487502 PECOS PAC ID: 1759873615 Enrollment ID: I20251126003501 |
| Provider Name | Ceferino Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962080879 PECOS PAC ID: 3476952003 Enrollment ID: I20260611003511 |
| Provider Name | Elisabeth R Stuewe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235174632 PECOS PAC ID: 9032682133 Enrollment ID: I20260619001898 |
Endocrinology, Diabetes, and Thyroid Center of Arizona PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308 Phone: 623-266-7858 Fax: 623-444-9810 |
Harbor Pointe Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306 Phone: 602-548-7800 Fax: 602-548-0006 |
William E. Zachow D.O., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7802 N 43rd Ave, Suite # 5, Glendale, AZ 85301 Phone: 602-790-4221 |
Arrowhead Health Center & Spa, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17100 W 67th Ave, 300, Glendale, AZ 85308 Phone: 818-458-2587 |
Safety One Medical Transportation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8528 N 43rd Dr, Glendale, AZ 85302 Phone: 623-217-1559 |
Sun Valley Geriatric Medicine, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6740 W Deer Valley Rd, Suite D 107, Glendale, AZ 85310 Phone: 623-734-7414 |