Mountain View Headache And Spine Institute Pllc | |
2222 E Highland Ave Ste 110 Phoenix AZ 85016-4874 | |
(602) 767-0007 | |
(602) 767-0027 |
Full Name | Mountain View Headache And Spine Institute Pllc |
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Speciality | Anesthesiology |
Location | 2222 E Highland Ave Ste 110, Phoenix, Arizona |
Authorized Official Name and Position | Ruchir Gupta (OWNER / CEO) |
Authorized Official Contact | 9174431263 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountain View Headache And Spine Institute Pllc 2222 E Highland Ave Ste 110 Phoenix AZ 85016-4874 Ph: (602) 767-0007 | Mountain View Headache And Spine Institute Pllc 2222 E Highland Ave Ste 110 Phoenix AZ 85016-4874 Ph: (602) 767-0007 |
NPI Number | 1356925960 |
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Provider Enumeration Date | 05/10/2021 |
Last Update Date | 02/21/2024 |
Medicare PECOS PAC ID | 9830590439 |
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Medicare Enrollment ID | O20210701003433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356925960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Primary |
Provider Name | Mohammad Abbasian |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1285693879 PECOS PAC ID: 9335126556 Enrollment ID: I20040706000510 |
Provider Name | Maria Reiss |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1285751214 PECOS PAC ID: 6204934458 Enrollment ID: I20070612000271 |
Provider Name | Imran Anwar Bhatti |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1912911280 PECOS PAC ID: 7315957297 Enrollment ID: I20111107000554 |
Provider Name | Anthony Collins |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1659559722 PECOS PAC ID: 2769552413 Enrollment ID: I20121228000492 |
Provider Name | Candice Rodriguez |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1083010730 PECOS PAC ID: 4789908401 Enrollment ID: I20150128000855 |
Provider Name | Kory G Thurman |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972052074 PECOS PAC ID: 1557640257 Enrollment ID: I20161121002469 |
Provider Name | Jennifer E Baker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134648363 PECOS PAC ID: 6406112630 Enrollment ID: I20171103002562 |
Provider Name | Jeremy Alvord |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1972913770 PECOS PAC ID: 8426277906 Enrollment ID: I20180717000980 |
Provider Name | Omar Viswanath |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1669813994 PECOS PAC ID: 8628320363 Enrollment ID: I20181009000796 |
Provider Name | Kelley Tennant |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1104474733 PECOS PAC ID: 9931431707 Enrollment ID: I20191028002273 |
Provider Name | Chelsea Lauren Schwartz |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1679115604 PECOS PAC ID: 2163856808 Enrollment ID: I20200709001467 |
Provider Name | Ruchir Gupta |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1265668453 PECOS PAC ID: 7012060361 Enrollment ID: I20210215001733 |
Provider Name | Ryan Wakim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20220421002443 |
Provider Name | Timothy Hayden |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841914355 PECOS PAC ID: 6103292990 Enrollment ID: I20221019001859 |
Provider Name | Garland Munns |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184347338 PECOS PAC ID: 5597132977 Enrollment ID: I20221028000855 |
Provider Name | Stephanie Raye Roberts |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215645916 PECOS PAC ID: 7911377601 Enrollment ID: I20221220002897 |
Provider Name | Richard Bradley Fleming |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285345181 PECOS PAC ID: 4981074846 Enrollment ID: I20230110002901 |
Provider Name | Brooke Tillia |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184339947 PECOS PAC ID: 3971975814 Enrollment ID: I20230202001604 |
Provider Name | Austin J Mill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174386940 PECOS PAC ID: 5991140477 Enrollment ID: I20240226000051 |
Provider Name | Cory Anne Petersen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427883065 PECOS PAC ID: 6507397064 Enrollment ID: I20241008002702 |
Provider Name | Jeffrey Krause |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1902167497 PECOS PAC ID: 7517388515 Enrollment ID: I20241119004593 |
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