| Newco Hatfield Medical Group Pllc | |
|
595 N Dobson Rd Ste D65 Chandler AZ 85224-4234 | |
| (480) 718-1300 | |
| (480) 718-1301 |
| Full Name | Newco Hatfield Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 595 N Dobson Rd Ste D65, Chandler, Arizona |
| Authorized Official Name and Position | David E Hatfield (MEMBER-OWNER) |
| Authorized Official Contact | 4804442017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newco Hatfield Medical Group Pllc Po Box 7060 Chandler AZ 85246-7060 Ph: (414) 975-3236 | Newco Hatfield Medical Group Pllc 595 N Dobson Rd Ste D65 Chandler AZ 85224-4234 Ph: (480) 718-1300 |
| NPI Number | 1578125233 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 6002145612 |
|---|---|
| Medicare Enrollment ID | O20190906002693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578125233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Charina F Tecson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639145568 PECOS PAC ID: 8022099472 Enrollment ID: I20040602000086 |
| Provider Name | Jerry E Owensby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871524132 PECOS PAC ID: 9638138837 Enrollment ID: I20041004001120 |
| Provider Name | Jacqueline M Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468807 PECOS PAC ID: 7416917299 Enrollment ID: I20041015000485 |
| Provider Name | Jay V Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346265675 PECOS PAC ID: 1951357821 Enrollment ID: I20050323001046 |
| Provider Name | Lois M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003896622 PECOS PAC ID: 0749376366 Enrollment ID: I20071012000233 |
| Provider Name | Frank J Metzger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669411203 PECOS PAC ID: 2062544828 Enrollment ID: I20100715000025 |
| Provider Name | Kirit N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265497218 PECOS PAC ID: 3274534532 Enrollment ID: I20110503000397 |
| Provider Name | Debra Rodgers Herington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352410 PECOS PAC ID: 6608015359 Enrollment ID: I20130610000746 |
| Provider Name | Daksha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972834976 PECOS PAC ID: 5294968244 Enrollment ID: I20140429000946 |
| Provider Name | Amy M Metzger Mchardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780986422 PECOS PAC ID: 4082853718 Enrollment ID: I20160603001552 |
| Provider Name | Michelle L Fulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972782282 PECOS PAC ID: 0244300291 Enrollment ID: I20170403002356 |
| Provider Name | Alyssa M Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710408224 PECOS PAC ID: 7911271986 Enrollment ID: I20170914003973 |
| Provider Name | Amy Shinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356830574 PECOS PAC ID: 1355692153 Enrollment ID: I20180918001448 |
| Provider Name | Emelita L Cabilatazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891275657 PECOS PAC ID: 5991042319 Enrollment ID: I20190123002971 |
| Provider Name | Erica Marie Grabinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780176404 PECOS PAC ID: 7416353875 Enrollment ID: I20210909002862 |
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