| Northwest Cardiology Llc | |
|
6080 N La Cholla Blvd Suite 200 Tucson AZ 85741-3554 | |
| (520) 797-8550 | |
| (520) 797-8537 |
| Full Name | Northwest Cardiology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6080 N La Cholla Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Cardiology Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Northwest Cardiology Llc 6080 N La Cholla Blvd Suite 200 Tucson AZ 85741-3554 Ph: (520) 797-8550 |
| NPI Number | 1154642056 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 6608991526 |
|---|---|
| Medicare Enrollment ID | O20100916000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154642056 | NPI | - | NPPES |
| 534246 | Medicaid | AZ |
| Provider Name | Rizwan Safdar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982651857 PECOS PAC ID: 2769389832 Enrollment ID: I20040203000902 |
| Provider Name | Kirk M Gavlick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669434619 PECOS PAC ID: 1658366489 Enrollment ID: I20040420000106 |
| Provider Name | Tedd M Goldfinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164425252 PECOS PAC ID: 6507750536 Enrollment ID: I20040617001410 |
| Provider Name | Heriberto G Gutierrez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336142074 PECOS PAC ID: 4880583673 Enrollment ID: I20040617001520 |
| Provider Name | Todd L Locher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942300124 PECOS PAC ID: 0648221036 Enrollment ID: I20050202000875 |
| Provider Name | Carol M Dehasse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205811205 PECOS PAC ID: 3971559048 Enrollment ID: I20050322001234 |
| Provider Name | Hoang M Thai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811924640 PECOS PAC ID: 8123063500 Enrollment ID: I20050627000232 |
| Provider Name | Imran Ata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366557563 PECOS PAC ID: 9133157605 Enrollment ID: I20050727000535 |
| Provider Name | Howard Michael Comstock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942254230 PECOS PAC ID: 5395779698 Enrollment ID: I20050926001025 |
| Provider Name | Patrick M Chiasson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861458754 PECOS PAC ID: 1456336072 Enrollment ID: I20051025000313 |
| Provider Name | Stephen E Burpee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609831841 PECOS PAC ID: 5991722456 Enrollment ID: I20051025000365 |
| Provider Name | Gloria J Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992848741 PECOS PAC ID: 6608893342 Enrollment ID: I20051101000456 |
| Provider Name | Grace Hou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801908181 PECOS PAC ID: 9133149750 Enrollment ID: I20051129000089 |
| Provider Name | Leonard M Moss |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1417907759 PECOS PAC ID: 1052323623 Enrollment ID: I20060622000339 |
| Provider Name | David I Lapan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548248248 PECOS PAC ID: 7416956800 Enrollment ID: I20061213000039 |
| Provider Name | Cathryn Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992758569 PECOS PAC ID: 0547270258 Enrollment ID: I20070407000025 |
| Provider Name | Rex D Cooley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891760500 PECOS PAC ID: 8325038672 Enrollment ID: I20071108000731 |
| Provider Name | John K Shekleton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649277666 PECOS PAC ID: 9931205127 Enrollment ID: I20080215000367 |
| Provider Name | Rehan Iftikhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861400749 PECOS PAC ID: 5991755704 Enrollment ID: I20080813000728 |
| Provider Name | Ibraheem M Mizyed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851592570 PECOS PAC ID: 9638247935 Enrollment ID: I20081013000591 |
| Provider Name | Stacey L Yell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124124193 PECOS PAC ID: 1951469386 Enrollment ID: I20081029000100 |
| Provider Name | Kimberly K Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295906790 PECOS PAC ID: 6800961665 Enrollment ID: I20090908000521 |
| Provider Name | Gundeep Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972542108 PECOS PAC ID: 5799770210 Enrollment ID: I20090909000382 |
| Provider Name | Mark T Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366594749 PECOS PAC ID: 0042317745 Enrollment ID: I20100802000995 |
| Provider Name | Rachel E Deal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598935090 PECOS PAC ID: 8123152089 Enrollment ID: I20100813000266 |
| Provider Name | Eliza Panczyk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861699761 PECOS PAC ID: 9537283486 Enrollment ID: I20100828000067 |
| Provider Name | Anthony J Galeo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083647630 PECOS PAC ID: 8123097177 Enrollment ID: I20110630000267 |
| Provider Name | R Christopher Dillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295913473 PECOS PAC ID: 5890963730 Enrollment ID: I20110720000838 |
| Provider Name | Constantine C Boiangiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265645436 PECOS PAC ID: 1850450800 Enrollment ID: I20110930000544 |
| Provider Name | Zain I Khalpey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750441424 PECOS PAC ID: 5395907802 Enrollment ID: I20120430000322 |
| Provider Name | Ejovi Ughwanogho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518027481 PECOS PAC ID: 4587834759 Enrollment ID: I20130214000448 |
| Provider Name | Alice Ann Whittington-gulba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972946606 PECOS PAC ID: 0749428654 Enrollment ID: I20130605000519 |
| Provider Name | Joseph C Vaglio |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578537718 PECOS PAC ID: 9830123835 Enrollment ID: I20140305001010 |
| Provider Name | Anthony P Gaddi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942449558 PECOS PAC ID: 2365627528 Enrollment ID: I20150116000085 |
| Provider Name | Elias S Kakish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346495892 PECOS PAC ID: 1052462140 Enrollment ID: I20150120001097 |
| Provider Name | Matthew T Malone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912952136 PECOS PAC ID: 8426036625 Enrollment ID: I20150129002307 |
| Provider Name | Danelle M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093192502 PECOS PAC ID: 6608188131 Enrollment ID: I20150710002548 |
| Provider Name | Dexter G De Leon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598965907 PECOS PAC ID: 7719038744 Enrollment ID: I20160802000519 |
| Provider Name | Fadi Adra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366630683 PECOS PAC ID: 8921276080 Enrollment ID: I20160812000623 |
| Provider Name | Mariah C Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883064 PECOS PAC ID: 3173803152 Enrollment ID: I20161208001646 |
| Provider Name | Jason Wayne Nielsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730400649 PECOS PAC ID: 7214100452 Enrollment ID: I20180910000134 |
| Provider Name | Michelle Goin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386989887 PECOS PAC ID: 5698910297 Enrollment ID: I20180920000684 |
| Provider Name | Michele K Dodman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659364974 PECOS PAC ID: 0345216339 Enrollment ID: I20180921000962 |
| Provider Name | Jessica M Serrano Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386059897 PECOS PAC ID: 8426302183 Enrollment ID: I20181115000625 |
| Provider Name | Norma T Walks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043410418 PECOS PAC ID: 6901076116 Enrollment ID: I20181121001690 |
| Provider Name | Samantha Gretchen Cristelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651896 PECOS PAC ID: 4880938281 Enrollment ID: I20181211002095 |
| Provider Name | Sandra Pullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895706 PECOS PAC ID: 5597002287 Enrollment ID: I20190204002507 |
| Provider Name | Sulaiman Aziz Rathore |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154580504 PECOS PAC ID: 0749475176 Enrollment ID: I20190404002170 |
| Provider Name | Melissa Dakkak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932543774 PECOS PAC ID: 1557676392 Enrollment ID: I20190717003002 |
| Provider Name | Andrew Chapman Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851730501 PECOS PAC ID: 8325331531 Enrollment ID: I20190821001276 |
| Provider Name | Dafney Lubin Davare |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861771610 PECOS PAC ID: 8527292952 Enrollment ID: I20190916001472 |
| Provider Name | Rammohan Marla |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063583359 PECOS PAC ID: 6507930997 Enrollment ID: I20191120002558 |
| Provider Name | Narzahni J Crumbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821554999 PECOS PAC ID: 9335577923 Enrollment ID: I20200313000647 |
| Provider Name | Marta Riniker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174934343 PECOS PAC ID: 4385942333 Enrollment ID: I20200709001215 |
| Provider Name | Alice Fay Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033733647 PECOS PAC ID: 0749606846 Enrollment ID: I20200820000160 |
| Provider Name | Chiamaka Geraldine Baba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811516834 PECOS PAC ID: 8224458799 Enrollment ID: I20201022000524 |
| Provider Name | Nicholas R Ahrendt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043744998 PECOS PAC ID: 7911252242 Enrollment ID: I20210415002333 |
| Provider Name | Mark F Kowalski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104822790 PECOS PAC ID: 2860561909 Enrollment ID: I20210427000571 |
| Provider Name | Bhavananda T Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326130758 PECOS PAC ID: 4486600301 Enrollment ID: I20210618001018 |
| Provider Name | Chris S Luther |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285013169 PECOS PAC ID: 0648585448 Enrollment ID: I20210806002588 |
| Provider Name | Colin Russell Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891101317 PECOS PAC ID: 7911125224 Enrollment ID: I20210809003077 |
| Provider Name | Kinjan P Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013302306 PECOS PAC ID: 7416351358 Enrollment ID: I20210813002374 |
| Provider Name | Ryan Avey Nixon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356736441 PECOS PAC ID: 1850796780 Enrollment ID: I20210816002854 |
| Provider Name | Kelly Lara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083008940 PECOS PAC ID: 5890110530 Enrollment ID: I20210910002584 |
| Provider Name | Jaime Lynn O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316611171 PECOS PAC ID: 4688062425 Enrollment ID: I20211027000760 |
| Provider Name | Snigdha Toodi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114314572 PECOS PAC ID: 3870885445 Enrollment ID: I20211203000670 |
| Provider Name | Steven Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306289764 PECOS PAC ID: 1759624661 Enrollment ID: I20220411002407 |
| Provider Name | Gina Cliett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164697876 PECOS PAC ID: 5193873362 Enrollment ID: I20220427001419 |
| Provider Name | Osama M Mukhtar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851775753 PECOS PAC ID: 0143642363 Enrollment ID: I20220611000366 |
| Provider Name | Felix M Reyes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801211149 PECOS PAC ID: 7416336946 Enrollment ID: I20220614000814 |
| Provider Name | Gregory Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801250659 PECOS PAC ID: 8426453044 Enrollment ID: I20220805000609 |
| Provider Name | Abhinav Mittal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538555388 PECOS PAC ID: 5395048912 Enrollment ID: I20220815003119 |
| Provider Name | Nazneen Shaikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770073934 PECOS PAC ID: 7214311232 Enrollment ID: I20220825000380 |
| Provider Name | Seda Bourikian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447780093 PECOS PAC ID: 8022492966 Enrollment ID: I20220826001150 |
| Provider Name | Osama Abdel-hafez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811299159 PECOS PAC ID: 2163647249 Enrollment ID: I20220830002996 |
| Provider Name | Rebecca Innes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356878953 PECOS PAC ID: 2567730773 Enrollment ID: I20220929001313 |
| Provider Name | Shane Svoboda |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083930275 PECOS PAC ID: 7618104696 Enrollment ID: I20221007000328 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 N Silverbell Rd Ste 265, Tucson, AZ 85745 Phone: 520-724-0559 Fax: 520-220-5115 | |
Sparcc Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-222-8076 Fax: 520-300-7156 | |
Iora Senior Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ijesa Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6060 N Fountain Plaza Dr Ste 270, Tucson, AZ 85704 Phone: 520-229-2578 Fax: 520-229-2561 |