| Aim Healthcare Providers LLC | |
|
161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 | |
| (480) 494-2465 | |
| (480) 534-4087 |
| Full Name | Aim Healthcare Providers LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 161 E Rivulon Blvd Ste 210, Gilbert, Arizona |
| Authorized Official Name and Position | Kelly Karaniuk (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 4804942465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Healthcare Providers LLC 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 494-2465 | Aim Healthcare Providers LLC 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 494-2465 |
| NPI Number | 1295278000 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 7315201555 |
|---|---|
| Medicare Enrollment ID | O20180516000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295278000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Amish S Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20130603000591 |
| Provider Name | Lauren M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093188054 PECOS PAC ID: 8527365592 Enrollment ID: I20160318001875 |
| Provider Name | Angelita Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522040 PECOS PAC ID: 7113352923 Enrollment ID: I20210520001925 |
| Provider Name | Jiori Theodora Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977555 PECOS PAC ID: 9931507621 Enrollment ID: I20211011001740 |
| Provider Name | Elizabeth Dagoberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205594413 PECOS PAC ID: 3577913763 Enrollment ID: I20231229002994 |
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