| 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 | 4804476841 |
| 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 | 03/14/2024 |
| Medicare PECOS PAC ID | 7315201555 |
|---|---|
| Medicare Enrollment ID | O20180516000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295278000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan M Rundle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578654232 PECOS PAC ID: 3476551615 Enrollment ID: I20061122000029 |
| Provider Name | Tanya Janette Sibrava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225230071 PECOS PAC ID: 3476654633 Enrollment ID: I20070718000719 |
| Provider Name | Mohammad A Khezrian |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922176239 PECOS PAC ID: 3375521727 Enrollment ID: I20070813000495 |
| Provider Name | Julie M Desoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275798464 PECOS PAC ID: 8729139639 Enrollment ID: I20100118000035 |
| Provider Name | Amish Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20130603000591 |
| Provider Name | Rachelle Usis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871914374 PECOS PAC ID: 0143450411 Enrollment ID: I20140306000602 |
| Provider Name | Glenda L Aguirre Kaiama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952732380 PECOS PAC ID: 1254554439 Enrollment ID: I20140514002504 |
| Provider Name | Manisha J Thakkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992729644 PECOS PAC ID: 1153594767 Enrollment ID: I20150611001621 |
| Provider Name | Mohammad M Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376835157 PECOS PAC ID: 4880996321 Enrollment ID: I20151230001268 |
| Provider Name | Lauren M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093188054 PECOS PAC ID: 8527365592 Enrollment ID: I20160318001875 |
| Provider Name | Linda Bazalaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851800338 PECOS PAC ID: 1153696414 Enrollment ID: I20171012001518 |
| Provider Name | Meagan Rose Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386297968 PECOS PAC ID: 4385975358 Enrollment ID: I20191007002128 |
| Provider Name | Jessica Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740435353 PECOS PAC ID: 9234294646 Enrollment ID: I20200131001257 |
| Provider Name | Leah Beth Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134746951 PECOS PAC ID: 8123441706 Enrollment ID: I20200715001232 |
| Provider Name | Praveen Jayakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235337486 PECOS PAC ID: 0648495150 Enrollment ID: I20201125001688 |
| Provider Name | Alyssa Lyn Birmingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386223162 PECOS PAC ID: 2163831942 Enrollment ID: I20210506002835 |
| Provider Name | Angelita Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522040 PECOS PAC ID: 7113352923 Enrollment ID: I20210520001925 |
| Provider Name | Virginia Leigh Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548843352 PECOS PAC ID: 5991108961 Enrollment ID: I20210805003000 |
| Provider Name | Holly Killough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578162822 PECOS PAC ID: 6507275807 Enrollment ID: I20211116000006 |
| Provider Name | Nicole Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982360699 PECOS PAC ID: 5890186878 Enrollment ID: I20211230000479 |
| Provider Name | Thelma St.victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578803656 PECOS PAC ID: 6406070838 Enrollment ID: I20230717000288 |
| Provider Name | Heather White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818957 PECOS PAC ID: 8729252986 Enrollment ID: I20231128001748 |
| Provider Name | Kimberly Kay Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467142463 PECOS PAC ID: 3971952433 Enrollment ID: I20231208001202 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20231212001329 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20231213000402 |
| 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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