| Optimal Spine & Health Center Inc | |
|
5656 S Power Rd Ste 132 Gilbert AZ 85295-8490 | |
| (480) 688-4006 | |
| Not Available |
| Full Name | Optimal Spine & Health Center Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 5656 S Power Rd Ste 132, Gilbert, Arizona |
| Authorized Official Name and Position | Kevin Fox (PRESIDENT) |
| Authorized Official Contact | 4809850040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Spine & Health Center Inc 5656 S Power Rd Ste 132 Gilbert AZ 85295-8490 Ph: () - | Optimal Spine & Health Center Inc 5656 S Power Rd Ste 132 Gilbert AZ 85295-8490 Ph: (480) 688-4006 |
| NPI Number | 1386835965 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 11/12/2018 |
| Medicare PECOS PAC ID | 2466487392 |
|---|---|
| Medicare Enrollment ID | O20050929000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386835965 | NPI | - | NPPES |
| Provider Name | Kevin A Fox |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972562783 PECOS PAC ID: 0446285373 Enrollment ID: I20050930000158 |
| Provider Name | Joel E Braun |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144457110 PECOS PAC ID: 9436204187 Enrollment ID: I20090901000272 |
| Provider Name | Daniel Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992955363 PECOS PAC ID: 4587701461 Enrollment ID: I20091026000518 |
| Provider Name | Irene Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205471 PECOS PAC ID: 5799001012 Enrollment ID: I20150304001963 |
| Provider Name | Shaun Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093261497 PECOS PAC ID: 3678858644 Enrollment ID: I20170315000379 |
| Provider Name | Boris Boguslavskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689075509 PECOS PAC ID: 7719208602 Enrollment ID: I20190607000687 |
| Provider Name | Thomas John Hulm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083247852 PECOS PAC ID: 8022411032 Enrollment ID: I20210728003883 |
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