| Phoenix Medical Group, P.c. | |
|
9171 W. Thunderbird Rd. Suite 101 Peoria AZ 85381 | |
| (623) 815-7800 | |
| (623) 815-7900 |
| Full Name | Phoenix Medical Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9171 W. Thunderbird Rd., Peoria, Arizona |
| Authorized Official Name and Position | Robert R Orr (DIRECTOR) |
| Authorized Official Contact | 6238157800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Medical Group, P.c. 9171 W. Thunderbird Road Suite 101 Peoria AZ 85381 Ph: (623) 815-7800 | Phoenix Medical Group, P.c. 9171 W. Thunderbird Rd. Suite 101 Peoria AZ 85381 Ph: (623) 815-7800 |
| NPI Number | 1316952971 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769396589 |
|---|---|
| Medicare Enrollment ID | O20031117000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316952971 | NPI | - | NPPES |
| Provider Name | Lester A Epstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760446769 PECOS PAC ID: 5092611962 Enrollment ID: I20031210001035 |
| Provider Name | Ali Mojaverian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205829843 PECOS PAC ID: 9931199130 Enrollment ID: I20040518000325 |
| Provider Name | Jose L Pierrend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518950161 PECOS PAC ID: 2769473933 Enrollment ID: I20040518001426 |
| Provider Name | Michael S Lepire |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295786812 PECOS PAC ID: 9234179060 Enrollment ID: I20050511000051 |
| Provider Name | Walter H Migotto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922013689 PECOS PAC ID: 6406851831 Enrollment ID: I20060919000136 |
| Provider Name | Mohammad H Madantschi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710103023 PECOS PAC ID: 1456246990 Enrollment ID: I20080129000362 |
| Provider Name | Daniel A Belen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790722452 PECOS PAC ID: 1951312032 Enrollment ID: I20080821000647 |
| Provider Name | Girolamo J Arpino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578710265 PECOS PAC ID: 4082780721 Enrollment ID: I20090625000524 |
| Provider Name | Reginald Pius P Baldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295966315 PECOS PAC ID: 7416003801 Enrollment ID: I20091016000238 |
| Provider Name | Robert R Orr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003809930 PECOS PAC ID: 4183538903 Enrollment ID: I20100209000307 |
| Provider Name | Abdullah M Yonan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255324182 PECOS PAC ID: 3870636145 Enrollment ID: I20100209000313 |
| Provider Name | Susan A Orsich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467766899 PECOS PAC ID: 2668664756 Enrollment ID: I20101007000695 |
| Provider Name | Jessica Zeman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093869414 PECOS PAC ID: 6709050479 Enrollment ID: I20111114000812 |
| Provider Name | Julie A Wendt |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497738314 PECOS PAC ID: 7618991126 Enrollment ID: I20120214000205 |
| Provider Name | Srividya Ariyan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740483619 PECOS PAC ID: 3971774373 Enrollment ID: I20131016000299 |
| Provider Name | Simarpreet K Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992132773 PECOS PAC ID: 1951539451 Enrollment ID: I20140108000354 |
| Provider Name | Catherine A Spire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689765422 PECOS PAC ID: 1456430602 Enrollment ID: I20140606000475 |
| Provider Name | Janelle Gaddis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437576980 PECOS PAC ID: 8426272121 Enrollment ID: I20140619002395 |
| Provider Name | Gregory M Cowan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1164756904 PECOS PAC ID: 9931320025 Enrollment ID: I20141014000952 |
| Provider Name | Elena I Ivanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396132312 PECOS PAC ID: 3375855349 Enrollment ID: I20150703000045 |
| Provider Name | Lavanya Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972945269 PECOS PAC ID: 3577851609 Enrollment ID: I20161005001873 |
| Provider Name | Misbah W Altaf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790917052 PECOS PAC ID: 7315199114 Enrollment ID: I20161130002339 |
| Provider Name | Jordan A Sennett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093736209 PECOS PAC ID: 2769406289 Enrollment ID: I20161221001563 |
| Provider Name | Melissa J Ries |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790195964 PECOS PAC ID: 1052683356 Enrollment ID: I20170822001475 |
| Provider Name | Leonid Vydro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902148380 PECOS PAC ID: 7911299987 Enrollment ID: I20180521003232 |
| Provider Name | Misty A Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154869261 PECOS PAC ID: 7618212010 Enrollment ID: I20181212002603 |
| Provider Name | Melissa Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366455 PECOS PAC ID: 0446590681 Enrollment ID: I20190325002658 |
| Provider Name | Dustin Bruce Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300777 PECOS PAC ID: 1658612122 Enrollment ID: I20190410000657 |
| Provider Name | Dana K Nold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063077006 PECOS PAC ID: 7517295306 Enrollment ID: I20190816002421 |
| Provider Name | Christy L Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205398120 PECOS PAC ID: 4082040225 Enrollment ID: I20200205002889 |
| Provider Name | Shannon N Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942740071 PECOS PAC ID: 7012286263 Enrollment ID: I20200814000270 |
| Provider Name | Jennifer N Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679832943 PECOS PAC ID: 0446648430 Enrollment ID: I20211025000911 |
| Provider Name | Jasmine Atchison-saari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205584992 PECOS PAC ID: 7315326469 Enrollment ID: I20220620001145 |
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